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'Bad apples': time to redefine as a type of systems problem? | PSNet

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April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. | PSNet

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September 23, 2020 - Newspaper/Magazine Article The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. Citation Text: The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…

Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet

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May 04, 2012 - Study Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Citation Text: Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…

An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. | PSNet

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June 17, 2015 - Review An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. Citation Text: Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature …

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted

May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…

Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. | PSNet

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October 20, 2021 - Study Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Citation Text: Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…

Predictive value of alert triggers for identification of developing adverse drug events. | PSNet

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October 19, 2022 - Study Predictive value of alert triggers for identification of developing adverse drug events. Citation Text: Moore C, Li J, Hung C-C, et al. Predictive Value of Alert Triggers for Identification of Developing Adverse Drug Events. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181bc0…

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet

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April 22, 2011 - Study Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Citation Text: van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…

Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. | PSNet

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October 14, 2011 - Study Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. Citation Text: Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …

Preventable closed claims in the AANA Foundation closed malpractice claims database. | PSNet

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March 11, 2020 - Study Preventable closed claims in the AANA Foundation closed malpractice claims database. Citation Text: Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6). Copy Citation Format: …

Silent witnesses: faculty reluctance to report medical students' professionalism lapses. | PSNet

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March 10, 2021 - Study Silent witnesses: faculty reluctance to report medical students' professionalism lapses. Citation Text: Ziring D, Frankel RM, Danoff D, et al. Silent Witnesses: Faculty Reluctance to Report Medical Students' Professionalism Lapses. Acad Med. 2018;93(11):1700-1706. doi:10.1097/ACM.0…

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. | PSNet

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May 23, 2013 - Study In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Citation Text: Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf…

'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. | PSNet

psnet.ahrq.gov/issue/safe-enough-here-patients-expectations-and-experiences-feeling-safe-acute-psychiatric

January 23, 2017 - Study 'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. Citation Text: Stenhouse RC. 'Safe enough in here?': patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. J Clin Nurs. 20…

Racial and ethnic disparities in patient safety. | PSNet

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March 03, 2011 - Review Racial and ethnic disparities in patient safety. Citation Text: Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf. 2017;13(3):153-161. doi:10.1097/PTS.0000000000000133. Copy Citation Format: DOI Google Scholar PubMed Bib…

Experiences of physicians investigated for professionalism concerns: a narrative review. | PSNet

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August 04, 2021 - Review Experiences of physicians investigated for professionalism concerns: a narrative review. Citation Text: Im DS, Tamarelli CM, Shen MR. Experiences of physicians investigated for professionalism concerns: a narrative review. J Gen Intern Med. 2024;39(2):283-300. doi:10.1007/s11606-0…

Cognitive biases in surgery: systematic review. | PSNet

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April 27, 2022 - Review Cognitive biases in surgery: systematic review. Citation Text: Armstrong BA, Dutescu IA, Tung A, et al. Cognitive biases in surgery: systematic review. Br J Surg. 2023;110(6):645-654. doi:10.1093/bjs/znad004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. | PSNet

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November 17, 2010 - Study National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Citation Text: Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. Copy Citation Format: …

Color coded medication safety system reduces community pediatric emergency nursing medication errors. | PSNet

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April 05, 2023 - Study Color coded medication safety system reduces community pediatric emergency nursing medication errors. Citation Text: Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…

Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. | PSNet

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June 07, 2016 - Study Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. Citation Text: Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients:…

Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet

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June 15, 2012 - Study Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. Citation Text: Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…

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