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The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. | PSNet

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May 11, 2019 - Commentary The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. Citation Text: Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…

When a surgical colleague makes an error. | PSNet

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December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure. | PSNet

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August 02, 2012 - Study Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure. Citation Text: Carruthers S, Lawton R, Sandars J, et al. Attitudes to patient safety amongst medical students and tutors: Developing a reliable and valid measure. Med Teach. …

Spoons systematically bias dosing of liquid medicine. | PSNet

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November 03, 2015 - Study Spoons systematically bias dosing of liquid medicine. Citation Text: Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024. Copy Citation Format: DOI Google Scho…

Sensemaking, safety, and cooperative work in the intensive care unit. | PSNet

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September 29, 2010 - Study Sensemaking, safety, and cooperative work in the intensive care unit. Citation Text: Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. Copy Citation Format:…

Communication in healthcare: a narrative review of the literature and practical recommendations. | PSNet

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August 04, 2021 - Review Communication in healthcare: a narrative review of the literature and practical recommendations. Citation Text: Vermeir P, Vandijck D, Degroote S, et al. Communication in healthcare: a narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):…

Patient safety in an interprofessional learning environment. | PSNet

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May 30, 2008 - Commentary Patient safety in an interprofessional learning environment. Citation Text: Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ. 2005;39(5):512-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. | PSNet

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August 04, 2021 - Study A pilot study examining undesirable events among emergency department–boarded patients awaiting inpatient beds. Citation Text: Liu SW, Thomas SH, Gordon JA, et al. A pilot study examining undesirable events among emergency department-boarded patients awaiting inpatient beds. Ann E…

Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. | PSNet

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May 04, 2010 - Commentary Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. Citation Text: Lindquist LA, Gleason KM, McDaniel MR, et al. Teaching medication reconciliation through simulation: a patient safety initiative for second yea…

Adopting system models for multiple incident analysis: utility and usability. | PSNet

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May 19, 2021 - Study Adopting system models for multiple incident analysis: utility and usability. Citation Text: Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. Copy Citation …

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

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May 26, 2016 - Review The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surg…

Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. | PSNet

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October 19, 2022 - Study Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Citation Text: Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…

Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? | PSNet

psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna

March 12, 2025 - Study Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? Citation Text: Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …

Personal digital assistant-based drug information sources: potential to improve medication safety. | PSNet

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July 14, 2010 - Study Personal digital assistant-based drug information sources: potential to improve medication safety. Citation Text: Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):22…

Evaluation of contextual influences on the medication administration practice of paediatric nurses. | PSNet

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January 20, 2021 - Study Evaluation of contextual influences on the medication administration practice of paediatric nurses. Citation Text: Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. …

Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. | PSNet

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January 25, 2017 - Study Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. Citation Text: Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social…

Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. | PSNet

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June 08, 2022 - Newspaper/Magazine Article Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. Citation Text: Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. Copy Citation Format: Go…

Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet

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April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. | PSNet

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February 15, 2011 - Study What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qua…

A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. | PSNet

psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient

October 27, 2010 - Study A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. Citation Text: Nakajima K, Kurata Y, Takeda H. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a …

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