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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…

Race differences in a malpractice event database in a large healthcare system. | PSNet

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December 15, 2021 - Study Race differences in a malpractice event database in a large healthcare system. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090. Copy Cita…

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…

The safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel. | PSNet

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August 01, 2018 - Study The safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel. Citation Text: Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and Sustaining Hand Hygiene Compliance Among Health Care …

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

psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric

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…

Pharmacovigilance using clinical notes. | PSNet

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April 24, 2018 - Study Pharmacovigilance using clinical notes. Citation Text: LePendu P, Iyer S, Bauer-Mehren A, et al. Pharmacovigilance using clinical notes. Clin Pharmacol Ther. 2013;93(6):547-55. doi:10.1038/clpt.2013.47. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. | PSNet

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May 18, 2022 - Commentary Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. Citation Text: Krenitsky NM, Perez-Urbano I, Goffman D. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic…

Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. | PSNet

psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid

August 03, 2022 - Study Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. Citation Text: Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…

Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. | PSNet

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November 07, 2011 - Study Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. Citation Text: Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patie…

Team-training in healthcare: a narrative synthesis of the literature. | PSNet

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July 02, 2014 - Review Team-training in healthcare: a narrative synthesis of the literature. Citation Text: Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. Copy Citation Format: …

Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. | PSNet

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April 24, 2018 - Review Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. Citation Text: Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clini…

Implementation of safety checklists in surgery: a realist synthesis of evidence. | PSNet

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November 20, 2015 - Review Implementation of safety checklists in surgery: a realist synthesis of evidence. Citation Text: Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9. Copy Citation …

What context features might be important determinants of the effectiveness of patient safety practice interventions? | PSNet

psnet.ahrq.gov/issue/what-context-features-might-be-important-determinants-effectiveness-patient-safety-practice

September 20, 2011 - Study What context features might be important determinants of the effectiveness of patient safety practice interventions? Citation Text: Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions?…

Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. | PSNet

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January 06, 2018 - Commentary Pragmatic insights on patient safety priorities and intervention strategies in ambulatory settings. Citation Text: Sarkar U, McDonald KM, Motala A, et al. Pragmatic Insights on Patient Safety Priorities and Intervention Strategies in Ambulatory Settings. Jt Comm J Qual Patient…

Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety

December 06, 2013 - Commentary Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. Citation Text: Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…

Hospital credentialing and privileging of surgeons: a potential safety blind spot. | PSNet

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September 24, 2017 - Commentary Hospital credentialing and privileging of surgeons: a potential safety blind spot. Citation Text: Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943. Co…

The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet

psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data

June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…

From aviation to pediatric surgery. | PSNet

psnet.ahrq.gov/issue/aviation-pediatric-surgery

January 12, 2022 - Commentary From aviation to pediatric surgery. Citation Text: Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

Implementing an error disclosure coaching model: a multicenter case study. | PSNet

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May 11, 2016 - Study Implementing an error disclosure coaching model: a multicenter case study. Citation Text: White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260. Copy Citati…

Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. | PSNet

psnet.ahrq.gov/issue/organizational-and-social-psychological-conditions-healthcare-and-their-importance-patient

August 16, 2017 - Study Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. Citation Text: Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and…

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