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Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. | PSNet

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December 09, 2020 - Book/Report Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Citation Text: Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of C…

Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet

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November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…

Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. | PSNet

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August 28, 2024 - Review Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. Citation Text: Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a lit…

Design and implementation of an ICU incident registry. | PSNet

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February 14, 2024 - Study Design and implementation of an ICU incident registry. Citation Text: van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. | PSNet

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June 28, 2010 - Study Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. Citation Text: Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensi…

Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. | PSNet

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August 02, 2011 - Study Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. Citation Text: Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care uni…

Evidence-based guidelines for fatigue risk management in emergency medical services. | PSNet

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August 03, 2017 - Review Evidence-based guidelines for fatigue risk management in emergency medical services. Citation Text: Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.…

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet

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February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Citation Text: Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…

What this computer needs is a physician: humanism and artificial intelligence. | PSNet

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June 21, 2016 - Commentary What this computer needs is a physician: humanism and artificial intelligence. Citation Text: Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. Copy Citatio…

Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet

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August 12, 2020 - Study Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. Citation Text: Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…

Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. | PSNet

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May 31, 2017 - Commentary Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. Citation Text: Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. Copy C…

'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. | PSNet

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May 29, 2024 - Commentary 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. Citation Text: Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…

Human factors systems approach to healthcare quality and patient safety. | PSNet

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October 03, 2013 - Commentary Human factors systems approach to healthcare quality and patient safety. Citation Text: Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…

Characterising 'near miss' events in complex laparoscopic surgery through video analysis. | PSNet

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October 09, 2013 - Study Characterising 'near miss' events in complex laparoscopic surgery through video analysis. Citation Text: Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…

Using portable digital technology for clinical care and critical incidents: a new model. | PSNet

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June 29, 2011 - Commentary Using portable digital technology for clinical care and critical incidents: a new model. Citation Text: Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305. Copy Citation…

Retained foreign bodies: risk and outcomes at the national level. | PSNet

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May 29, 2019 - Study Retained foreign bodies: risk and outcomes at the national level. Citation Text: Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015. Copy Citation…

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet

psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system

January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…

Medication errors and trainees: advice for learners and organizations. | PSNet

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April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. | PSNet

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June 22, 2022 - Commentary Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. Citation Text: Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;…

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

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November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

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