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What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

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February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

Defining a high-quality and effective morbidity and mortality conference: a systematic review. | PSNet

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September 30, 2012 - Review Defining a high-quality and effective morbidity and mortality conference: a systematic review. Citation Text: Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. | PSNet

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November 30, 2016 - Study Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. Citation Text: Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities…

Extent of diagnostic agreement among medical referrals. | PSNet

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October 31, 2011 - Study Extent of diagnostic agreement among medical referrals. Citation Text: Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. Copy Citation Format: DOI Google Scholar …

Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet

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March 13, 2013 - Study Retained guidewires in the Veterans Health Administration: getting to the root of the problem. Citation Text: Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

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November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

How prevalent are hazardous attitudes among orthopaedic surgeons? | PSNet

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March 14, 2018 - Study How prevalent are hazardous attitudes among orthopaedic surgeons? Citation Text: Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2. Copy Citation …

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. | PSNet

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April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …

How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams

February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…

Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. | PSNet

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July 10, 2017 - Study Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. Citation Text: Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug Adminis…

Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet

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April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…

Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. | PSNet

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September 04, 2024 - Study Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. Citation Text: Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…

Diagnostic delays among COVID-19 patients with a second concurrent diagnosis. | PSNet

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March 08, 2023 - Study Diagnostic delays among COVID-19 patients with a second concurrent diagnosis. Citation Text: Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID‐19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063. Copy Citation F…

Perceptions of working conditions and safety concerns in community pharmacy. | PSNet

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September 01, 2015 - Study Perceptions of working conditions and safety concerns in community pharmacy. Citation Text: Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.0…

Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort. | PSNet

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August 23, 2023 - Study Racial and ethnic disparities in common inpatient safety outcomes in a children's hospital cohort. Citation Text: Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort. BMJ Qual Saf. 2024;33(2):86-97. do…

Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. | PSNet

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February 12, 2020 - Study Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. Citation Text: Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. | PSNet

psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention

February 19, 2020 - Study Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. Citation Text: Duckworth M, Adelman JS, Belategui K, et al. Assessing the E…

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet

psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program

July 12, 2010 - Study Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. Citation Text: Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. …

Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. | PSNet

psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical

May 09, 2018 - Study Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. Citation Text: Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…

Assuring safe patient care in a level III NICU in anticipation of hospital closure. | PSNet

psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure

April 22, 2016 - Study Assuring safe patient care in a level III NICU in anticipation of hospital closure. Citation Text: Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7. Copy Citation…

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