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Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet

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July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. | PSNet

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April 24, 2018 - Review Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. Citation Text: Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clini…

Root-cause analysis: swatting at mosquitoes versus draining the swamp. | PSNet

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January 31, 2024 - Commentary Root-cause analysis: swatting at mosquitoes versus draining the swamp. Citation Text: Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. Copy Citation Format: …

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

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August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

Error reporting and disclosure systems: views from hospital leaders. | PSNet

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June 16, 2010 - Study Classic Error reporting and disclosure systems: views from hospital leaders. Citation Text: Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. Copy Citation For…

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet

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August 04, 2021 - Study Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Citation Text: Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/…

Medication reconciliation in a community pharmacy setting. | PSNet

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November 16, 2022 - Study Medication reconciliation in a community pharmacy setting. Citation Text: Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. Copy Citation Format: …

Rapid response teams and failure to rescue: one community's experience. | PSNet

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March 14, 2022 - Study Rapid response teams and failure to rescue: one community's experience. Citation Text: Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. Copy Citation Fo…

Computerized clinical decision support for medication prescribing and utilization in pediatrics. | PSNet

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July 16, 2015 - Study Computerized clinical decision support for medication prescribing and utilization in pediatrics. Citation Text: Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.11…

Adverse event reporting: harnessing residents to improve patient safety. | PSNet

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July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

Prioritizing patient safety interventions in small and rural hospitals. | PSNet

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October 14, 2009 - Study Prioritizing patient safety interventions in small and rural hospitals. Citation Text: Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702. Copy Citation Format: …

Simulation-based medical error disclosure training for pediatric healthcare professionals. | PSNet

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April 11, 2011 - Study Simulation-based medical error disclosure training for pediatric healthcare professionals. Citation Text: Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9. Copy Cit…

In-home medication reviews: a novel approach to improving patient care through coordination of care. | PSNet

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July 01, 2016 - Study In-home medication reviews: a novel approach to improving patient care through coordination of care. Citation Text: Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…

The impact of resident duty hour and supervision changes: a review. | PSNet

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September 29, 2017 - Review The impact of resident duty hour and supervision changes: a review. Citation Text: Greenberg WE, Borus JF. The Impact of Resident Duty Hour and Supervision Changes: A Review. Harv Rev Psychiatry. 2016;24(1):69-76. doi:10.1097/HRP.0000000000000061. Copy Citation Format: …

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. | PSNet

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July 06, 2012 - Study A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. Citation Text: Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patien…

Communication and shared understanding between parents and resident-physicians at night. | PSNet

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May 08, 2017 - Study Communication and shared understanding between parents and resident-physicians at night. Citation Text: Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…

Practically speaking: rethinking hand hygiene improvement programs in health care settings. | PSNet

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September 03, 2011 - Study Practically speaking: rethinking hand hygiene improvement programs in health care settings. Citation Text: Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j…

Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. | PSNet

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January 15, 2020 - Commentary Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. Citation Text: Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):…

Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet

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March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…

Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. | PSNet

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August 04, 2021 - Study Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Citation Text: Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electro…

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