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

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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…

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet

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January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…

A team disclosure of error educational activity: objective outcomes. | PSNet

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January 31, 2018 - Study A team disclosure of error educational activity: objective outcomes. Citation Text: Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. Copy Citation Forma…

The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet

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January 19, 2022 - Study The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Citation Text: Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…

Economic evaluation of the impact of medication errors reported by US clinical pharmacists. | PSNet

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February 02, 2011 - Study Economic evaluation of the impact of medication errors reported by US clinical pharmacists. Citation Text: Samp JC, Touchette DR, Marinac JS, et al. Economic evaluation of the impact of medication errors reported by U.S. clinical pharmacists. Pharmacotherapy. 2014;34(4):350-7. doi:…

Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

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July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. | PSNet

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July 21, 2021 - Study Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. Citation Text: Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021…

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

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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…

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet

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January 12, 2022 - Study Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. Citation Text: Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective Study.…

Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. | PSNet

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January 27, 2016 - Study Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Citation Text: Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient…

Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. | PSNet

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November 16, 2022 - Study Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. Citation Text: Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and it…

Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture | PSNet

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February 10, 2021 - Study Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture Citation Text: Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…

Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients

March 25, 2017 - Commentary Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. Citation Text: Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end trans…

A patient safety toolkit for family practices. | PSNet

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August 22, 2018 - Study A patient safety toolkit for family practices. Citation Text: Campbell SM, Bell BG, Marsden K, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020;16(3):e182-e186. doi:10.1097/pts.0000000000000471. Copy Citation Format: DOI Google Scholar BibTeX …

Operating room organization and surgical performance: a systematic review. | PSNet

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March 05, 2025 - Review Operating room organization and surgical performance: a systematic review. Citation Text: Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. Copy Cit…

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. | PSNet

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November 26, 2014 - Study "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. Citation Text: Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at t…

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

psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp

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: …

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. | PSNet

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July 19, 2017 - Book/Report First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Citation Text: First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…

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…

Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. | PSNet

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August 12, 2020 - Study Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. Citation Text: Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…

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