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An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. | PSNet

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March 25, 2021 - Study An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. Citation Text: Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…

Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study

April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. | PSNet

psnet.ahrq.gov/issue/health-system-leaders-role-addressing-racism-time-prioritize-eliminating-health-care

March 20, 2019 - Commentary Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. Citation Text: Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual …

Controversies in diagnosis: contemporary debates in the diagnostic safety literature. | PSNet

psnet.ahrq.gov/issue/controversies-diagnosis-contemporary-debates-diagnostic-safety-literature

December 21, 2018 - Review Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Citation Text: Bergl PA, Wijesekera TP, Nassery N, et al. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Diagnosis (Berl). 2020;7(1):3-9. doi:10.1515/dx-201…

From box ticking to the black box: the evolution of operating room safety. | PSNet

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October 29, 2017 - Commentary From box ticking to the black box: the evolution of operating room safety. Citation Text: Goldenberg MG, Elterman D. From box ticking to the black box: the evolution of operating room safety. World J Urol. 2019;38(6):1369-1372. doi:10.1007/s00345-019-02886-5. Copy Citation …

Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-histology-meta

September 22, 2021 - Review Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. Citation Text: Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis a…

The effect of contact precautions on frequency of hospital adverse events. | PSNet

psnet.ahrq.gov/issue/effect-contact-precautions-frequency-hospital-adverse-events

September 30, 2015 - Study The effect of contact precautions on frequency of hospital adverse events. Citation Text: Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. C…

Empowering patients and reducing inequities: is there potential in sharing clinical notes? | PSNet

psnet.ahrq.gov/issue/empowering-patients-and-reducing-inequities-there-potential-sharing-clinical-notes

June 05, 2019 - Commentary Empowering patients and reducing inequities: is there potential in sharing clinical notes? Citation Text: Blease CR, Fernandez L, Bell SK, et al. Empowering patients and reducing inequities: is there potential in sharing clinical notes? BMJ Qual Saf. 2020;29(10):864–868. doi:1…

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. | PSNet

psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their

March 16, 2022 - Study Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. Citation Text: Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliabilit…

Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies

July 21, 2021 - Study Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. Citation Text: Grogan L, Peterson E, Flatley M, et al. Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. Am J Perinatol. 2025;42(4):452-461. d…

Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. | PSNet

psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us

October 30, 2024 - Study Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. Citation Text: Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 b…

Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. | PSNet

psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box

March 20, 2024 - Study Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Citation Text: Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …

The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care

April 06, 2016 - Study The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. Citation Text: Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. B…

Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic

October 13, 2021 - Review Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. Citation Text: Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic …

Factors related to serious safety events in a children's hospital patient safety collaborative. | PSNet

psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative

February 16, 2022 - Study Factors related to serious safety events in a children's hospital patient safety collaborative. Citation Text: Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. | PSNet

psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners

May 18, 2022 - Commentary Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. Citation Text: Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during…

Improving safety in the operating room: medication icon labels increase visibility and discrimination. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination

April 03, 2019 - Study Improving safety in the operating room: medication icon labels increase visibility and discrimination. Citation Text: Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…

Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/crowdsourced-feedback-improve-resident-physician-error-disclosure-skills-randomized-clinical

May 18, 2022 - Study Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. Citation Text: White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. JAMA Netw Open.…

Unit-based care teams and the frequency and quality of physician–nurse communications. | PSNet

psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications

November 16, 2022 - Study Unit-based care teams and the frequency and quality of physician–nurse communications. Citation Text: Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? | PSNet

psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while

August 20, 2018 - Study Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? Citation Text: Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of N…

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