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Quality gaps identified through mortality review. | PSNet

psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review

November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Adverse events detected by clinical surveillance on an obstetric service. | PSNet

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September 11, 2009 - Study Adverse events detected by clinical surveillance on an obstetric service. Citation Text: Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83. Copy Citation Format: Google…

Errors, incidents and accidents in anaesthetic practice. | PSNet

psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice

April 06, 2011 - Commentary Classic Errors, incidents and accidents in anaesthetic practice. Citation Text: Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…

The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet

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November 26, 2014 - Study The association between night or weekend admission and hospitalization-relevant patient outcomes. Citation Text: Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…

Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. | PSNet

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July 03, 2014 - Study Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. Citation Text: Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features…

Understanding whistleblowing: qualitative insights from nurse whistleblowers. | PSNet

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April 24, 2018 - Study Understanding whistleblowing: qualitative insights from nurse whistleblowers. Citation Text: Jackson D, Peters K, Andrew S, et al. Understanding whistleblowing: qualitative insights from nurse whistleblowers. J Adv Nurs. 2010;66(10):2194-201. doi:10.1111/j.1365-2648.2010.05365.x.…

Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet

psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking

March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…

Lessons learned from medical malpractice claims involving critical care nurses. | PSNet

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July 15, 2020 - Study Lessons learned from medical malpractice claims involving critical care nurses. Citation Text: Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341. Copy Citation …

Development of a medication safety and quality survey for small rural hospitals. | PSNet

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July 15, 2010 - Study Development of a medication safety and quality survey for small rural hospitals. Citation Text: Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.00000000…

Use of specific indicators to detect warfarin-related adverse events. | PSNet

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October 19, 2022 - Study Use of specific indicators to detect warfarin-related adverse events. Citation Text: Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. Copy Cita…

Follow-up of outpatient test results: a survey of house-staff practices and perceptions. | PSNet

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July 14, 2010 - Study Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Citation Text: Lin JJ, Dunn A, Moore C. Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Am J Med Qual. 2006;21(3):178-84. Copy Citation Format: …

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? | PSNet

psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense

January 06, 2017 - Study Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Citation Text: Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…

"Health courts" and accountability for patient safety. | PSNet

psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety

February 17, 2011 - Commentary "Health courts" and accountability for patient safety. Citation Text: Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q. 2006;84(3):459-92. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

Implementation of a "second victim" program in a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital

December 18, 2013 - Study Implementation of a "second victim" program in a pediatric hospital. Citation Text: Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650. Copy Citation Forma…

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios. | PSNet

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October 12, 2016 - Study Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios. Citation Text: Jones A, Johnstone M-J. Inattentional blindness and failures to rescue the deteriorating patient in critical care, em…

Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology

July 14, 2010 - Study Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Citation Text: Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;6…

Association between opioid prescribing patterns and abuse in ophthalmology. | PSNet

psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology

April 12, 2019 - Study Association between opioid prescribing patterns and abuse in ophthalmology. Citation Text: Patel S, Sternberg P. Association Between Opioid Prescribing Patterns and Abuse in Ophthalmology. JAMA Ophthalmol. 2017;135(11):1216-1220. doi:10.1001/jamaophthalmol.2017.4055. Copy Citatio…

Lost in translation: medication labeling for immigrant families. | PSNet

psnet.ahrq.gov/issue/lost-translation-medication-labeling-immigrant-families

May 31, 2017 - Commentary Lost in translation: medication labeling for immigrant families. Citation Text: Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002. Copy Citation Forma…

Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. | PSNet

psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and

March 14, 2018 - Study Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. Citation Text: Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…

An IDEA: safety training to improve critical thinking by individuals and teams. | PSNet

psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams

May 25, 2016 - Commentary An IDEA: safety training to improve critical thinking by individuals and teams. Citation Text: Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/106286061882068…

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