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Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet

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July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and patient safety. Citation Text: Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…

Bringing change-of-shift report to the bedside: a patient- and family-centered approach. | PSNet

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August 18, 2021 - Commentary Bringing change-of-shift report to the bedside: a patient- and family-centered approach. Citation Text: Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8…

Patient safety and leadership: do you walk the walk? | PSNet

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November 04, 2020 - Commentary Patient safety and leadership: do you walk the walk? Citation Text: Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

Learning from incidents in health care: critique from a Safety-II perspective. | PSNet

psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective

August 19, 2020 - Commentary Learning from incidents in health care: critique from a Safety-II perspective. Citation Text: Learning from incidents in health care: critique from a Safety-II perspective. Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121. Copy Citation Save …

Standardization of compounded oral liquids for pediatric patients in Michigan. | PSNet

psnet.ahrq.gov/issue/standardization-compounded-oral-liquids-pediatric-patients-michigan

December 16, 2020 - Study Standardization of compounded oral liquids for pediatric patients in Michigan. Citation Text: Engels MJ, Ciarkowski SL, Rood J, et al. Standardization of compounded oral liquids for pediatric patients in Michigan. Am J Health Syst Pharm. 2016;73(13):981-990. doi:10.2146/150471. C…

Moving beyond readmission penalties: creating an ideal process to improve transitional care. | PSNet

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June 14, 2017 - Commentary Moving beyond readmission penalties: creating an ideal process to improve transitional care. Citation Text: Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…

Learning mechanisms to limit medication administration errors. | PSNet

psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors

August 30, 2017 - Study Learning mechanisms to limit medication administration errors. Citation Text: Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs. 2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x. Copy Citation Format: DOI Google Scholar …

Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. | PSNet

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August 17, 2022 - Study Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. Citation Text: doi:http://doi.org/10.23750/abm.v92iS2.11507. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote…

Rx for medication errors. | PSNet

psnet.ahrq.gov/issue/rx-medication-errors

July 19, 2023 - Newspaper/Magazine Article Rx for medication errors. Citation Text: Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8. Copy …

Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study. | PSNet

psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross

December 21, 2011 - Study Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study. Citation Text: Zohar E, Noga Y, Davidson E, et al. Perioperative patient safety: correct patient, correct surgery, correct side--a multifacete…

Health information technologies: from hazardous to the dark side. | PSNet

psnet.ahrq.gov/issue/health-information-technologies-hazardous-dark-side

January 24, 2024 - Commentary Health information technologies: from hazardous to the dark side. Citation Text: Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. Copy Citation Format…

Medical error reduction and tort reform through private contractually-based quality medicine societies. | PSNet

psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine

October 13, 2010 - Commentary Medical error reduction and tort reform through private contractually-based quality medicine societies. Citation Text: MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet

psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. | PSNet

psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings

July 05, 2008 - Meeting/Conference Proceedings Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. Citation Text: Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…

The problem with checklists. | PSNet

psnet.ahrq.gov/issue/problem-checklists

March 29, 2023 - Commentary The problem with checklists. Citation Text: Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

The limits of checklists: handoff and narrative thinking. | PSNet

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July 01, 2017 - Commentary The limits of checklists: handoff and narrative thinking. Citation Text: Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705. Copy Citation Format: DOI Google Scho…

Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. | PSNet

psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency

June 22, 2009 - Review Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Citation Text: Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…

Attitudes of health sciences faculty members towards interprofessional teamwork and education. | PSNet

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March 02, 2011 - Study Attitudes of health sciences faculty members towards interprofessional teamwork and education. Citation Text: Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896. Copy Cit…

Bringing the equity lens to patient safety event reporting. | PSNet

psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting

September 21, 2009 - Commentary Bringing the equity lens to patient safety event reporting. Citation Text: Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. Copy Citation Format: …

The elusive and illusive quest for diagnostic safety metrics. | PSNet

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October 10, 2018 - Commentary The elusive and illusive quest for diagnostic safety metrics. Citation Text: Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. Copy Citation Format: DOI Google Sch…

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