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Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. | PSNet

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July 08, 2016 - Book/Report Classic Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Citation Text: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committe…

Organisational learning in hospitals: a concept analysis. | PSNet

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August 21, 2019 - Review Organisational learning in hospitals: a concept analysis. Citation Text: Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722. Copy Citation Format: DOI Google Scholar PubMed B…

Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. | PSNet

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February 12, 2019 - Government Resource Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Sorra J, Nieva V, Famolaro T, et al. Rockville, MD: Agency for Healthcare; 2007. AHRQ publication, …

Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet

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August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …

Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. | PSNet

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November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …

ACR guidance document on MR safe practices: 2013. | PSNet

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November 18, 2016 - Commentary ACR guidance document on MR safe practices: 2013. Citation Text: Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011. Copy Citation Format: DOI Google Scho…

FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet

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February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

Crew resource management training--clinicians' reactions and attitudes. | PSNet

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November 16, 2022 - Study Crew resource management training--clinicians' reactions and attitudes. Citation Text: France DJ, Stiles RA, Gaffney FA, et al. Crew resource management training-Clinicians' reactions and attitudes. AORN J. 2006;82(2):213-224. doi:10.1016/s0001-2092(06)60313-x. Copy Citation …

Responding to large-scale testing errors. | PSNet

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December 18, 2008 - Commentary Responding to large-scale testing errors. Citation Text: Valenstein PN, Alpern GA, Keren DF. Responding to Large-Scale Testing Errors: Table 1. Am J Clin Pathol. 2010;133(3). doi:10.1309/ajcpxlze0yynid0x. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet

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February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

A statewide voluntary patient safety initiative: the Georgia experience. | PSNet

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October 04, 2011 - Commentary A statewide voluntary patient safety initiative: the Georgia experience. Citation Text: Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72. Copy Citation Format: …

Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet

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September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

Safety incidents in family medicine. | PSNet

psnet.ahrq.gov/issue/safety-incidents-family-medicine

December 11, 2013 - Study Safety incidents in family medicine. Citation Text: O'Beirne M, Sterling PD, Zwicker K, et al. Safety incidents in family medicine. BMJ Qual Saf. 2011;20(12):1005-10. doi:10.1136/bmjqs-2011-000105. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

Failures in communication through documents and documentation across the perioperative pathway. | PSNet

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August 07, 2013 - Study Failures in communication through documents and documentation across the perioperative pathway. Citation Text: Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1…

Measuring the cost of hospital adverse patient safety events. | PSNet

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November 16, 2022 - Study Measuring the cost of hospital adverse patient safety events. Citation Text: Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680. Copy Citation Format: DOI Google Scholar PubMed BibT…

Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach. | PSNet

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February 12, 2020 - Review Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach. Citation Text: Johnstone M-J, Kanitsaki O. Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropri…

Promoting safety through well-being: an experience in healthcare. | PSNet

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November 11, 2020 - Commentary Promoting safety through well-being: an experience in healthcare. Citation Text: Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. Copy Citation Format: DOI Google Schola…

Advancing patient safety through the clinical application of a framework focused on communication. | PSNet

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December 02, 2020 - Review Advancing patient safety through the clinical application of a framework focused on communication. Citation Text: Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…

The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. | PSNet

psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice

March 05, 2008 - Study The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Citation Text: Makeham MAB, Kidd MR, Saltman DC, et al. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Med J Aust. 20…

Teaching nurses to make clinical judgments that ensure patient safety. | PSNet

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August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …

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