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The eNOTSS platform for surgeons’ nontechnical skills performance improvement. | PSNet

psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement

July 01, 2017 - Commentary The eNOTSS platform for surgeons’ nontechnical skills performance improvement. Citation Text: Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. Copy …

Studying patient safety in health care organizations: accentuate the qualitative. | PSNet

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January 18, 2011 - Commentary Studying patient safety in health care organizations: accentuate the qualitative. Citation Text: Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. Copy Citation Format: …

RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet

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June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

Resident Safety Practices in Nursing Home Settings. | PSNet

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July 27, 2018 - Book/Report Resident Safety Practices in Nursing Home Settings. Citation Text: Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…

Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. | PSNet

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September 24, 2018 - Commentary Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. Citation Text: Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…

Teaching about diagnostic errors through virtual patient cases: a pilot exploration. | PSNet

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September 18, 2013 - Study Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Citation Text: Geha R, Trowbridge RL, Dhaliwal G, et al. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Diagnosis (Berl). 2018;5(4):223-227. doi:10.1515/dx-201…

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

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October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. | PSNet

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April 25, 2012 - Commentary The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Citation Text: Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med. 2013;24(5):4…

AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet

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May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …

The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. | PSNet

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May 24, 2015 - Book/Report Classic The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. Citation Text: The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…

Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet

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September 19, 2018 - Book/Report Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Citation Text: Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of M…

Driving improvement in patient care: lessons from Toyota. | PSNet

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September 24, 2016 - Study Classic Driving improvement in patient care: lessons from Toyota. Citation Text: Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. Copy Citation Format: Google Scholar …

Safety-I, Safety-II and resilience engineering. | PSNet

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December 16, 2015 - Commentary Safety-I, Safety-II and resilience engineering. Citation Text: Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. Copy Citation Format: DOI Google…

Safety considerations in learning new procedures: a survey of surgeons. | PSNet

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January 23, 2017 - Study Safety considerations in learning new procedures: a survey of surgeons. Citation Text: Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. Copy Citation Format…

Systems thinking for managing COVID-19 in health care systems: seven key messages. | PSNet

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October 21, 2015 - Commentary Systems thinking for managing COVID-19 in health care systems: seven key messages. Citation Text: Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-0…

Preventing Medication Errors: Quality Chasm Series. | PSNet

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January 04, 2009 - Book/Report Classic Preventing Medication Errors: Quality Chasm Series. Citation Text: Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …

Risk factors for adverse drug events: a 10-year analysis. | PSNet

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September 27, 2017 - Study Risk factors for adverse drug events: a 10-year analysis. Citation Text: Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. | PSNet

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August 02, 2017 - Commentary Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. Citation Text: Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department tran…

Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet

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January 02, 2017 - Study Reconciling medications at admission: safe practice recommendations and implementation strategies. Citation Text: Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2…

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings

July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …

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