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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…

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

psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions

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…

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

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May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. | PSNet

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July 06, 2022 - Study Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Citation Text: Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):…

Danger in discharge summaries: abbreviations create confusion for both author and recipient. | PSNet

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March 15, 2017 - Study Danger in discharge summaries: abbreviations create confusion for both author and recipient. Citation Text: Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. | PSNet

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December 16, 2020 - Commentary Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. Citation Text: Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…

Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. | PSNet

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January 27, 2012 - Study Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. Citation Text: Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork…

Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future

December 18, 2014 - Review Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). Citation Text: Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3)…

Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. | PSNet

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May 20, 2019 - Study Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. Citation Text: Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44…

Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet

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December 21, 2014 - Study Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Citation Text: Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medi…

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. | PSNet

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December 21, 2014 - Study Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Citation Text: Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J…

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet

psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients

March 13, 2019 - Study Classic A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Citation Text: Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …

Computerised provider order entry and residency education in an academic medical centre. | PSNet

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June 09, 2015 - Study Computerised provider order entry and residency education in an academic medical centre. Citation Text: Wong BM, Kuper A, Robinson N, et al. Computerised provider order entry and residency education in an academic medical centre. Med Educ. 2012;46(8):795-806. doi:10.1111/j.1365-2…

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated

January 15, 2014 - Study Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Citation Text: Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…

The costs of adverse drug events in community hospitals. | PSNet

psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals

February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

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