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Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. | PSNet

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November 04, 2020 - Commentary Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. Citation Text: Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. Copy Citation Format: DOI Google…

Rethinking use of air-safety principles to reduce fatal hospital errors. | PSNet

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May 15, 2024 - Newspaper/Magazine Article Rethinking use of air-safety principles to reduce fatal hospital errors. Citation Text: Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364. Copy Citation Format: DOI Google Scholar BibTeX…

Medication reconciliation in a rural trauma population. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population

April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…

The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. | PSNet

psnet.ahrq.gov/issue/trainees-voice-recognising-importance-preoperative-briefings-surgical-trainees

October 09, 2019 - Commentary The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. Citation Text: Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. J Perioper Pract. 2014;24(3):56-58. Copy C…

First year nursing students' viewpoints about compromised clinical safety. | PSNet

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July 15, 2020 - Study First year nursing students' viewpoints about compromised clinical safety. Citation Text: Killam LA, Mossey S, Montgomery P, et al. First year nursing students' viewpoints about compromised clinical safety. Nurse Educ Today. 2013;33(5):475-80. doi:10.1016/j.nedt.2012.05.010. Co…

Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. | PSNet

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April 18, 2011 - Study Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Citation Text: Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21…

Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet

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September 11, 2013 - Commentary Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. Citation Text: Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…

Quality and safety of artificial intelligence generated health information. | PSNet

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October 19, 2022 - Commentary Quality and safety of artificial intelligence generated health information. Citation Text: Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596. Copy Citation Format: …

Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

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December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet

psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded

February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. | PSNet

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March 10, 2021 - Book/Report Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Citation Text: Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Kreit…

Using the opportunity estimator tool to improve engagement in a quality and safety intervention. | PSNet

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August 25, 2010 - Commentary Using the opportunity estimator tool to improve engagement in a quality and safety intervention. Citation Text: Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patien…

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. | PSNet

psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment

November 08, 2023 - Commentary Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Citation Text: Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…

Assessing patient safety in the United States: challenges and opportunities. | PSNet

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July 07, 2021 - Review Assessing patient safety in the United States: challenges and opportunities. Citation Text: Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47. Copy Citation Format: Goog…

New technology, new errors: how to prime an upgrade of an insulin infusion pump. | PSNet

psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump

July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…

Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

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February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. | PSNet

psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff

April 24, 2018 - Review Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. Citation Text: Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review…

Improving reporting of outpatient pediatric medical errors. | PSNet

psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors

March 14, 2022 - Study Improving reporting of outpatient pediatric medical errors. Citation Text: Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477. Copy Citation Format: DOI Google Scholar BibTe…

Safety incidents in family medicine. | PSNet

psnet.ahrq.gov/issue/safety-incidents-family-medicine

December 11, 2013 - Study Safety incidents in family medicine. Citation Text: O'Beirne M, Sterling PD, Zwicker K, et al. Safety incidents in family medicine. BMJ Qual Saf. 2011;20(12):1005-10. doi:10.1136/bmjqs-2011-000105. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

Nursing student medication errors involving tubing and catheters: a descriptive study. | PSNet

psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study

July 14, 2010 - Study Nursing student medication errors involving tubing and catheters: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.200…

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