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Electronic health record usability contributions to patient safety and clinician burnout: a path forward. | PSNet

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December 21, 2022 - Commentary Electronic health record usability contributions to patient safety and clinician burnout: a path forward. Citation Text: Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19…

The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons. | PSNet

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May 05, 2021 - Study The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons. Citation Text: Sherwood R, Bismark M. The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting sa…

Research to improve diagnosis: time to study the real world. | PSNet

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February 12, 2020 - Commentary Research to improve diagnosis: time to study the real world. Citation Text: Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. Copy Citation Format: DOI Google Scholar…

A model for the departmental quality management infrastructure within an academic health system. | PSNet

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August 08, 2018 - Commentary A model for the departmental quality management infrastructure within an academic health system. Citation Text: Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…

Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

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September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. | PSNet

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September 18, 2024 - Commentary Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing regulatory compliance and patient safety. Citation Text: Sendak MP, Liu VX, Beecy A, et al. Strengthening the use of artificial intelligence within healthcare delivery organiza…

Implementing a human factors approach to RCA(2) : tools, processes and strategies. | PSNet

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July 21, 2021 - Study Implementing a human factors approach to RCA(2) : tools, processes and strategies. Citation Text: Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…

Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. | PSNet

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December 23, 2020 - Commentary Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. Citation Text: Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195. Co…

Safety events in children's hospitals during the COVID-19 pandemic. | PSNet

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January 15, 2020 - Study Safety events in children's hospitals during the COVID-19 pandemic. Citation Text: Safety events in children's hospitals during the COVID-19 pandemic. Masonbrink AR, Harris M, Hall M, et al. Hosp Pediatr. 2021;11(6):e95-e100. Copy Citation Save Save t…

Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. | PSNet

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November 06, 2015 - Study Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. Citation Text: Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. J…

Hospital rules-based system: the next generation of medical informatics for patient safety. | PSNet

psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety

April 21, 2010 - Study Hospital rules-based system: the next generation of medical informatics for patient safety. Citation Text: Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. C…

Impact of preoperative briefings on operating room delays. | PSNet

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July 28, 2010 - Study Impact of preoperative briefings on operating room delays. Citation Text: Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. Copy Citation …

Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts

September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet

psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes

September 30, 2015 - Study E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. Citation Text: Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …

Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

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August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

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September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. | PSNet

psnet.ahrq.gov/issue/critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk-national-reporting-and

August 03, 2022 - Study Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. Citation Text: Cassidy CJ, Smith AF, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK Nat…

Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. | PSNet

psnet.ahrq.gov/issue/technology-best-medicine-three-practice-theoretical-perspectives-medication-administration

February 21, 2024 - Review Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. Citation Text: Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration t…

International perspectives on modifications to the surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/international-perspectives-modifications-surgical-safety-checklist

November 17, 2021 - Study International perspectives on modifications to the surgical safety checklist. Citation Text: Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. Cop…

ACR guidance document on MR safe practices: updates and critical information 2019. | PSNet

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June 22, 2022 - Commentary ACR guidance document on MR safe practices: updates and critical information 2019. Citation Text: ACR guidance document on MR safe practices: updates and critical information 2019. ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 20…

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