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Using incident reporting to improve patient safety: a conceptual model. | PSNet

psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances

June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

A case of the birth and death of a high reliability healthcare organisation. | PSNet

psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation

June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation. Citation Text: Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. Copy Citation Format:…

Composite measures for profiling hospitals on bariatric surgery performance. | PSNet

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January 31, 2013 - Study Composite measures for profiling hospitals on bariatric surgery performance. Citation Text: Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. Copy Cit…

Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. | PSNet

psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety

June 21, 2016 - Study Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. Citation Text: Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…

Outcomes of care by hospitalists, general internists, and family physicians. | PSNet

psnet.ahrq.gov/issue/outcomes-care-hospitalists-general-internists-and-family-physicians

May 14, 2008 - Study Classic Outcomes of care by hospitalists, general internists, and family physicians. Citation Text: Lindenauer PK, Rothberg MB, Pekow PS, et al. Outcomes of Care by Hospitalists, General Internists, and Family Physicians. New Engl J Med. 2007;357(25):25…

Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. | PSNet

psnet.ahrq.gov/issue/residents-perceptions-professionalism-training-and-practice-barriers-promoters-and-duty-hour

November 16, 2022 - Study Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. Citation Text: Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour re…

What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. | PSNet

psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences

July 27, 2011 - Study What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. Citation Text: Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended…

Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. | PSNet

psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery

October 09, 2013 - Study Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Citation Text: Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…

Emotional exhaustion and workload predict clinician-rated and objective patient safety. | PSNet

psnet.ahrq.gov/issue/emotional-exhaustion-and-workload-predict-clinician-rated-and-objective-patient-safety

February 14, 2017 - Study Emotional exhaustion and workload predict clinician-rated and objective patient safety. Citation Text: Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2014;5:1573. doi:10.3389/fpsyg.2014.01573. Cop…

Implicit racial bias in pediatric orthopaedic surgery. | PSNet

psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery

September 21, 2022 - Study Implicit racial bias in pediatric orthopaedic surgery. Citation Text: Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop. 2022;42(7):393-399. doi:10.1097/bpo.0000000000002170. Copy Citation Format: DOI Google Sc…

Implementation of bar-code medication administration to reduce patient harm. | PSNet

psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm

September 23, 2020 - Study Implementation of bar-code medication administration to reduce patient harm. Citation Text: Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…

Effectiveness of interventions to improve patient handover in surgery: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review

June 25, 2018 - Review Effectiveness of interventions to improve patient handover in surgery: a systematic review. Citation Text: Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016…

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance

January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

Strategies to reduce the risk of iatrogenic illness in complex older adults. | PSNet

psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults

January 12, 2022 - Review Strategies to reduce the risk of iatrogenic illness in complex older adults. Citation Text: Onder G, van der Cammen TJM, Petrovic M, et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing. 2013;42(3):284-91. doi:10.1093/ageing/aft038. Cop…

When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. | PSNet

psnet.ahrq.gov/issue/when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode-trust-american-medicine

April 24, 2019 - Commentary When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Citation Text: Schlesinger M, Grob R. When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Hastings Cent Rep. 2023;53(S2):s22-…

Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. | PSNet

psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex

September 09, 2020 - Study Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Citation Text: D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. | PSNet

psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study

March 09, 2022 - Study Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Citation Text: Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…

Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet

psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and

May 19, 2021 - Study Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. Citation Text: Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…

Automated identification of diagnostic labelling errors in medicine. | PSNet

psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine

September 23, 2020 - Study Automated identification of diagnostic labelling errors in medicine. Citation Text: Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. Copy Citation Format: …

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