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The impact of adverse events on clinicians: what's in a name? | PSNet

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March 25, 2020 - Review The impact of adverse events on clinicians: what's in a name? Citation Text: Wu AW, Shapiro J, Harrison R, et al. The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 2020;16(1):65-72. doi:10.1097/PTS.0000000000000256. Copy Citation Format: DO…

Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. | PSNet

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January 16, 2019 - Commentary Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. Citation Text: Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qua…

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 …

Understanding complexity in a safety critical setting: a systems approach to medication administration. | PSNet

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February 01, 2023 - Study Understanding complexity in a safety critical setting: a systems approach to medication administration. Citation Text: Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…

A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. | PSNet

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March 04, 2015 - Commentary A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Citation Text: Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …

A survey of the impact of disruptive behaviors and communication defects on patient safety. | PSNet

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February 03, 2010 - Study Classic A survey of the impact of disruptive behaviors and communication defects on patient safety. Citation Text: Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patie…

Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. | PSNet

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September 27, 2023 - Commentary Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. Citation Text: Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…

How unprofessional behaviours between healthcare staff threaten patient care and safety. | PSNet

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July 24, 2024 - Commentary How unprofessional behaviours between healthcare staff threaten patient care and safety. Citation Text: Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan…

Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. | PSNet

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February 24, 2011 - Study Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Citation Text: Truitt E, Thompson R, Blazey-Martin D, et al. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration …

Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. | PSNet

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December 01, 2017 - Book/Report Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. Citation Text: Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup: Landscape Assessment On The Use Of Artifi…

Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. | PSNet

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May 08, 2019 - Study Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. Citation Text: Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;4…

Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet

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November 21, 2021 - Study Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. Citation Text: Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical cen…

Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. | PSNet

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January 26, 2022 - Review Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. Citation Text: Lambert V, Matthews A, MacDonell R, et al. Paediatric early warning systems for detecting and responding to clinical deterioration in children: …

Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

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March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

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…

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

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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…

Improving Weekend Out Of Hours Surgical Handover (WOOSH). | PSNet

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May 27, 2011 - Commentary Improving Weekend Out Of Hours Surgical Handover (WOOSH). Citation Text: Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. Copy Citation Format: DOI G…

Impact of resident workload and handoff training on patient outcomes. | PSNet

psnet.ahrq.gov/issue/impact-resident-workload-and-handoff-training-patient-outcomes

April 12, 2023 - Study Impact of resident workload and handoff training on patient outcomes. Citation Text: Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005. Copy Citation F…

Patient and physician experience with interhospital transfer: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-physician-experience-interhospital-transfer-qualitative-study

April 12, 2023 - Study Patient and physician experience with interhospital transfer: a qualitative study. Citation Text: Mueller SK, Shannon E, Dalal A, et al. Patient and Physician Experience with Interhospital Transfer: A Qualitative Study. J Patient Saf. 2021;17(8):e752-e757. doi:10.1097/PTS.000000000…

Do no harm: is it time to rethink the Hippocratic Oath? | PSNet

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May 04, 2022 - Commentary Do no harm: is it time to rethink the Hippocratic Oath? Citation Text: Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

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