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Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet

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September 01, 2018 - Study Designing highly reliable adverse-event detection systems to predict subsequent claims. Citation Text: Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm…

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine

November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet

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May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

CE: nursing's evolving role in patient safety. | PSNet

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July 19, 2023 - Review CE: nursing's evolving role in patient safety. Citation Text: Kowalski SL, Anthony M. CE: Nursing's Evolving Role in Patient Safety. Am J Nurs. 2017;117(2):34-48. doi:10.1097/01.NAJ.0000512274.79629.3c. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

Improving radiology report quality by rapidly notifying radiologist of report errors. | PSNet

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May 29, 2019 - Study Improving radiology report quality by rapidly notifying radiologist of report errors. Citation Text: Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…

Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. | PSNet

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November 16, 2022 - Study Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Citation Text: Murji A, Luketic L, Sobel ML, et al. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Surg Endosc. 2…

Trends influencing the cost of care and patient safety. | PSNet

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September 25, 2024 - Newspaper/Magazine Article Trends influencing the cost of care and patient safety. Citation Text: Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):1…

Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. | PSNet

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October 14, 2009 - Commentary Little shop of errors: an innovative simulation patient safety workshop for community health care professionals. Citation Text: Tupper JB, Pearson KB, Meinersmann KM, et al. Little shop of errors: an innovative simulation patient safety workshop for community health care pro…

Safety of office-based lens surgery: U.S. multicenter study | PSNet

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September 23, 2020 - Study Safety of office-based lens surgery: U.S. multicenter study Citation Text: Kugler LJ, Kapeles MJ, Durrie DS. Safety of office-based lens surgery: U.S. multicenter study. J Cataract Refract Surg. 2023;49(9):907-911. doi:10.1097/j.jcrs.0000000000001231. Copy Citation Format: …

Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

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October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

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September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. | PSNet

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October 04, 2011 - Study Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. Citation Text: Zacher JM, Cunningham FE, Zhao X, et al. Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. …

Root cause analysis of ambulatory adverse drug events that present to the emergency department. | PSNet

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April 25, 2016 - Study Root cause analysis of ambulatory adverse drug events that present to the emergency department. Citation Text: Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…

Scoping review of studies evaluating frailty and its association with medication harm. | PSNet

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May 25, 2022 - Review Scoping review of studies evaluating frailty and its association with medication harm. Citation Text: Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-…

Using simulation-based training to improve patient safety: what does it take? | PSNet

psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take

August 30, 2006 - Commentary Using simulation-based training to improve patient safety: what does it take? Citation Text: Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. Copy Citation Form…

Using root cause analysis to reduce falls with injury in community settings. | PSNet

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April 25, 2016 - Study Using root cause analysis to reduce falls with injury in community settings. Citation Text: Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374. Copy Citation Format: Goo…

Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-1-day-interclerkship-program-medical-students-medical-errors-and

March 12, 2025 - Commentary Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Citation Text: Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…

Inaccuracy of ECG interpretations reported to the poison center. | PSNet

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January 20, 2021 - Study Inaccuracy of ECG interpretations reported to the poison center. Citation Text: Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019. Copy Citation Forma…

In-home medication reviews: a novel approach to improving patient care through coordination of care. | PSNet

psnet.ahrq.gov/issue/home-medication-reviews-novel-approach-improving-patient-care-through-coordination-care

July 01, 2016 - Study In-home medication reviews: a novel approach to improving patient care through coordination of care. Citation Text: Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…

Practice advisory for the prevention and management of operating room fires. | PSNet

psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires

December 14, 2010 - Commentary Practice advisory for the prevention and management of operating room fires. Citation Text: Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10…

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