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Defining and classifying medical error: lessons for patient safety reporting systems. | PSNet

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October 13, 2010 - Study Defining and classifying medical error: lessons for patient safety reporting systems. Citation Text: Tamuz M, Thomas EJ, Franchois KE. Defining and classifying medical error: lessons for patient safety reporting systems. Qual Saf Health Care. 2004;13(1):13-20. Copy Citation …

Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

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June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet

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June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…

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…

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. | PSNet

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November 16, 2022 - Study Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting. Citation Text: Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…

Health care huddles: managing complexity to achieve high reliability. | PSNet

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November 17, 2015 - Study Health care huddles: managing complexity to achieve high reliability. Citation Text: Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. Copy Citat…

Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet

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August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…

Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. | PSNet

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March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Citation Text: Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…

Partnering to prevent falls: using a multimodal multidisciplinary team. | PSNet

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June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …

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: …

The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. | PSNet

psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units

February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…

A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. | PSNet

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February 17, 2017 - Study A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. Citation Text: Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. | PSNet

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November 21, 2018 - Review Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. Citation Text: van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…

The untold toll — the pandemic’s effects on patients without Covid-19. | PSNet

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August 02, 2015 - Commentary Classic The untold toll — the pandemic’s effects on patients without Covid-19. Citation Text: Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984. Copy…

Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. | PSNet

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October 25, 2023 - Commentary Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. Citation Text: Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…

Relationship between psychological safety and reporting nonadherence to a safety checklist. | PSNet

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April 06, 2022 - Study Relationship between psychological safety and reporting nonadherence to a safety checklist. Citation Text: Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…

Instruments for patient safety assessment: a scoping review. | PSNet

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October 12, 2022 - Review Instruments for patient safety assessment: a scoping review. Citation Text: Nunes E, Sirtoli F, Lima E, et al. Instruments for patient safety assessment: a scoping review. Healthcare. 2024;12(20):2075. doi:10.3390/healthcare12202075. Copy Citation Format: DOI Google …

Frontiers in measuring structural racism and its health effects. | PSNet

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April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…

A piece of my mind. Writing the wrong. | PSNet

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January 24, 2024 - Commentary A piece of my mind. Writing the wrong. Citation Text: Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation

November 17, 2010 - Study Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Citation Text: Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber …

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