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Flying lessons for clinicians: developing system 2 practice. | PSNet

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April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…

How well is quality improvement described in the perioperative care literature? A systematic review. | PSNet

psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review

January 19, 2022 - Review How well is quality improvement described in the perioperative care literature? A systematic review. Citation Text: Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…

Preventing medical injury. | PSNet

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February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

Quality and safety practices among academic obstetrics and gynecology departments. | PSNet

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October 19, 2022 - Study Quality and safety practices among academic obstetrics and gynecology departments. Citation Text: Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…

Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. | PSNet

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October 19, 2022 - Study Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Citation Text: Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Ca…

Maternal sleepiness and risk of infant drops in the postpartum period. | PSNet

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October 19, 2022 - Study Maternal sleepiness and risk of infant drops in the postpartum period. Citation Text: Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001. Cop…

Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. | PSNet

psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation

April 14, 2021 - Commentary Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. Citation Text: Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…

Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet

psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter

May 04, 2022 - Study Simulation-based education enhances patient safety behaviors during central venous catheter placement. Citation Text: Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors during central venous catheter placement. J Patient Saf. 2021;…

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…

Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. | PSNet

psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported

January 22, 2016 - Study Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. Citation Text: Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verifi…

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive

August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. | PSNet

psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated

August 25, 2021 - Study Emerging Classic System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. Citation Text: Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraope…

The medical liability climate and prospects for reform. | PSNet

psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform

September 29, 2017 - Commentary The medical liability climate and prospects for reform. Citation Text: Mello MM, Studdert DM, Kachalia A. The medical liability climate and prospects for reform. JAMA. 2014;312(20):2146-55. doi:10.1001/jama.2014.10705. Copy Citation Format: DOI Google Scholar Pub…

Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. | PSNet

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May 21, 2014 - Special or Theme Issue Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Citation Text: Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…

The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled

January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

Investigating US medical students' motivation to respond to lapses in professionalism. | PSNet

psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism

January 12, 2022 - Study Investigating US medical students' motivation to respond to lapses in professionalism. Citation Text: van der Vossen MM-, Teherani A, van Mook WNKA, et al. Investigating US medical students' motivation to respond to lapses in professionalism. Med Educ. 2018;52(8):838-850. doi:10.11…

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet

psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure

May 08, 2017 - Study Classic Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Citation Text: Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flaw…

Universal protection: operationalizing infection prevention guidance in the COVID-19 era. | PSNet

psnet.ahrq.gov/issue/universal-protection-operationalizing-infection-prevention-guidance-covid-19-era

August 18, 2021 - Study Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Citation Text: Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. …

Disclosing harmful mammography errors to patients. | PSNet

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November 03, 2015 - Study Disclosing harmful mammography errors to patients. Citation Text: Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. Copy Citation Format: DOI Google Scholar BibTeX EndN…

Nurse sensemaking for responding to patient and family safety concerns. | PSNet

psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns

November 02, 2022 - Study Nurse sensemaking for responding to patient and family safety concerns. Citation Text: Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. Copy Citation …

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