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A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet

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March 27, 2005 - Book/Report Classic A Tale of Two Stories: Contrasting Views of Patient Safety. Citation Text: A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. Copy Citation …

Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool. | PSNet

psnet.ahrq.gov/issue/enhancing-pediatric-safety-assessing-and-improving-resident-competency-life-threatening

December 14, 2016 - Study Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool. Citation Text: Lerner C, Gaca AM, Frush DP, et al. Enhancing pediatric safety: assessing and improving resident competency in l…

Safe care for pediatric patients: a scoping review across multiple health care settings. | PSNet

psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings

August 03, 2022 - Review Safe care for pediatric patients: a scoping review across multiple health care settings. Citation Text: Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.11…

The impact of a tele-ICU on provider attitudes about teamwork and safety climate. | PSNet

psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate

May 25, 2016 - Study The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Citation Text: Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.…

Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

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February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. | PSNet

psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals

March 12, 2025 - Study Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. Citation Text: Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…

Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

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August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

El Camino Hospital: using health information technology to promote patient safety. | PSNet

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March 06, 2013 - Award Recipient El Camino Hospital: using health information technology to promote patient safety. Citation Text: Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:…

Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. | PSNet

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February 14, 2018 - Study Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. Citation Text: Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…

Hospital rules-based system: the next generation of medical informatics for patient safety. | PSNet

psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety

April 21, 2010 - Study Hospital rules-based system: the next generation of medical informatics for patient safety. Citation Text: Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. C…

Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts

September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

Proposal for a 'surgical checklist' for ambulatory oral surgery. | PSNet

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January 17, 2012 - Commentary Proposal for a 'surgical checklist' for ambulatory oral surgery. Citation Text: Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…

Patient safety in dentistry: dental care risk management plan. | PSNet

psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan

March 27, 2013 - Commentary Patient safety in dentistry: dental care risk management plan. Citation Text: Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Patient safety in dentistry: dental care risk management plan. Med Oral Patol Oral Cir Bucal. 2011;16(6):e805-9. Copy Citation Format: …

Inpatient housestaff discontinuity of care and patient adverse events. | PSNet

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July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …

Patient safety superheroes in training: using a comic book to teach patient safety to residents. | PSNet

psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents

May 11, 2022 - Study Patient safety superheroes in training: using a comic book to teach patient safety to residents. Citation Text: Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. | PSNet

psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and

May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…

Effect of critical access hospital conversion on patient safety. | PSNet

psnet.ahrq.gov/issue/effect-critical-access-hospital-conversion-patient-safety

October 19, 2022 - Study Effect of critical access hospital conversion on patient safety. Citation Text: Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323. Copy Citation Format: Google…

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

psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts

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…

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

psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events

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…

Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010

March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

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