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The many faces of error disclosure: a common set of elements and a definition. | PSNet

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December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. | PSNet

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August 26, 2015 - Study Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Citation Text: Rhodes P, McDonald R, Campbell S, et al. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Sociol Health Illn. 2016;38(…

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. | PSNet

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September 28, 2010 - Study Classic Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Col…

In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. | PSNet

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June 27, 2011 - Review In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Citation Text: Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):2…

Improving radiology report quality by rapidly notifying radiologist of report errors. | PSNet

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May 29, 2019 - Study Improving radiology report quality by rapidly notifying radiologist of report errors. Citation Text: Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…

Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

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November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. | PSNet

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June 28, 2011 - Study Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. Citation Text: Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sect…

Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. | PSNet

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September 23, 2020 - Study Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. Citation Text: Nguyen S, Corrington A, Hebl MR, et al. Endorsements of Surgeon Punishment and Patient Compensation in Rested and Sleep-Restricted Individuals. JAMA Surg. 2019;154…

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

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May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

High reliability of care in orthopedic surgery: are we there yet? | PSNet

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November 23, 2011 - Review High reliability of care in orthopedic surgery: are we there yet? Citation Text: Anoushiravani AA, Sayeed Z, El-Othmani MM, et al. High Reliability of Care in Orthopedic Surgery: Are We There Yet? Orthop Clin North Am. 2016;47(4):689-95. doi:10.1016/j.ocl.2016.05.011. Copy Citat…

Rethinking diagnostic delay in cancer: how difficult is the diagnosis? | PSNet

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August 19, 2020 - Commentary Rethinking diagnostic delay in cancer: how difficult is the diagnosis? Citation Text: Lyratzopoulos G, Wardle J, Rubin G. Rethinking diagnostic delay in cancer: how difficult is the diagnosis? BMJ. 2014;349:g7400. doi:10.1136/bmj.g7400. Copy Citation Format: DOI …

Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet

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June 12, 2024 - Commentary Learning from incidents in healthcare: the journey, not the arrival, matters. Citation Text: Leistikow I, Mulder S, Vesseur J, et al. Learning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017;26(3):252-256. doi:10.1136/bmjqs-2015-004853. …

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. | PSNet

psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative

November 21, 2018 - Review Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. Citation Text: van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…

Design of a safety dashboard for patients. | PSNet

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March 16, 2022 - Study Design of a safety dashboard for patients. Citation Text: Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet

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September 25, 2008 - Commentary Emerging Classic U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. Citation Text: Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …

Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

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September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

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July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet

psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety

October 29, 2017 - Commentary Abbreviation use decreases effective clinical communication and can compromise patient safety. Citation Text: Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…

Hospitalized patients' attitudes about and participation in error prevention. | PSNet

psnet.ahrq.gov/issue/hospitalized-patients-attitudes-about-and-participation-error-prevention

December 22, 2008 - Study Hospitalized patients' attitudes about and participation in error prevention. Citation Text: Waterman AD, Gallagher TH, Garbutt J, et al. Brief report: Hospitalized patients' attitudes about and participation in error prevention. J Gen Intern Med. 2006;21(4):367-70. Copy Citati…

Joy in medical practice: clinician satisfaction in the Healthy Work Place trial. | PSNet

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January 23, 2017 - Study Joy in medical practice: clinician satisfaction in the Healthy Work Place trial. Citation Text: Linzer M, Sinsky CA, Poplau S, et al. Joy In Medical Practice: Clinician Satisfaction In The Healthy Work Place Trial. Health Aff (Millwood). 2017;36(10):1808-1814. doi:10.1377/hlthaff.2…

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