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The delivery of safe and effective test result communication, management and follow-up. | PSNet

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August 19, 2020 - Study The delivery of safe and effective test result communication, management and follow-up. Citation Text: Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…

Patient safety in complementary medicine through the application of clinical risk management in the public health system. | PSNet

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February 15, 2023 - Study Patient safety in complementary medicine through the application of clinical risk management in the public health system. Citation Text: Rossi EG, Bellandi T, Picchi M, et al. Patient Safety in Complementary Medicine through the Application of Clinical Risk Management in the Public…

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. | PSNet

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May 25, 2011 - Study Classic Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. Citation Text: Pronovost P, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections…

It’s time to consider national culture when designing team training initiatives in healthcare. | PSNet

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January 26, 2022 - Commentary It’s time to consider national culture when designing team training initiatives in healthcare. Citation Text: Rice JC, Daouk-Öyry L, Hitti E. It’s time to consider national culture when designing team training initiatives in healthcare. BMJ Qual Saf. 2021;30(5):412-417. doi:10…

The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? | PSNet

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March 01, 2011 - Study The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Citation Text: Ciarametaro M, Houghton K, Wamble D, et al. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Value Healt…

How to incorporate quality improvement and patient safety projects in your training. | PSNet

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November 21, 2021 - Commentary How to incorporate quality improvement and patient safety projects in your training. Citation Text: Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.…

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet

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February 09, 2011 - Study Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. Citation Text: Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…

Medication safety incidents associated with the remote delivery of primary care: a rapid review. | PSNet

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June 29, 2022 - Review Medication safety incidents associated with the remote delivery of primary care: a rapid review. Citation Text: Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495…

Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. | PSNet

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December 18, 2013 - Study Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Citation Text: Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…

From box ticking to the black box: the evolution of operating room safety. | PSNet

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October 29, 2017 - Commentary From box ticking to the black box: the evolution of operating room safety. Citation Text: Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. Copy Citation …

The impact of clinically undiagnosed injuries on survival estimates. | PSNet

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April 03, 2024 - Study The impact of clinically undiagnosed injuries on survival estimates. Citation Text: Gedeborg R, Thiblin I, Byberg L, et al. The impact of clinically undiagnosed injuries on survival estimates. Crit Care Med. 2009;37(2). doi:10.1097/ccm.0b013e318194b164. Copy Citation Format…

Can we rely on patients' reports of adverse events? | PSNet

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December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. | PSNet

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September 22, 2021 - Review Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. Citation Text: Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis a…

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. | PSNet

psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments

May 18, 2022 - Study Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. Citation Text: Vaghani V, Wei L, Mushtaq U, et al. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. J Am Med Inform Assoc. 2021;28(…

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

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February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. | PSNet

psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans

June 14, 2011 - Study Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Citation Text: Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…

Interpreting and coding causal relationships for quality and safety using ICD-11. | PSNet

psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11

November 15, 2017 - Commentary Interpreting and coding causal relationships for quality and safety using ICD-11. Citation Text: Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…

The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. | PSNet

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March 04, 2011 - Review The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Citation Text: Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…

Description of the development and validation of the Canadian Paediatric Trigger Tool. | PSNet

psnet.ahrq.gov/issue/description-development-and-validation-canadian-paediatric-trigger-tool

January 25, 2017 - Study Description of the development and validation of the Canadian Paediatric Trigger Tool. Citation Text: Matlow A, Cronin CMG, Flintoft V, et al. Description of the development and validation of the Canadian Paediatric Trigger Tool. BMJ Qual Saf. 2011;20(5):416-23. doi:10.1136/bmjqs…

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. | PSNet

psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful

September 23, 2020 - Commentary Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. Citation Text: Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…

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