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Application of human error theory in case analysis of wrong procedures. | PSNet

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November 14, 2018 - Study Application of human error theory in case analysis of wrong procedures. Citation Text: Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. Copy Citation Format: DOI Goo…

Association of safety culture with surgical site infection outcomes. | PSNet

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October 23, 2024 - Study Classic Association of safety culture with surgical site infection outcomes. Citation Text: Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…

Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. | PSNet

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July 10, 2024 - Review Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. Citation Text: Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…

Advanced practice nurses' experiences of patient safety: a focus group study. | PSNet

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March 06, 2024 - Study Advanced practice nurses' experiences of patient safety: a focus group study. Citation Text: Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363…

FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet

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June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…

The vanishing nonforensic autopsy. | PSNet

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February 09, 2011 - Commentary The vanishing nonforensic autopsy. Citation Text: Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet

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February 01, 2014 - These include: (i) establishing a no interruption zone (NIZ); (ii) ensuring a do-not-disturb approach … There are a number of pragmatic interventions—such as establishing an NIZ or silencing beepers and overhead

Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet

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August 11, 2021 - Study Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. Citation Text: Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…

Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. | PSNet

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November 16, 2022 - Study Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. Citation Text: Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…

Australian hospital leaders on the provision of safe care: implications for safety I and safety II. | PSNet

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August 18, 2021 - Study Australian hospital leaders on the provision of safe care: implications for safety I and safety II. Citation Text: Leggat SG, Balding C, Bish M. Perspectives of Australian hospital leaders on the provision of safe care: implications for safety I and safety II. J Health Org Manag. 2…

Implementation of an antibiotic stewardship program in long-term care facilities across the US. | PSNet

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July 20, 2022 - Study Implementation of an antibiotic stewardship program in long-term care facilities across the US. Citation Text: doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. | PSNet

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March 23, 2022 - Study The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. Citation Text: Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…

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…

Effect of genetic diagnosis on patients with previously undiagnosed disease. | PSNet

psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease

October 19, 2022 - Study Effect of genetic diagnosis on patients with previously undiagnosed disease. Citation Text: Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. Copy…

Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. | PSNet

psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york

September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Citation Text: Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…

Creating an integrated patient safety team. | PSNet

psnet.ahrq.gov/issue/creating-integrated-patient-safety-team

January 04, 2017 - Commentary Classic Creating an integrated patient safety team. Citation Text: Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90. Copy Citation Format: Google Scholar PubM…

Improving Diagnostic Safety and Quality | PSNet

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February 22, 2023 - Annual Perspective Improving Diagnostic Safety and Quality Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD | April 26, 2023 View more articles from the same authors. Citation Text: Al-Khafaji J, Lee M, Mossburg S. Improving Di…

Value and Patient Safety | PSNet

psnet.ahrq.gov/curated-library/value-and-patient-safety

October 30, 2019 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Value and Patient Safety Download Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Tea…

“Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet

psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure

February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 30, 2021 Innovat…

Anesthesiology patient handoff education interventions: a systematic review. | PSNet

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April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…

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