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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…

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

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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…

Medication errors and trainees: advice for learners and organizations. | PSNet

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April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…

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…

Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. | PSNet

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October 06, 2021 - Commentary Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. Citation Text: Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…

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…

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. | PSNet

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June 24, 2020 - Commentary Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. Citation Text: Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA.…

Safety events in children's hospitals during the COVID-19 pandemic. | PSNet

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January 15, 2020 - Study Safety events in children's hospitals during the COVID-19 pandemic. Citation Text: Safety events in children's hospitals during the COVID-19 pandemic. Masonbrink AR, Harris M, Hall M, et al. Hosp Pediatr. 2021;11(6):e95-e100. Copy Citation Save Save t…

The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet

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November 26, 2014 - Study The association between night or weekend admission and hospitalization-relevant patient outcomes. Citation Text: Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? | PSNet

psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest

October 14, 2009 - Study How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Citation Text: Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the re…

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. | PSNet

psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety

October 14, 2009 - Study Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Citation Text: Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…

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

psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent

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…

Medical error disclosure among pediatricians: choosing carefully what we might say to parents. | PSNet

psnet.ahrq.gov/issue/medical-error-disclosure-among-pediatricians-choosing-carefully-what-we-might-say-parents

July 10, 2008 - Study Classic Medical error disclosure among pediatricians: choosing carefully what we might say to parents. Citation Text: Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc Med. 2008;162(10):922-927. doi:10…

Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet

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April 03, 2024 - Commentary Using medicolegal data to support safe medical care: a contributing factor coding framework. Citation Text: McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. | PSNet

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March 28, 2011 - Study Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Citation Text: Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Qual Saf Health Care. 2008;…

Patient safety superheroes in training: using a comic book to teach patient safety to residents. | PSNet

psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents

May 11, 2022 - Study Patient safety superheroes in training: using a comic book to teach patient safety to residents. Citation Text: Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…

Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident

November 04, 2020 - Study Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. Citation Text: Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital manager and incident i…

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…

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

psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission

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…

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