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Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. | PSNet

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February 02, 2022 - Commentary Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. Citation Text: Bruno MA, Walker EA, Abujudeh H. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error re…

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet

psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes

March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. | PSNet

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July 21, 2021 - Review Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. Citation Text: Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…

Impact of staff turnover during cardiac surgical procedures. | PSNet

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November 06, 2019 - Study Impact of staff turnover during cardiac surgical procedures. Citation Text: Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. Copy Citation Format: DO…

Disaster ergonomics: human factors in COVID-19 pandemic emergency management. | PSNet

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September 30, 2020 - Commentary Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Citation Text: Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. …

The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. | PSNet

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December 21, 2014 - Study The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients. Citation Text: Meguid C, Schulick RD, Schefter TE, et al. The Multidisciplinary Approach to GI Cancer Results …

Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet

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August 21, 2019 - Study Evaluating an evidence-based bundle for preventing surgical site infection. Citation Text: Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.20…

Prevalence and nature of adverse medical device events in hospitalized children. | PSNet

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October 05, 2011 - Study Prevalence and nature of adverse medical device events in hospitalized children. Citation Text: Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. Copy …

Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. | PSNet

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September 25, 2011 - Study Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. Citation Text: Lamb BW, Sevdalis N, Vincent C, et al. Development and evaluation of a checklist to support decision making in cancer multidisciplinary team me…

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. | PSNet

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November 25, 2009 - Study Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Citation Text: Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…

Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet

psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury

August 26, 2011 - Study Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Citation Text: Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…

Electronic health record interoperability-why electronically discontinued medications are still dispensed. | PSNet

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August 25, 2021 - Commentary Electronic health record interoperability-why electronically discontinued medications are still dispensed. Citation Text: Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically discontinued medications are still dispensed. JAMA Intern Me…

Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet

psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything

November 03, 2021 - Commentary Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Citation Text: Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…

Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet

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October 19, 2022 - Review Classic Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Citation Text: Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. | PSNet

psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and

November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…

Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. | PSNet

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September 07, 2022 - Study Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. Citation Text: Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-32…

Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative

August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

Patient participation in patient safety still missing: patient safety experts' views. | PSNet

psnet.ahrq.gov/issue/patient-participation-patient-safety-still-missing-patient-safety-experts-views

February 13, 2019 - Study Patient participation in patient safety still missing: patient safety experts' views. Citation Text: Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ij…

When policy meets physiology: the challenge of reducing resident work hours. | PSNet

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January 10, 2017 - Study When policy meets physiology: the challenge of reducing resident work hours. Citation Text: Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127. Copy Citation Format…

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. | PSNet

psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle

June 29, 2009 - Commentary COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. Citation Text: Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …

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