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The wisdom and justice of not paying for "preventable complications." | PSNet

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January 22, 2014 - Commentary Classic The wisdom and justice of not paying for "preventable complications." Citation Text: Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…

Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

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February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. | PSNet

psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety

June 07, 2017 - Study Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department. Citation Text: OʼConnell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric P…

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. | PSNet

psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates

October 19, 2022 - Study Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. Citation Text: Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…

Diagnostic performance dashboards: tracking diagnostic errors using big data. | PSNet

psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data

July 28, 2023 - Commentary Diagnostic performance dashboards: tracking diagnostic errors using big data. Citation Text: Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…

The role for policy in AI-assisted medical diagnosis. | PSNet

psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis

October 02, 2013 - Commentary The role for policy in AI-assisted medical diagnosis. Citation Text: Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339. Copy Citation Format: DOI Googl…

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety

June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

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

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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.…

Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. | PSNet

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June 12, 2019 - Study Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. Citation Text: Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and…

Using an inpatient portal to engage families in pediatric hospital care. | PSNet

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September 13, 2023 - Study Using an inpatient portal to engage families in pediatric hospital care. Citation Text: Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070. Copy Citation …

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…

A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

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December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

A decade of preventing harm. | PSNet

psnet.ahrq.gov/issue/decade-preventing-harm

July 10, 2008 - Commentary A decade of preventing harm. Citation Text: Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. | PSNet

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November 26, 2014 - Review Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. Citation Text: Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional studen…

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…

Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac

June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study. | PSNet

psnet.ahrq.gov/issue/improving-care-safety-characterizing-task-interruptions-during-interactions-between

March 05, 2025 - Study Improving care safety by characterizing task interruptions during interactions between healthcare professionals: an observational study. Citation Text: Teigné D, Cazet L, Birgand G, et al. Improving care safety by characterizing task interruptions during interactions between health…

Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. | PSNet

psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary

October 23, 2024 - Study Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. Citation Text: Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…

Association of communication between hospital-based physicians and primary care providers with patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-communication-between-hospital-based-physicians-and-primary-care-providers

September 09, 2013 - Study Association of communication between hospital-based physicians and primary care providers with patient outcomes. Citation Text: Bell CM, Schnipper JL, Auerbach AD, et al. Association of communication between hospital-based physicians and primary care providers with patient out…

Does crew resource management training work? An update, an extension, and some critical needs. | PSNet

psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs

January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…

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