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Fifteen years after To Err Is Human: a success story to learn from. | PSNet

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August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet

psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response

July 19, 2023 - Commentary System planning for modern-day Just Culture to mitigate worker distress and second victim response. Citation Text: Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker distress and second victim response. BMJ Lead. 2024;8(2):1…

Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. | PSNet

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November 20, 2019 - Study Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. Citation Text: Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Impr…

Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. | PSNet

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September 15, 2010 - Study Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. Citation Text: Ahmed A, Ahmad M, Stewart M, et al. Effect of distractions on operative performance and ability to multitask--a case for deliberate practice. Laryngoscope. 2015;1…

The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. | PSNet

psnet.ahrq.gov/issue/influence-stress-responses-surgical-performance-and-outcomes-literature-review-and

December 21, 2014 - Review Emerging Classic The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. Citation Text: Chrouser KL, Xu J, Hallbeck S, et al. The influence of stress res…

Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. | PSNet

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December 19, 2018 - Study Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. Citation Text: Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self-Insured Texas Public Academic Health System. Health …

Variability in the measurement of hospital-wide mortality rates. | PSNet

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July 01, 2016 - Study Classic Variability in the measurement of hospital-wide mortality rates. Citation Text: Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …

Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors

January 26, 2022 - Study Prevalence of medication transfer errors in nephrology patients and potential risk factors. Citation Text: Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…

Do hospitals provide lower quality care on weekends? | PSNet

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January 12, 2022 - Study Do hospitals provide lower quality care on weekends? Citation Text: Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. | PSNet

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May 25, 2022 - Study Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. Citation Text: Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better providers’ clinical …

The Child Health PSO at 10 years: an emerging learning network. | PSNet

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July 28, 2021 - Commentary The Child Health PSO at 10 years: an emerging learning network. Citation Text: Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449. Copy Citation Format: …

Differential perceptions of what constitutes a medical error associated with electronic medical records. | PSNet

psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records

August 09, 2023 - Commentary Differential perceptions of what constitutes a medical error associated with electronic medical records. Citation Text: Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health …

Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. | PSNet

psnet.ahrq.gov/issue/using-prospective-risk-analysis-tools-improve-safety-pharmacy-settings-systematic-review-and

January 24, 2018 - Review Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. Citation Text: Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Criti…

Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. | PSNet

psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization

February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …

Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. | PSNet

psnet.ahrq.gov/issue/does-patients-payer-matter-hospital-patient-safety-study-urban-hospitals

November 05, 2008 - Study Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. Citation Text: Clement JP, Lindrooth R, Chukmaitov AS, et al. Does the patient's payer matter in hospital patient safety?: a study of urban hospitals. Med Care. 2007;45(2):131-8. Copy Citat…

"To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet

psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study

August 04, 2021 - Study "To err is human" but disclosure must be taught: a simulation-based assessment study. Citation Text: Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…

Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-behavioral-interventions-inappropriate-antibiotic-prescribing-among-primary-care

August 02, 2015 - Study Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. Citation Text: Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Pra…

Disclosure and reporting of surgical complications: a double-edged sword? | PSNet

psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword

December 21, 2014 - Study Disclosure and reporting of surgical complications: a double-edged sword? Citation Text: Stahel PF, Flierl MA, Smith WR, et al. Disclosure and reporting of surgical complications: a double-edged sword? Am J Med Qual. 2010;25(5):398-401. doi:10.1177/1062860610370989. Copy Citati…

Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. | PSNet

psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications

September 25, 2024 - Study Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Citation Text: Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…

Analysis of patient safety risk management call data during the COVID‐19 pandemic. | PSNet

psnet.ahrq.gov/issue/analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic

February 16, 2022 - Study Analysis of patient safety risk management call data during the COVID‐19 pandemic. Citation Text: Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID‐19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. Copy Citati…

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