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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…

Addressing safety concerns about U-500 insulin in a hospital setting. | PSNet

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March 15, 2017 - Commentary Addressing safety concerns about U-500 insulin in a hospital setting. Citation Text: Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224. Copy Citation Form…

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…

Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

psnet.ahrq.gov/issue/medical-errors-reported-french-general-practitioners-training-results-survey-and-individual

March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

The Charter on Professionalism for Health Care Organizations. | PSNet

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May 25, 2016 - Commentary The Charter on Professionalism for Health Care Organizations. Citation Text: Egener BE, Mason DJ, McDonald WJ, et al. The Charter on Professionalism for Health Care Organizations. Acad Med. 2017;92(8):1091-1099. doi:10.1097/ACM.0000000000001561. Copy Citation Format: …

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

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September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. | PSNet

psnet.ahrq.gov/issue/impact-participation-california-healthcare-associated-infection-prevention-initiative

September 28, 2011 - Study Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. Citation Text: Hal…

Advanced practice nursing students' identification of patient safety issues in ambulatory care. | PSNet

psnet.ahrq.gov/issue/advanced-practice-nursing-students-identification-patient-safety-issues-ambulatory-care

March 02, 2012 - Study Advanced practice nursing students' identification of patient safety issues in ambulatory care. Citation Text: Schnall R, Larson EL, Stone PW, et al. Advanced practice nursing students' identification of patient safety issues in ambulatory care. J Nurs Care Qual. 2013;28(2):169-75…

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…

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.…

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

psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals

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…

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

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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…

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…

IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet

psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system

April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system. Citation Text: Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…

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

psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability

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…

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

psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and

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 …

Public perceptions and preferences for patient notification after an unsafe injection. | PSNet

psnet.ahrq.gov/issue/public-perceptions-and-preferences-patient-notification-after-unsafe-injection

July 14, 2010 - Study Public perceptions and preferences for patient notification after an unsafe injection. Citation Text: Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:…

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

psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims

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…

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

psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer

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…

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