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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…

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…

What’s past is prologue: organizational learning from a serious patient injury. | PSNet

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October 26, 2011 - Study What’s past is prologue: organizational learning from a serious patient injury. Citation Text: Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. Copy Citation …

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 …

Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. | PSNet

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September 23, 2020 - Review Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. Citation Text: Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-0…

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…

Allowing failure for educational purposes in postgraduate clinical training: a narrative review. | PSNet

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February 08, 2023 - Review Allowing failure for educational purposes in postgraduate clinical training: a narrative review. Citation Text: Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…

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…

Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. | PSNet

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February 10, 2015 - Study Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. Citation Text: Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial app…

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…

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…

Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. | PSNet

psnet.ahrq.gov/issue/smartphones-let-surgeons-know-whatsapp-analysis-communication-emergency-surgical-teams

April 06, 2015 - Study Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Citation Text: Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:…

Interventions to increase clinical incident reporting in health care. | PSNet

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September 02, 2009 - Review Interventions to increase clinical incident reporting in health care. Citation Text: Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…

Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

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October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

Educating medical trainees on medication reconciliation: a systematic review. | PSNet

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October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. | PSNet

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August 15, 2018 - Study Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. Citation Text: Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…

Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. | PSNet

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September 23, 2020 - Review Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. Citation Text: Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…

What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. | PSNet

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May 25, 2011 - Commentary What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. Citation Text: Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, lead…

Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes

April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…

Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. | PSNet

psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events

November 05, 2013 - Study Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. Citation Text: Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…

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