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Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. | PSNet

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November 16, 2022 - Commentary Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement. Citation Text: Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…

What we can do about maternal mortality—and how to do it quickly. | PSNet

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September 01, 2016 - Commentary Emerging Classic What we can do about maternal mortality—and how to do it quickly. Citation Text: Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

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July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. | PSNet

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June 24, 2020 - Commentary What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. Citation Text: Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical st…

Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

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September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. | PSNet

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October 21, 2011 - Study Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Citation Text: Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…

Common general surgical never events: analysis of NHS England never event data. | PSNet

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April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet

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November 29, 2023 - Book/Report Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. Citation Text: Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, …

Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet

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April 24, 2019 - Review Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. Citation Text: Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …

Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

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December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

Tying up loose ends: discharging patients with unresolved medical issues. | PSNet

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February 24, 2011 - Study Tying up loose ends: discharging patients with unresolved medical issues. Citation Text: Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11. Copy Citation Format: Google Scholar …

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-hospital-pediatrics-during-covid-19-national-qualitative-study

November 17, 2021 - Study Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Citation Text: De Angulo NR, Penwill N, Pathak PR, et al. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Hosp Pediatr. 2022;12(1):e2021006115. doi:10.1…

Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. | PSNet

psnet.ahrq.gov/issue/inaccurate-penicillin-allergy-labeling-electronic-health-record-and-adverse-outcomes-care

December 09, 2020 - Commentary Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Citation Text: Olans RD, Olans RN, Marfatia R, et al. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Jt Comm J Qual Patient …

Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. | PSNet

psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide

June 04, 2014 - Study Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide. Citation Text: Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…

A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial

October 21, 2010 - Study A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Citation Text: Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;…

Positive approaches to safety: learning from what we do well. | PSNet

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September 15, 2021 - Commentary Positive approaches to safety: learning from what we do well. Citation Text: Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. Copy Citation Format: DOI Google Sch…

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health

March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Workarounds and test results follow-up in electronic health record–based primary care. | PSNet

psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care

August 20, 2014 - Study Workarounds and test results follow-up in electronic health record–based primary care. Citation Text: Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015…

Making health care safer: what is the contribution of health psychology? | PSNet

psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology

November 26, 2008 - Commentary Making health care safer: what is the contribution of health psychology? Citation Text: Vincent CA, Wearden A, French DP. Making health care safer: What is the contribution of health psychology? Br J Health Psychol. 2015;20(4):681-7. doi:10.1111/bjhp.12166. Copy Citation …

Interventions for reducing wrong-site surgery and invasive procedures. | PSNet

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September 07, 2011 - Review Interventions for reducing wrong-site surgery and invasive procedures. Citation Text: Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…

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