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Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet

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April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …

Retained foreign bodies: risk and outcomes at the national level. | PSNet

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May 29, 2019 - Study Retained foreign bodies: risk and outcomes at the national level. Citation Text: Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015. Copy Citation…

Resident perceptions of the impact of work hour limitations. | PSNet

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August 04, 2021 - Study Resident perceptions of the impact of work hour limitations. Citation Text: Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Surgical site infection prevention: a review. | PSNet

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February 15, 2023 - Review Surgical site infection prevention: a review. Citation Text: Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

Latent risk assessment tool for health care leaders. | PSNet

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September 05, 2018 - Commentary Latent risk assessment tool for health care leaders. Citation Text: Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. Copy Citation Format: DOI Google S…

A review of medical error taxonomies: a human factors perspective. | PSNet

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July 25, 2012 - Review A review of medical error taxonomies: a human factors perspective. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014. Copy Citation Forma…

Augmenting health care failure modes and effects analysis with simulation. | PSNet

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December 18, 2024 - Study Augmenting health care failure modes and effects analysis with simulation. Citation Text: Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd. Copy Cit…

Dynamics of dignity and safety: a discussion. | PSNet

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September 07, 2022 - Commentary Dynamics of dignity and safety: a discussion. Citation Text: Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. Copy Citation Format: DOI Google Scholar PubMed BibT…

Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. | PSNet

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August 03, 2022 - Study Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. Citation Text: Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…

Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. | PSNet

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January 22, 2020 - Commentary Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. Citation Text: Page B, Irving D, Amalberti R, et al. Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. BMJ Qual Saf. 2023…

Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. | PSNet

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November 04, 2020 - Study Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. Citation Text: Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital manager and incident i…

Bedside shift-to-shift handoffs: a systematic review of the literature. | PSNet

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January 23, 2017 - Review Bedside shift-to-shift handoffs: a systematic review of the literature. Citation Text: Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. Copy Citation…

Incorporating medication indications into the prescribing process. | PSNet

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May 01, 2019 - Commentary Emerging Classic Incorporating medication indications into the prescribing process. Citation Text: Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.…

Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? | PSNet

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March 09, 2022 - Review Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? Citation Text: Brindley PG, Jones DB, Grantcharov T, et al. Canadian Association of University Surgeons' Annual Symposium. Surgical simulat…

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. | PSNet

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April 24, 2018 - Study Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. Citation Text: Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Cl…

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

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May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Patient safety culture in primary care: developing a theoretical framework for practical use. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-primary-care-developing-theoretical-framework-practical-use

September 06, 2017 - Study Patient safety culture in primary care: developing a theoretical framework for practical use. Citation Text: Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.…

Critical Issues in Food Allergy: A National Academies Consensus Report. | PSNet

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November 16, 2022 - Commentary Critical Issues in Food Allergy: A National Academies Consensus Report. Citation Text: Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. Copy Citation Format: …

Pharmacovigilance using clinical notes. | PSNet

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April 24, 2018 - Study Pharmacovigilance using clinical notes. Citation Text: LePendu P, Iyer S, Bauer-Mehren A, et al. Pharmacovigilance using clinical notes. Clin Pharmacol Ther. 2013;93(6):547-55. doi:10.1038/clpt.2013.47. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. | PSNet

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February 06, 2019 - Study Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. Citation Text: Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…

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