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Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. | PSNet

psnet.ahrq.gov/issue/education-next-frontier-patient-safety-longitudinal-resident-curriculum-diagnostic-error

January 16, 2019 - Commentary Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. Citation Text: Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qua…

Failure mode and effects analysis: a comparison of two common risk prioritisation methods. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods

September 09, 2015 - Study Failure mode and effects analysis: a comparison of two common risk prioritisation methods. Citation Text: McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10…

American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. | PSNet

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August 16, 2023 - Organizational Policy/Guidelines Classic American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappro…

Just culture: the foundation of staff safety in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment

June 09, 2021 - Commentary Just culture: the foundation of staff safety in the perioperative environment. Citation Text: Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. Copy Citation …

The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. | PSNet

psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units

February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…

Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet

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June 15, 2011 - Book/Report Classic Crossing the Global Quality Chasm: Improving Health Care Worldwide. Citation Text: Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…

Medication reconciliation for reducing drug-discrepancy adverse events. | PSNet

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October 10, 2018 - Study Medication reconciliation for reducing drug-discrepancy adverse events. Citation Text: Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43. Copy Citation Format: …

Ethical dilemma in missed melanoma: what to tell the patient and other providers. | PSNet

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March 17, 2021 - Commentary Ethical dilemma in missed melanoma: what to tell the patient and other providers. Citation Text: Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…

The natural history of recovery for the healthcare provider "second victim" after adverse patient events. | PSNet

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January 03, 2017 - Study The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Healt…

The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality

October 26, 2010 - Review The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. Citation Text: Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and acceptability-related qu…

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings

July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …

Improving safety and quality of care with enhanced teamwork through operating room briefings. | PSNet

psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings

May 11, 2019 - Commentary Improving safety and quality of care with enhanced teamwork through operating room briefings. Citation Text: Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…

Long-term sustainability and adaptation of I-PASS handovers. | PSNet

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September 09, 2020 - Study Long-term sustainability and adaptation of I-PASS handovers. Citation Text: Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007. Copy Citation Format: …

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet

psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained

February 08, 2012 - Commentary Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. Citation Text: Ipaktchi K, Kolnik A, Messina M, et al. Current surgical instrument labeling techniques may increase the risk of unintentionally ret…

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. | PSNet

psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents

August 14, 2018 - Study Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. Citation Text: Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…

Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. | PSNet

psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again

February 23, 2022 - Newspaper/Magazine Article Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. Citation Text: Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…

Impact of patient safety culture on missed nursing care and adverse patient events. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events

March 16, 2022 - Study Emerging Classic Impact of patient safety culture on missed nursing care and adverse patient events. Citation Text: Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…

Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. | PSNet

psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing

April 03, 2017 - Study Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. Citation Text: Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…

Misdiagnosis in the emergency department: time for a system solution. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution

March 25, 2020 - Commentary Misdiagnosis in the emergency department: time for a system solution. Citation Text: Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. Copy Citation Format: DOI Goo…

Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department

October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

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