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Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. | PSNet

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November 11, 2020 - Commentary Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Citation Text: Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, an…

Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. | PSNet

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August 12, 2020 - Study Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. Citation Text: Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…

Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. | PSNet

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February 10, 2021 - Book/Report Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. Citation Text: Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Vir…

Patient safety: let's measure what matters. | PSNet

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July 03, 2016 - Commentary Patient safety: let's measure what matters. Citation Text: Thomas EJ, Classen D. Patient safety: let's measure what matters. Ann Intern Med. 2014;160(9):642-3. doi:10.7326/M13-2528. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

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January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). | PSNet

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May 01, 2017 - Grant Announcement Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Citation Text: Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). Rockville, MD: Agency for …

Communicating uncertainty: a narrative review and framework for future research. | PSNet

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February 24, 2021 - Review Communicating uncertainty: a narrative review and framework for future research. Citation Text: Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. Cop…

The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet

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September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

Preventable anesthesia mishaps: a study of human factors. | PSNet

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June 23, 2015 - Study Classic Preventable anesthesia mishaps: a study of human factors. Citation Text: Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. Copy Citation Format: Goo…

A review of medical error taxonomies: a human factors perspective. | PSNet

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July 25, 2012 - Review A review of medical error taxonomies: a human factors perspective. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014. Copy Citation Forma…

People, systems and safety: resilience and excellence in healthcare practice. | PSNet

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March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

Mistreatment in health care among women in Appalachia. | PSNet

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October 04, 2023 - Study Mistreatment in health care among women in Appalachia. Citation Text: Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. Copy Citation Format: DOI …

Bedside shift-to-shift handoffs: a systematic review of the literature. | PSNet

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January 23, 2017 - Review Bedside shift-to-shift handoffs: a systematic review of the literature. Citation Text: Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. Copy Citation…

The role of error in organizing behaviour. | PSNet

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April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

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…

Decreasing surgical site infections by developing a high reliability culture. | PSNet

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July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…

Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. | PSNet

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March 31, 2022 - Review Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. Citation Text: Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…

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

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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…

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. | PSNet

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September 01, 2016 - Study Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. Citation Text: Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric …

Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. | PSNet

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August 04, 2021 - Commentary Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. Citation Text: Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions.…

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