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Avoiding the unintended consequences of growth in medical care: how might more be worse? | PSNet

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April 24, 2018 - Commentary Classic Avoiding the unintended consequences of growth in medical care: how might more be worse? Citation Text: Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281(5):446-53. …

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet

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March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. | PSNet

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November 04, 2015 - Study Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. Citation Text: Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ…

Challenges in patient safety improvement research in the era of electronic health records. | PSNet

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November 11, 2020 - Commentary Challenges in patient safety improvement research in the era of electronic health records. Citation Text: Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.…

Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. | PSNet

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April 21, 2015 - Review Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. Citation Text: Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. | PSNet

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June 03, 2013 - Study Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Citation Text: Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…

Making the transition to nursing bedside shift reports. | PSNet

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September 29, 2017 - Study Making the transition to nursing bedside shift reports. Citation Text: Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. Copy Citation Format: Google Scholar PubMed BibTeX End…

Improving resident morning sign-out by use of daily events reports. | PSNet

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March 04, 2020 - Study Improving resident morning sign-out by use of daily events reports. Citation Text: Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. Copy Citation Format: …

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). | PSNet

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September 30, 2020 - Study The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Citation Text: Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2)…

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. | PSNet

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March 14, 2016 - Study Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. Citation Text: Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laborato…

Patient safety begins with proper planning: a quantitative method to improve hospital design. | PSNet

psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design

July 19, 2023 - Study Patient safety begins with proper planning: a quantitative method to improve hospital design. Citation Text: Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):46…

The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. | PSNet

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July 01, 2017 - Study The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. Citation Text: Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…

Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review | PSNet

psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals

August 28, 2024 - Review Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review Citation Text: Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. | PSNet

psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal

July 01, 2017 - Commentary Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Citation Text: Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…

Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet

psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through

February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. Citation Text: Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…

The SQUIRE Guidelines: an evaluation from the field, 5 years post release. | PSNet

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November 18, 2016 - Study The SQUIRE Guidelines: an evaluation from the field, 5 years post release. Citation Text: Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116. Copy Cita…

A target to achieve zero preventable trauma deaths through quality improvement. | PSNet

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March 03, 2011 - Study A target to achieve zero preventable trauma deaths through quality improvement. Citation Text: Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. Copy…

A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet

psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system

December 20, 2023 - Study A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. Citation Text: Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in Sw…

Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. | PSNet

psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens-hospitals

April 24, 2018 - Study Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. Citation Text: Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88…

Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. | PSNet

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September 23, 2020 - Study Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. Citation Text: Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in t…

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