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What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet

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December 17, 2010 - Review What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. Citation Text: Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…

Who makes prescribing decisions in hospital inpatients? An observational study. | PSNet

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January 30, 2013 - Study Who makes prescribing decisions in hospital inpatients? An observational study. Citation Text: Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…

Responding to unprofessional behavior by trainees - a "just culture" framework. | PSNet

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June 24, 2020 - Commentary Responding to unprofessional behavior by trainees - a "just culture" framework. Citation Text: Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…

Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

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August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

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March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

Residents' duty hours—toward an empirical narrative. | PSNet

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March 28, 2018 - Commentary Residents' duty hours—toward an empirical narrative. Citation Text: Rosenbaum L, Lamas D. Residents' duty hours--toward an empirical narrative. N Engl J Med. 2012;367(21):2044-9. doi:10.1056/NEJMsr1210160. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Radiology research in quality and safety: current trends and future needs. | PSNet

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November 16, 2022 - Review Radiology research in quality and safety: current trends and future needs. Citation Text: Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021. Copy …

When a surgical colleague makes an error. | PSNet

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December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. | PSNet

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March 16, 2016 - Study Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. Citation Text: Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…

Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. | PSNet

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June 19, 2019 - Commentary Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. Citation Text: Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimi…

Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. | PSNet

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May 01, 2024 - Review Emerging Classic Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. Citation Text: Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…

Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. | PSNet

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March 25, 2020 - Study Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. Citation Text: Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine t…

Physicians' practice of dispensing medicines: a qualitative study. | PSNet

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November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…

Implementing a perioperative handoff tool to improve postprocedural patient transfers. | PSNet

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February 29, 2012 - Commentary Implementing a perioperative handoff tool to improve postprocedural patient transfers. Citation Text: Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42. …

From a blame culture to a just culture in health care. | PSNet

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January 23, 2017 - Commentary From a blame culture to a just culture in health care. Citation Text: Khatri N, Brown GD, Hicks LL. From a blame culture to a just culture in health care. Health Care Manag Rev. 2009;34(4):312-322. doi:10.1097/HMR.0b013e3181a3b709. Copy Citation Format: DOI Goog…

Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication. | PSNet

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November 16, 2022 - Study Development of a Web-based surgical booking and informed consent system to reduce the potential for error and improve communication. Citation Text: Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent system to reduce the potential…

Effect of clinical pharmacists on care in the emergency department: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-clinical-pharmacists-care-emergency-department-systematic-review

January 16, 2008 - Review Classic Effect of clinical pharmacists on care in the emergency department: a systematic review. Citation Text: Cohen V, Jellinek SP, Hatch A, et al. Effect of clinical pharmacists on care in the emergency department: a systematic review. Am J Health Sy…

White paper on recommendation for systems-based practice competency. | PSNet

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December 18, 2017 - Commentary White paper on recommendation for systems-based practice competency. Citation Text: Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NC…

Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). | PSNet

psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill

March 11, 2015 - Study Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Citation Text: Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):…

Surgical team training: promoting high reliability with nontechnical skills. | PSNet

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May 01, 2019 - Commentary Surgical team training: promoting high reliability with nontechnical skills. Citation Text: Paige JT. Surgical team training: promoting high reliability with nontechnical skills. Surg Clin North Am. 2010;90(3):569-81. doi:10.1016/j.suc.2010.02.007. Copy Citation Format…

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