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The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

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June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

Correlation between hospital rating agencies' data: an analysis and recommendation. | PSNet

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April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…

The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. | PSNet

psnet.ahrq.gov/issue/response-appd-cops-and-aap-institute-medicine-report-resident-duty-hours

November 12, 2014 - Commentary The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Citation Text: Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4…

Race, postoperative complications, and death in apparently healthy children. | PSNet

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August 10, 2022 - Study Classic Race, postoperative complications, and death in apparently healthy children. Citation Text: Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…

A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. | PSNet

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February 24, 2016 - Commentary A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. Citation Text: Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…

Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. | PSNet

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September 09, 2015 - Commentary Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. Citation Text: Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.…

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. | PSNet

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May 20, 2009 - Commentary Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. Citation Text: Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…

A patient safety toolkit for family practices. | PSNet

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August 22, 2018 - Study A patient safety toolkit for family practices. Citation Text: Campbell SM, Bell BG, Marsden K, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020;16(3):e182-e186. doi:10.1097/pts.0000000000000471. Copy Citation Format: DOI Google Scholar BibTeX …

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? | PSNet

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July 14, 2021 - Commentary Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Citation Text: Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10…

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

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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…

Patient and family empowerment as agents of ambulatory care safety and quality. | PSNet

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December 15, 2021 - Commentary Patient and family empowerment as agents of ambulatory care safety and quality. Citation Text: Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. C…

RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. | PSNet

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May 25, 2022 - Commentary RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. Citation Text: Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Ph…

Passing the "Yo' Mama" test. | PSNet

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February 15, 2023 - Commentary Passing the "Yo' Mama" test. Citation Text: Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. Copy Citation Format: …

The "July phenomenon": is trauma the exception? | PSNet

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January 15, 2014 - Study The "July phenomenon": is trauma the exception? Citation Text: Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. Copy Citation Format: DOI Google …

Medical students raising concerns. | PSNet

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September 23, 2020 - Study Medical students raising concerns. Citation Text: Druce MR, Hickey A, Warrens AN, et al. Medical Students Raising Concerns. J Patient Saf. 2021;17(5):e367-e372. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

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

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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…

Building safer systems through critical occurrence reviews: nine years of learning. | PSNet

psnet.ahrq.gov/issue/building-safer-systems-through-critical-occurrence-reviews-nine-years-learning

July 05, 2017 - Study Building safer systems through critical occurrence reviews: nine years of learning. Citation Text: Stevens P, Campbell J, Urmson L, et al. Building safer systems through critical occurrence reviews: nine years of learning. Healthc Q. 2010;13 Spec No:74-80. Copy Citation For…

Understanding safety culture in long-term care: a case study. | PSNet

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April 19, 2011 - Study Understanding safety culture in long-term care: a case study. Citation Text: Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. Copy Citation Format: …

Cognitive bias and dissonance in surgical practice: a narrative review. | PSNet

psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review

June 25, 2018 - Review Cognitive bias and dissonance in surgical practice: a narrative review. Citation Text: Richburg CE, Dossett LA, Hughes TM. Cognitive bias and dissonance in surgical practice: a narrative review. Surg Clin North Am. 2023;103(2):271-285. doi:10.1016/j.suc.2022.11.003. Copy Citatio…

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…

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