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The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. | PSNet

psnet.ahrq.gov/issue/time-out-procedure-institutional-ethnography-how-it-conducted-actual-clinical-practice

November 06, 2015 - Study The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. Citation Text: Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8)…

Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. | PSNet

psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems

April 08, 2011 - Commentary Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Citation Text: Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …

Imitating incidents: how simulation can improve safety investigation and learning from adverse events. | PSNet

psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse

February 28, 2024 - Commentary Imitating incidents: how simulation can improve safety investigation and learning from adverse events. Citation Text: Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…

Learning from every death. | PSNet

psnet.ahrq.gov/issue/learning-every-death

June 28, 2011 - Commentary Learning from every death. Citation Text: Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Speaking up—when doctors navigate medical hierarchy. | PSNet

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August 19, 2020 - Commentary Speaking up—when doctors navigate medical hierarchy. Citation Text: Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

CPOE: it don't come easy. | PSNet

psnet.ahrq.gov/issue/cpoe-it-dont-come-easy

May 27, 2009 - Newspaper/Magazine Article CPOE: it don't come easy. Citation Text: Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. | PSNet

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November 08, 2023 - Commentary Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Citation Text: Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…

The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. | PSNet

psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind

April 12, 2017 - Book/Report Emerging Classic The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Citation Text: The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisat…

Building a highway to quality health care. | PSNet

psnet.ahrq.gov/issue/building-highway-quality-health-care

February 14, 2017 - Commentary Building a highway to quality health care. Citation Text: Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. | PSNet

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October 07, 2020 - Book/Report Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. Citation Text: Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…

Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. | PSNet

psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery

March 20, 2013 - Study Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Citation Text: Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…

Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. | PSNet

psnet.ahrq.gov/issue/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-acute-change

September 17, 2008 - Study Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. Citation Text: Downey A, Quach J, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for acute ch…

Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. | PSNet

psnet.ahrq.gov/issue/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-respiratory

February 13, 2008 - Study Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. Citation Text: Quach J, Downey A, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distres…

Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. | PSNet

psnet.ahrq.gov/issue/improving-quality-surgical-morbidity-and-mortality-conference-prospective-intervention-study

March 14, 2012 - Study Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Citation Text: Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013…

Failures in communication through documents and documentation across the perioperative pathway. | PSNet

psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway

August 07, 2013 - Study Failures in communication through documents and documentation across the perioperative pathway. Citation Text: Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1…

Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient

December 02, 2009 - Study Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety…

The medical student as a patient: attitudes towards involvement in the quality and safety of health care. | PSNet

psnet.ahrq.gov/issue/medical-student-patient-attitudes-towards-involvement-quality-and-safety-health-care

July 06, 2012 - Study The medical student as a patient: attitudes towards involvement in the quality and safety of health care. Citation Text: Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the quality and safety of health care. J Eval Clin Pract. 2…

'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. | PSNet

psnet.ahrq.gov/issue/balancing-risk-my-life-politics-risk-hospital-operating-theatre-department

July 20, 2010 - Commentary 'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. Citation Text: McDonald R, Waring J, Harrison S. ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. Health Risk Soc. 2005;7(4)…

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. | PSNet

psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement

June 23, 2010 - Commentary A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. Citation Text: Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the operating room: balancing …

Documentation of clinical review and vital signs after major surgery. | PSNet

psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery

September 30, 2010 - Study Documentation of clinical review and vital signs after major surgery. Citation Text: McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery. Med J Aust. 2008;189(7):380-3. Copy Citation Format: Google Scholar PubMe…

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