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Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet

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July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. | PSNet

psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment

May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…

Relationship between nursing home safety culture and Joint Commission accreditation. | PSNet

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June 02, 2010 - Study Relationship between nursing home safety culture and Joint Commission accreditation. Citation Text: Wagner LM, McDonald SM, Castle NG. Relationship between nursing home safety culture and Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2012;38(5):207-15. Copy Citation…

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders. | PSNet

psnet.ahrq.gov/issue/use-cpoe-log-analysis-physicians-behavior-when-responding-drug-duplication-reminders

October 27, 2016 - Study The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders. Citation Text: Long A-J, Chang P, Li Y-C, et al. The use of a CPOE log for the analysis of physicians’ behavior when responding to drug-duplication reminders. Int J Med I…

Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital

August 07, 2024 - Study Emerging Classic Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. Citation Text: Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outco…

Do professionalism lapses in medical school predict problems in residency and clinical practice? | PSNet

psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice

February 15, 2017 - Study Do professionalism lapses in medical school predict problems in residency and clinical practice? Citation Text: Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. d…

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate

May 19, 2021 - Study Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. Citation Text: Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…

Healthcare professionals' views on feedback of a patient safety culture assessment. | PSNet

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October 25, 2023 - Study Healthcare professionals' views on feedback of a patient safety culture assessment. Citation Text: Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…

Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet

psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity

February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…

Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

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February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety

January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet

psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability

March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …

How event reporting by US hospitals has changed from 2005 to 2009. | PSNet

psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009

April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. | PSNet

psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare

July 06, 2022 - Study Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Citation Text: Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…

Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review

October 19, 2022 - Review Emerging Classic Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. Citation Text: Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient outcomes: a syste…

The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. | PSNet

psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory

November 26, 2014 - Study The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. Citation Text: Miller N, Bhowmik S, Ezinwa M, et al. The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. J P…

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet

psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care

February 18, 2009 - Study Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. Citation Text: Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing

April 23, 2014 - Study "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. Citation Text: Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…

Physicians' attitudes towards copy and pasting in electronic note writing. | PSNet

psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing

March 04, 2015 - Study Physicians' attitudes towards copy and pasting in electronic note writing. Citation Text: O'Donnell HC, Kaushal R, Barrón Y, et al. Physicians' attitudes towards copy and pasting in electronic note writing. J Gen Intern Med. 2009;24(1):63-8. doi:10.1007/s11606-008-0843-2. Copy …

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. | PSNet

psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients

February 09, 2012 - Study Classic How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. Citation Text: Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…

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