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Mitigating the July effect. | PSNet

psnet.ahrq.gov/issue/mitigating-july-effect

August 05, 2020 - Commentary Mitigating the July effect. Citation Text: Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet

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April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

Understanding and responding to health literacy as a social determinant of health. | PSNet

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September 27, 2017 - Commentary Classic Understanding and responding to health literacy as a social determinant of health. Citation Text: Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-17…

Uptake of quality-related event standards of practice by community pharmacies. | PSNet

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November 09, 2016 - Study Uptake of quality-related event standards of practice by community pharmacies. Citation Text: Boyle TA, Bishop A, Overmars C, et al. Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. J Pharm Pract. 2015;28(5):442-9. doi:10.1177/0897190014522066. Copy …

Applying requisite imagination to safeguard electronic health record transitions. | PSNet

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August 25, 2021 - Commentary Applying requisite imagination to safeguard electronic health record transitions. Citation Text: Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab…

Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet

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October 07, 2020 - Commentary Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. Citation Text: Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …

"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. | PSNet

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September 23, 2020 - Commentary "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. Citation Text: Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…

Patient safety in primary care: conceptual meanings to the health care team and patients. | PSNet

psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients

September 28, 2022 - Study Patient safety in primary care: conceptual meanings to the health care team and patients. Citation Text: Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042. Cop…

Using prospective clinical surveillance to identify adverse events in hospital. | PSNet

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November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…

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: …

The safety of Australian healthcare: 10 years after QAHCS. | PSNet

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January 12, 2022 - Commentary The safety of Australian healthcare: 10 years after QAHCS. Citation Text: Wilson RML, Van Der Weyden MB. The safety of Australian healthcare: 10 years after QAHCS. Med J Aust. 2005;182(6):260-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. | PSNet

psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign

November 26, 2014 - Review Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. Citation Text: Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…

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

psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum

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…

Management of test results in family medicine offices. | PSNet

psnet.ahrq.gov/issue/management-test-results-family-medicine-offices

July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis

March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

Emergency department adverse events detected using the emergency department trigger tool. | PSNet

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September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated

June 14, 2011 - Commentary A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. Citation Text: Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and si…

Measuring mobile patient safety information system success: an empirical study. | PSNet

psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study

September 27, 2017 - Study Measuring mobile patient safety information system success: an empirical study. Citation Text: Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. Copy Cit…

Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet

psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and

May 19, 2021 - Study Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. Citation Text: Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…

Electronic health record usability contributions to patient safety and clinician burnout: a path forward. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-usability-contributions-patient-safety-and-clinician-burnout-path

December 21, 2022 - Commentary Electronic health record usability contributions to patient safety and clinician burnout: a path forward. Citation Text: Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19…

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