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Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare

April 21, 2021 - Commentary Emerging Classic Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. Citation Text: McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical pri…

Why stigma matters in addressing alcohol harm. | PSNet

psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm

August 04, 2021 - Commentary Why stigma matters in addressing alcohol harm. Citation Text: Morris J, Schomerus G. Why stigma matters in addressing alcohol harm. Drug Alcohol Rev. 2023;42(5):1264-1268. doi:10.1111/dar.13660. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

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

psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system

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/…

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons

July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

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

psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health

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…

Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

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October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet

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September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

Patient safety in the operating room—part 1 and part 2. | PSNet

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October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

Resident physicians' advice seeking and error making: a social networks approach. | PSNet

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July 13, 2010 - Study Resident physicians' advice seeking and error making: a social networks approach. Citation Text: Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333. …

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. | PSNet

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August 21, 2024 - Commentary Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Citation Text: Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epid…

Novel approach to cardiac alarm management on telemetry units. | PSNet

psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units

October 27, 2021 - Study Novel approach to cardiac alarm management on telemetry units. Citation Text: Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. Copy Citation For…

Impact of senior clinical review on patient disposition from the emergency department. | PSNet

psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department

August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…

Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. | PSNet

psnet.ahrq.gov/issue/opioid-related-inpatient-stays-and-emergency-department-visits-among-patients-aged-65-years

March 14, 2018 - Book/Report Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. Citation Text: Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. Weiss AJ, Heslin KC, Barr…

Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. | PSNet

psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency

October 08, 2013 - Study Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. Citation Text: Chamberlain JM, Shaw KN, Lillis KA, et al. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emer…

Medication administration in aged care facilities: a mixed-methods systematic review. | PSNet

psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review

March 05, 2025 - Review Medication administration in aged care facilities: a mixed-methods systematic review. Citation Text: Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed‐methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. Copy …

Preventing Medication Errors: Quality Chasm Series. | PSNet

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January 04, 2009 - Book/Report Classic Preventing Medication Errors: Quality Chasm Series. Citation Text: Preventing Medication Errors: Quality Chasm Series. Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and Preventing Medication …

Back to basics: checklists in aviation and healthcare. | PSNet

psnet.ahrq.gov/issue/back-basics-checklists-aviation-and-healthcare

May 15, 2024 - Commentary Back to basics: checklists in aviation and healthcare. Citation Text: Clay-Williams R, Colligan L. Back to basics: checklists in aviation and healthcare. BMJ Qual Saf. 2015;24(7):428-31. doi:10.1136/bmjqs-2015-003957. Copy Citation Format: DOI Google Scholar PubM…

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. | PSNet

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August 17, 2022 - Review Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. Citation Text: Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…

The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. | PSNet

psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity-decreases-intensive

November 21, 2021 - Study The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. Citation Text: Inokuchi R, Sato H, Nanjo Y, et al. The proportion of clinically relevant alarms decreases as patient clinical severity decreases in…

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. | PSNet

psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome

August 02, 2023 - Commentary A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Citation Text: Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…

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