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National Healthcare Quality and Disparities Report Chartbook on Patient Safety. | PSNet

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May 02, 2017 - Book/Report National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Citation Text: National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. Cop…

Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

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January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. | PSNet

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March 02, 2011 - Study Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims. Citation Text: Poon EG, Kachalia A, Puopolo AL, et al. Cognitive errors and logistical breakdowns contributin…

To do no harm - and the most good - with AI in health care. | PSNet

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March 19, 2019 - Commentary To do no harm - and the most good - with AI in health care. Citation Text: Goldberg CB, Adams L, Blumenthal D, et al. To do no harm - and the most good - with AI in health care. NEJM AI. 2024;1(3). doi:10.1056/aip2400036. Copy Citation Format: DOI Google Scholar …

Governing the safety of artificial intelligence in healthcare. | PSNet

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February 28, 2024 - Review Emerging Classic Governing the safety of artificial intelligence in healthcare. Citation Text: Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498. doi:10.1136/bmjqs-2019-009484. Copy Citation Fo…

AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet

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May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …

What is accountability in health care? | PSNet

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April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

Support methods for healthcare professionals who are second victims: an integrative review. | PSNet

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April 27, 2022 - Review Support methods for healthcare professionals who are second victims: an integrative review. Citation Text: Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196. Copy Cit…

Clinical reasoning as a core competency. | PSNet

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August 20, 2018 - Commentary Clinical reasoning as a core competency. Citation Text: Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

Patient-reported missed nursing care correlated with adverse events. | PSNet

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September 27, 2017 - Study Patient-reported missed nursing care correlated with adverse events. Citation Text: Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. Copy Citation Format: …

A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet

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March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. | PSNet

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April 19, 2011 - Study Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. Citation Text: Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…

Pharmacist medication assessments in a surgical preadmission clinic. | PSNet

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October 15, 2008 - Study Pharmacist medication assessments in a surgical preadmission clinic. Citation Text: Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. Copy Citation Format: Google Scholar…

The debrief imperative: building teaming competencies and team effectiveness. | PSNet

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December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…

Critical conversations: a call for a nonprocedural "time out." | PSNet

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February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…

Piece of my mind. Stories doctors tell. | PSNet

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August 28, 2013 - Commentary Piece of my mind. Stories doctors tell. Citation Text: Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Vital Signs: Core Metrics for Health and Health Care Progress. | PSNet

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November 24, 2021 - Book/Report Vital Signs: Core Metrics for Health and Health Care Progress. Citation Text: Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…

Health IT and Patient Safety: Building Safer Systems for Better Care. | PSNet

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June 16, 2011 - Book/Report Classic Health IT and Patient Safety: Building Safer Systems for Better Care. Citation Text: Health IT and Patient Safety: Building Safer Systems for Better Care. Committee on Patient Safety and Health Information Technology, Board on Health Care Ser…

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 …

Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. | PSNet

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August 16, 2023 - Book/Report Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Citation Text: Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Schlesinger M, Grob R, Gleason K, et al. Rock…

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