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Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. | PSNet

psnet.ahrq.gov/issue/using-objective-structured-clinical-examination-test-adherence-joint-commission-national

September 26, 2012 - Study Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. Citation Text: Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…

Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems

May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…

In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities

June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

Evaluation of detected medication errors within the operating room at an academic medical center. | PSNet

psnet.ahrq.gov/issue/evaluation-detected-medication-errors-within-operating-room-academic-medical-center

October 19, 2022 - Study Evaluation of detected medication errors within the operating room at an academic medical center. Citation Text: Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10…

Investigating workplace support and the importance of psychological safety in general surgery residency training. | PSNet

psnet.ahrq.gov/issue/investigating-workplace-support-and-importance-psychological-safety-general-surgery-residency

July 16, 2015 - Study Investigating workplace support and the importance of psychological safety in general surgery residency training. Citation Text: Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. …

Cost-effective enhancement of claims data to improve comparisons of patient safety. | PSNet

psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety

December 21, 2014 - Study Cost-effective enhancement of claims data to improve comparisons of patient safety. Citation Text: Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…

Evaluation of an anonymous system to report medical errors in pediatric inpatients. | PSNet

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April 30, 2014 - Study Evaluation of an anonymous system to report medical errors in pediatric inpatients. Citation Text: Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33. Copy Citation Forma…

Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. | PSNet

psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident

April 16, 2008 - Study Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Citation Text: Arora VM, Johnson JK, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Hea…

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. | PSNet

psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children

April 22, 2011 - Study Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. Citation Text: Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…

Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report

April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

Lacerations and embedded needles caused by epinephrine autoinjector use in children. | PSNet

psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children

September 23, 2020 - Study Lacerations and embedded needles caused by epinephrine autoinjector use in children. Citation Text: Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…

Embracing multiple aims in healthcare improvement and innovation. | PSNet

psnet.ahrq.gov/issue/embracing-multiple-aims-healthcare-improvement-and-innovation

June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. | PSNet

psnet.ahrq.gov/issue/mandatory-influenza-vaccination-health-care-workers-new-standard-care-matter-patient-safety

September 13, 2023 - Commentary Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. Citation Text: Cortes-Penfield N. Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patien…

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric

June 28, 2010 - Study Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. Citation Text: Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensi…

An evolution of reporting: identifying the missing link. | PSNet

psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link

August 17, 2022 - Commentary An evolution of reporting: identifying the missing link. Citation Text: Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. Copy Citation Format: …

Improving radiology report quality by rapidly notifying radiologist of report errors. | PSNet

psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors

May 29, 2019 - Study Improving radiology report quality by rapidly notifying radiologist of report errors. Citation Text: Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…

Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after

April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

A new perspective on blame culture: an experimental study. | PSNet

psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study

July 10, 2013 - Study A new perspective on blame culture: an experimental study. Citation Text: Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x. Copy Citation Format: …

Relationship of safety climate and safety performance in hospitals. | PSNet

psnet.ahrq.gov/issue/relationship-safety-climate-and-safety-performance-hospitals

February 04, 2009 - Study Relationship of safety climate and safety performance in hospitals. Citation Text: Singer SJ, Lin S, Falwell A, et al. Relationship of safety climate and safety performance in hospitals. Health Serv Res. 2009;44(2 Pt 1):399-421. doi:10.1111/j.1475-6773.2008.00918.x. Copy Citati…

Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. | PSNet

psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-study-based

January 19, 2014 - Study Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. Citation Text: Cresswell K, Howe A, Steven A, et al. Patient safety in healthcare preregistratio…

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