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Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet

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March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…

Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. | PSNet

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June 28, 2023 - Review Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Citation Text: Ippolito M, Einav S, Giarratano A, et al. Effects of fatigue on anaesthetist well-being and patient safety: a narrative review. Br J Anaesth. 2024;133(1):111-117. doi:10.1016/j.bja…

Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. | PSNet

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November 02, 2016 - Study Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. Citation Text: Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:1…

Monitoring during sedation given by non-anaesthetic doctors. | PSNet

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August 30, 2023 - Study Monitoring during sedation given by non-anaesthetic doctors. Citation Text: Fanning RM. Monitoring during sedation given by non-anaesthetic doctors. Anaesthesia. 2008;63(4):370-374. doi:10.1111/j.1365-2044.2007.05378.x. Copy Citation Format: DOI Google Scholar PubMe…

Quality improvement and patient safety organizations in anesthesiology. | PSNet

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March 07, 2018 - Commentary Quality improvement and patient safety organizations in anesthesiology. Citation Text: Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503. Copy Citation Form…

Patient safety: examining the adequacy of the 5 rights of medication administration. | PSNet

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March 02, 2016 - Commentary Patient safety: examining the adequacy of the 5 rights of medication administration. Citation Text: Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f. Copy…

Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

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November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

Learning from failure: the need for independent safety investigation in healthcare. | PSNet

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September 24, 2018 - Commentary Learning from failure: the need for independent safety investigation in healthcare. Citation Text: Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. Copy…

Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet

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January 29, 2015 - Commentary Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. Citation Text: Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

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February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. | PSNet

psnet.ahrq.gov/issue/comprehensive-stroke-centers-overcome-weekend-versus-weekday-gap-stroke-treatment-and

July 13, 2010 - Study Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Citation Text: McKinney JS, Deng Y, Kasner SE, et al. Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Stroke. 2011;42(9)…

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions

March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

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June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet

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April 22, 2011 - Study Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Citation Text: van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…

Use of specific indicators to detect warfarin-related adverse events. | PSNet

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October 19, 2022 - Study Use of specific indicators to detect warfarin-related adverse events. Citation Text: Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. Copy Cita…

Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

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August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

Predictive value of alert triggers for identification of developing adverse drug events. | PSNet

psnet.ahrq.gov/issue/predictive-value-alert-triggers-identification-developing-adverse-drug-events

October 19, 2022 - Study Predictive value of alert triggers for identification of developing adverse drug events. Citation Text: Moore C, Li J, Hung C-C, et al. Predictive Value of Alert Triggers for Identification of Developing Adverse Drug Events. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181bc0…

Failures in communication and information transfer across the surgical care pathway: interview study. | PSNet

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August 09, 2013 - Study Failures in communication and information transfer across the surgical care pathway: interview study. Citation Text: Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…

Evaluation and certification of computerized physician order entry systems. | PSNet

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May 27, 2011 - Review Evaluation and certification of computerized physician order entry systems. Citation Text: Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. Copy Citation Format: Google…

Time-out and checklists: a survey of rural and urban operating room personnel. | PSNet

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January 09, 2014 - Study Time-out and checklists: a survey of rural and urban operating room personnel. Citation Text: Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. Copy Citation Format: Google Scholar…

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