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Health care worker fatigue and patient safety. | PSNet

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December 23, 2016 - Sentinel Event Alerts Health care worker fatigue and patient safety. Citation Text: Health care worker fatigue and patient safety. Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). Copy Citation Save Save to your library Print Do…

TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. | PSNet

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November 18, 2009 - Review TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. Citation Text: Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…

Disclosing adverse events to patients: international norms and trends. | PSNet

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July 29, 2020 - Study Disclosing adverse events to patients: international norms and trends. Citation Text: Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. Copy Citation For…

Perspective: a culture of respect—part 1 and part 2. | PSNet

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October 04, 2006 - Commentary Perspective: a culture of respect—part 1 and part 2. Citation Text: Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. Copy Citation Save Save to your library Print Down…

Evaluation of a measurement system to assess ICU team performance. | PSNet

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November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

Results of survey on pediatric medication safety—part 1 and part 2. | PSNet

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November 16, 2015 - Newspaper/Magazine Article Results of survey on pediatric medication safety—part 1 and part 2. Citation Text: Results of survey on pediatric medication safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. Copy Citation …

Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. | PSNet

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December 18, 2018 - Study Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. Citation Text: Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…

Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

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December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. | PSNet

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December 29, 2014 - Study Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. Citation Text: Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …

Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. | PSNet

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February 23, 2022 - Commentary Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. Citation Text: O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…

Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. | PSNet

psnet.ahrq.gov/issue/risk-identification-and-prediction-complaints-and-misconduct-against-health-practitioners

June 19, 2024 - Review Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Citation Text: Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Heal…

Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

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August 25, 2010 - Commentary Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…

A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet

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April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. Citation Text: Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…

Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet

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September 09, 2015 - Review Applying fault tree analysis to the prevention of wrong-site surgery. Citation Text: Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. Copy Citation F…

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

psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical

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.…

Identification of adverse events in ground transport emergency medical services. | PSNet

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August 26, 2020 - Study Identification of adverse events in ground transport emergency medical services. Citation Text: Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…

Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. | PSNet

psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general

March 09, 2022 - Study Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. Citation Text: Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in gener…

Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service

November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error

February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. | PSNet

psnet.ahrq.gov/issue/changes-supervision-community-pharmacy-pharmacist-and-pharmacy-support-staff-views

June 17, 2020 - Study Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Citation Text: Bradley F, Schafheutle EI, Willis SC, et al. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):…

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