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Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. | PSNet

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January 27, 2016 - Study Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Citation Text: Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient…

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? | PSNet

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May 23, 2018 - Study Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? Citation Text: Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76. Copy Citation Format: Go…

The Preventable Harm Index: an effective motivator to facilitate the drive to zero. | PSNet

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January 15, 2014 - Commentary The Preventable Harm Index: an effective motivator to facilitate the drive to zero. Citation Text: Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.201…

Principles supporting dynamic clinical care teams: an American College of Physicians position paper. | PSNet

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March 14, 2018 - Commentary Principles supporting dynamic clinical care teams: an American College of Physicians position paper. Citation Text: Doherty RB, Crowley RA, Physicians H and PPC of the AC of. Principles supporting dynamic clinical care teams: an American College of Physicians position paper. A…

Year-end resident clinic handoffs: narrative review and recommendations for improvement. | PSNet

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March 28, 2018 - Review Year-end resident clinic handoffs: narrative review and recommendations for improvement. Citation Text: Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…

What do nursing students learn about patient safety? An integrative literature review. | PSNet

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October 15, 2016 - Review What do nursing students learn about patient safety? An integrative literature review. Citation Text: Tella S, Liukka M, Jamookeeah D, et al. What do nursing students learn about patient safety? an integrative literature review. J Nurs Educ. 2014;53(1):7-13. doi:10.3928/01484834-…

Analysis of medication prescribing errors in critically ill children. | PSNet

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March 28, 2012 - Study Analysis of medication prescribing errors in critically ill children. Citation Text: Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4. Copy Citation …

Building a safety net. | PSNet

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December 21, 2009 - Newspaper/Magazine Article Building a safety net. Citation Text: Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…

Hospice diagnosis: polypharmacy—a teachable moment. | PSNet

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April 24, 2018 - Commentary Hospice diagnosis: polypharmacy—a teachable moment. Citation Text: Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253. Copy Citation Format: DOI Google Scholar PubMed…

Improving the safety of medication administration using an interactive CD-ROM program. | PSNet

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February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. | PSNet

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January 27, 2016 - Study Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Citation Text: Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. Copy Cita…

Teaching hospital financial status and patient outcomes following ACGME duty hour reform. | PSNet

psnet.ahrq.gov/issue/teaching-hospital-financial-status-and-patient-outcomes-following-acgme-duty-hour-reform

November 26, 2014 - Study Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Citation Text: Navathe AS, Silber JH, Small DS, et al. Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Health Serv Res. 2013;48(2 Pt 1):476-98. doi:…

Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. | PSNet

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July 10, 2017 - Study Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. Citation Text: Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …

Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. | PSNet

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July 05, 2017 - Study Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Citation Text: Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…

Optimizing the patient handoff between EMS and the emergency department. | PSNet

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April 24, 2018 - Study Optimizing the patient handoff between EMS and the emergency department. Citation Text: Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1. doi:10.1016/j.annemer…

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

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September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

Resident wellness in US ophthalmic graduate medical education: the resident perspective. | PSNet

psnet.ahrq.gov/issue/resident-wellness-us-ophthalmic-graduate-medical-education-resident-perspective

April 03, 2013 - Study Resident wellness in US ophthalmic graduate medical education: the resident perspective. Citation Text: Tran EM, Scott IU, Clark MA, et al. Resident Wellness in US Ophthalmic Graduate Medical Education: The Resident Perspective. JAMA Ophthalmol. 2018;136(6):695-701. doi:10.1001/jam…

Integrating quality and safety content into clinical teaching in the acute care setting. | PSNet

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September 05, 2018 - Commentary Integrating quality and safety content into clinical teaching in the acute care setting. Citation Text: Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002. Co…

Medication errors in hospitalised children. | PSNet

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September 03, 2014 - Study Medication errors in hospitalised children. Citation Text: Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health. 2014;50(1):71-7. doi:10.1111/jpc.12412. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

What can apologies in the electronic health record tell us about health care quality, processes, and safety? | PSNet

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November 18, 2016 - Study What can apologies in the electronic health record tell us about health care quality, processes, and safety? Citation Text: Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e1…

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