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Critical role of the surgeon–anesthesiologist relationship for patient safety. | PSNet

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November 11, 2020 - Commentary Critical role of the surgeon–anesthesiologist relationship for patient safety. Citation Text: Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. Copy Citation Fo…

National Reporting and Learning System Research and Development. | PSNet

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April 06, 2016 - Book/Report National Reporting and Learning System Research and Development. Citation Text: National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citatio…

Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. | PSNet

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September 07, 2021 - Book/Report Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Citation Text: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…

Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. | PSNet

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September 07, 2011 - Study Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. Citation Text: Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the…

Patient Safety: Emerging Applications of Safety Science. | PSNet

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February 09, 2022 - Book/Report Patient Safety: Emerging Applications of Safety Science. Citation Text: Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. Copy Citation Format: Google Scholar BibTeX En…

Surgical data recording technology: a solution to address medical errors? | PSNet

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June 22, 2022 - Commentary Surgical data recording technology: a solution to address medical errors? Citation Text: Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. Copy Citation Format: DOI Google Scholar BibTeX…

New technology for transfusion safety. | PSNet

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September 09, 2020 - Commentary New technology for transfusion safety. Citation Text: Dzik WH. New technology for transfusion safety. Br J Haematol. 2006;136(2). doi:10.1111/j.1365-2141.2006.06373.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Should patients get direct access to their laboratory test results?: An answer with many questions. | PSNet

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November 13, 2024 - Commentary Should patients get direct access to their laboratory test results?: An answer with many questions. Citation Text: Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.10…

Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. | PSNet

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March 14, 2018 - Book/Report Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. Citation Text: Effective Board Governance of Safe Care: A …

The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. | PSNet

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May 04, 2014 - Commentary The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Citation Text: Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7. Copy Cit…

Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet

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September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet

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August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

Student-observed surgical safety practices across an urban regional health authority. | PSNet

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August 12, 2020 - Study Student-observed surgical safety practices across an urban regional health authority. Citation Text: Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.04…

Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? | PSNet

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February 03, 2011 - Study Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? Citation Text: Arora V, Georgitis E, Woodruff JN, et al. Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency…

CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. | PSNet

psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions

June 15, 2022 - Newspaper/Magazine Article CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. Citation Text: CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…

Statewide identification of adverse events using retrospective nurse review: methods and outcomes. | PSNet

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November 21, 2021 - Study Statewide identification of adverse events using retrospective nurse review: methods and outcomes. Citation Text: Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…

Delayed or missed diagnosis of cervical spine injuries. | PSNet

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May 05, 2010 - Study Delayed or missed diagnosis of cervical spine injuries. Citation Text: Platzer P, Hauswirth N, Jaindl M, et al. Delayed or Missed Diagnosis of Cervical Spine Injuries. The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a. …

Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet

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October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

View the world through a different lens: shadowing another provider. | PSNet

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January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…

A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. | PSNet

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April 08, 2011 - Commentary A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Citation Text: Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Heal…

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