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psnet.ahrq.gov/issue/prospects-blame-free-medical-culture
November 16, 2022 - still treat errors as a personal failing, this poses challenges when asking them to think of errors in … Related Resources From the Same Author(s)
Implementation of the I-PASS handoff program in … June 3, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … December 23, 2008
Decreasing handoff-related care failures in children's hospitals. … August 8, 2018
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
October 19, 2022 - Study
Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner … Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. … Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. … November 2, 2010
Worries and concerns experienced by nurse specialists during inter-hospital … March 6, 2005
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Hospitals
Physicians
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psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
December 14, 2011 - error interception in the emergency department. … in the emergency department. … in the emergency department. … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … Emergency Departments
Pharmacists
Quality and Safety Professionals
Emergency Medicine
Hospital
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psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer
October 29, 2017 - a multistate hospital network--13 academic medical centers, April-June 2020. … August 4, 2021
Effects of teamwork training on adverse outcomes and process of care in … February 15, 2012
Correlates of missed or late versus timely diagnosis of dementia in … June 12, 2019
Overcoming human barriers to safety event reporting in radiology. … January 28, 2015
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Hospitals
Health
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psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
September 01, 2016 - Discussing the mandated reporting of impaired clinicians in the Australian health care system, this … March 28, 2011
Remedies sought and obtained in healthcare complaints. … hospitals: stakeholders, contributory factors, and leverage points. … July 25, 2018
The gaps in specialists' diagnoses. … February 11, 2015
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Hospitals
Physicians
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psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health
January 12, 2022 - Children and adolescents are particularly vulnerable to systemic weaknesses in health care. … multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter … children and adolescents in outpatient settings: clinical practice guideline. … Language Barrier
April 1, 2006
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Hospitals
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psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
May 18, 2022 - students, senior residents, and faculty to explore the relationship between physicians' confidence in … May 18, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … February 3, 2011
Families as partners in hospital error and adverse event surveillance … View More
Related Resources
Primary care pediatricians' interest in … July 12, 2010
Patient safety concerns arising from test results that return after hospital
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psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - The investigators observed anesthetists in a simulated environment and analyzed their ability to respond … February 25, 2009
A retrospective audit of postoperative days alive and out of hospital … situ simulation to enhance infection control systems in the intensive care unit. … April 6, 2011
Crises in clinical care: an approach to management. … January 28, 2009
Representative case series from public hospital admissions 1998 II:
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psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
April 24, 2018 - Citation
Related Resources From the Same Author(s)
Families as partners in … hospital error and adverse event surveillance. … August 4, 2021
Changes in medical errors after implementation of a handoff program. … September 3, 2014
Discontinuity of chronic medications in patients discharged from the … 2011
Impact of computerized physician order entry on medication prescription errors in
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psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
January 06, 2017 - Study
Injection practices among clinicians in United States health care settings. … Injection practices among clinicians in United States health care settings. … Injection practices among clinicians in United States health care settings. … May 8, 2017
Building a culture of safety in ophthalmology. … January 11, 2023
Administering High-Strength Insulin from a Pen Device in Hospital.
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psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
August 28, 2019 - multipronged approach used over the past decade at a major academic medical center was unsuccessful in … December 21, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 29, 2020
Trends and patterns in reporting of patient safety situations in transplantation … and safety: will it transform the culture of teaching hospitals? … May 30, 2012
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Hospitals
Physicians
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psnet.ahrq.gov/issue/handovers-or-icu
January 03, 2017 - FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in … May 25, 2016
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 13, 2010
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Related Resources
Hospital do-not-resuscitate … July 10, 2013
Safety in the NICU: preventing medical errors. … July 21, 2010
Patient whiteboards as a communication tool in the hospital setting: A
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psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
May 12, 2021 - The author examines three major disasters in order to identify common features and characterize stages … Discussion includes the role of false assumptions, poor information handling in complex situations, and … cultural lags in existing precautions in disaster development. … May 12, 2021
Fall prevention implementation strategies in use at 60 United States hospitals … September 14, 2022
The barriers and enhancers to trust in a just culture in hospital
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psnet.ahrq.gov/issue/assessing-impact-teaching-patient-safety-principles-medical-students-during-surgical
November 27, 2012 - applications of previously taught safety principles leads to greater engagement during their rotations in … January 29, 2020
The effect of hospital-acquired Clostridium difficile infection on in-hospital … August 4, 2021
Changes in medical errors after implementation of a handoff program. … November 21, 2018
Does teamwork improve performance in the operating room? … March 16, 2011
Crew resource management improved perception of patient safety in the
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psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
May 18, 2022 - Radiation Protection and Dose Monitoring in Medical Imaging. … Radiation Protection and Dose Monitoring in Medical Imaging. … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … ; assessment and impact on the first 32 facilities in the programme. … February 17, 2010
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Hospitals
Ambulatory
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psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
June 12, 2019 - Study
Adverse events associated with procedural sedation and analgesia in a pediatric … Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: … errors reported by 101 hospitals from 2011 to 2020. … December 5, 2018
Evaluation for occult fractures in injured children. … View More
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Emergency Departments
Children's Hospitals
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psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer
July 29, 2020 - Commentary
The role of South--North partnerships in promoting shared learning and … The role of South-North partnerships in promoting shared learning and knowledge transfer. … learn from low-income hospitals. … The role of South-North partnerships in promoting shared learning and knowledge transfer. … May 11, 2014
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Hospitals
Health Care
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psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
December 22, 2018 - Study
Patterns of medical and nursing staff communication in nursing homes: implications … Patterns of medical and nursing staff communication in nursing homes: implications and insights from … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020
Changes in prevalence of health care-associated infections in U.S. … hospitals.
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psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-engagement
September 23, 2017 - January 1, 2022
Blending evidence and innovation: improving intershift handoffs in a … to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory … Assessment of a wearable fall prevention system at a Veterans Health Administration hospital … September 2, 2020
Can teamwork promote safety in organizations? … December 14, 2005
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Hospitals
Long-Term
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psnet.ahrq.gov/issue/assessing-performance-surgical-teams
July 05, 2017 - This qualitative study examined factors that either aided or hindered teamwork in the operating room … hospital practice: factors associated with turnover, outcomes, and patient safety. … February 9, 2011
Attitudes to teamwork and safety in the operating theatre. … Society for Simulation in Healthcare. … November 18, 2009
Teamwork in the operating room: frontline perspectives among hospitals