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"To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet

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August 04, 2021 - Study "To err is human" but disclosure must be taught: a simulation-based assessment study. Citation Text: Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…

Medical errors and quality of care: from control to commitment. | PSNet

psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment

July 15, 2020 - Commentary Medical errors and quality of care: from control to commitment. Citation Text: Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. Copy Citation Format…

Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. | PSNet

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August 02, 2011 - Study Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. Citation Text: Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot st…

Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. | PSNet

psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care

July 20, 2022 - Commentary Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Citation Text: Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st…

Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios. | PSNet

psnet.ahrq.gov/issue/comparing-utility-standard-pediatric-resuscitation-cart-pediatric-resuscitation-cart-based

December 15, 2011 - Study Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios. Citation Text: Agarwal S, Swanson S, Murphy A, et al. Comparing …

What is driving hospitals' patient-safety efforts? | PSNet

psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts

February 10, 2015 - Commentary What is driving hospitals' patient-safety efforts? Citation Text: Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

A method for measuring system safety and latent errors associated with pediatric procedural sedation. | PSNet

psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation

April 11, 2011 - Study A method for measuring system safety and latent errors associated with pediatric procedural sedation. Citation Text: Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2…

Misleading one detail: a preventable mode of diagnostic error? | PSNet

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February 10, 2016 - Study Misleading one detail: a preventable mode of diagnostic error? Citation Text: Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. Copy Citation Format: …

Identifying risk factors for medical injury. | PSNet

psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury

April 12, 2011 - Study Identifying risk factors for medical injury. Citation Text: Guse CE, Yang H, Layde PM. Identifying risk factors for medical injury. Int J Qual Health Care. 2006;18(3):203-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. | PSNet

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October 19, 2022 - Study Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Citation Text: Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…

Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. | PSNet

psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric

March 01, 2011 - Study Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. Citation Text: Barstow L, Herman E, Phillips H, et al. Assessment of Emergency Department Antibiotic Discharge Prescription Dosing Errors…

Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. | PSNet

psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal

May 08, 2017 - Study Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. Citation Text: Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…

Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. | PSNet

psnet.ahrq.gov/issue/six-habits-enhance-met-performance-under-stress-discussion-paper-reviewing-team-mechanisms

December 12, 2018 - Commentary Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. Citation Text: Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechan…

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. | PSNet

psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and

September 23, 2020 - Commentary Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. Citation Text: Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…

Improving infusion pump safety through usability testing. | PSNet

psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-testing

July 15, 2020 - Commentary Improving infusion pump safety through usability testing. Citation Text: Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208. Copy Citation Format: DO…

Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis

June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet

psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics

August 20, 2018 - Study Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Citation Text: Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…

Temporal clustering of critical illness events on medical wards. | PSNet

psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards

January 31, 2024 - Study Temporal clustering of critical illness events on medical wards. Citation Text: Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629. Copy Citation F…

Predictors of nursing home nurses' willingness to report medication near-misses. | PSNet

psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses

July 31, 2024 - Study Predictors of nursing home nurses' willingness to report medication near-misses. Citation Text: Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-0…

Rapid response teams as a patient safety practice for failure to rescue. | PSNet

psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue

January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue. Citation Text: Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. Copy Citation For…

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