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Closed medical negligence claims can drive patient safety and reduce litigation. | PSNet

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February 05, 2020 - Review Closed medical negligence claims can drive patient safety and reduce litigation. Citation Text: Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5. Copy …

Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

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December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

Agreement between patient-reported symptoms and their documentation in the medical record. | PSNet

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November 09, 2022 - Study Agreement between patient-reported symptoms and their documentation in the medical record. Citation Text: Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539. C…

Mitigating error vulnerability at the transition of care through the use of health IT applications. | PSNet

psnet.ahrq.gov/issue/mitigating-error-vulnerability-transition-care-through-use-health-it-applications

January 23, 2019 - Commentary Mitigating error vulnerability at the transition of care through the use of health IT applications. Citation Text: Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. J Med Syst. 2012;36(6). d…

Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? | PSNet

psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no-fault

March 16, 2022 - Study Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? Citation Text: Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N Z Med J. 2006;119(1239):U2099. Copy Citation Format: Goo…

Patient safety climate in 92 US hospitals: differences by work area and discipline. | PSNet

psnet.ahrq.gov/issue/patient-safety-climate-92-us-hospitals-differences-work-area-and-discipline

September 02, 2009 - Study Patient safety climate in 92 US hospitals: differences by work area and discipline. Citation Text: Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189…

Effect of surgical safety checklists on pediatric surgical complications in Ontario. | PSNet

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December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …

A national survey of obstetric anaesthetic handovers. | PSNet

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July 18, 2018 - Study A national survey of obstetric anaesthetic handovers. Citation Text: Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. Copy Citation Format: DOI Google Scholar BibTe…

Crew resource management training--clinicians' reactions and attitudes. | PSNet

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November 16, 2022 - Study Crew resource management training--clinicians' reactions and attitudes. Citation Text: France DJ, Stiles RA, Gaffney FA, et al. Crew resource management training-Clinicians' reactions and attitudes. AORN J. 2006;82(2):213-224. doi:10.1016/s0001-2092(06)60313-x. Copy Citation …

Changing smart pump vendors: lessons learned. | PSNet

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August 01, 2018 - Commentary Changing smart pump vendors: lessons learned. Citation Text: Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

Assessment of latent factors contributing to error: addressing surgical pathology error wisely. | PSNet

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September 01, 2012 - Study Assessment of latent factors contributing to error: addressing surgical pathology error wisely. Citation Text: Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011…

Reducing diagnostic errors worldwide through diagnostic management teams. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams

May 23, 2018 - Review Reducing diagnostic errors worldwide through diagnostic management teams. Citation Text: Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. Copy Citation …

Hospital admission medication reconciliation in medically complex children: an observational study. | PSNet

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April 24, 2018 - Study Hospital admission medication reconciliation in medically complex children: an observational study. Citation Text: Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…

Methodology and bias in assessing compliance with a surgical safety checklist. | PSNet

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May 04, 2012 - Study Methodology and bias in assessing compliance with a surgical safety checklist. Citation Text: Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77-82. Copy Citation …

The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. | PSNet

psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping

December 09, 2020 - Commentary The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. Citation Text: Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. Copy Citation Format: Google Sc…

Nurses' practice environments, error interception practices, and inpatient medication errors. | PSNet

psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors

December 15, 2011 - Study Nurses' practice environments, error interception practices, and inpatient medication errors. Citation Text: Flynn L, Liang Y, Dickson GL, et al. Nurses' practice environments, error interception practices, and inpatient medication errors. J Nurs Scholarsh. 2012;44(2):180-6. doi:…

Patient-assisted incident reporting: including the patient in patient safety. | PSNet

psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety

June 16, 2011 - Commentary Patient-assisted incident reporting: including the patient in patient safety. Citation Text: Millman A, Pronovost P, Makary MA, et al. Patient-assisted incident reporting: including the patient in patient safety. J Patient Saf. 2011;7(2):106-8. doi:10.1097/PTS.0b013e31821b3c…

An in-depth analysis of medication errors in hospitalized patients with HIV. | PSNet

psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv

July 15, 2010 - Study An in-depth analysis of medication errors in hospitalized patients with HIV. Citation Text: Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599. Copy Cita…

Internal medicine work hours: trends, associations, and implications for the future. | PSNet

psnet.ahrq.gov/issue/internal-medicine-work-hours-trends-associations-and-implications-future

February 03, 2016 - Study Internal medicine work hours: trends, associations, and implications for the future. Citation Text: Shiotani LM, Parkerton PH, Wenger N, et al. Internal medicine work hours: trends, associations, and implications for the future. Am J Med. 2008;121(1):80-5. doi:10.1016/j.amjmed.20…

How to "DEAL" with disruptive physician behavior. | PSNet

psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior

December 02, 2020 - Commentary How to "DEAL" with disruptive physician behavior. Citation Text: Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology. 2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021. Copy Citation Format: DOI Google Scholar Bi…

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