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Does an insulin double-checking procedure improve patient safety? | PSNet

psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety

April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet

psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management

October 06, 2011 - Commentary Improving patient care by linking evidence-based medicine and evidence-based management. Citation Text: Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673. C…

Building comprehensive strategies for obstetric safety: simulation drills and communication. | PSNet

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May 08, 2019 - Commentary Building comprehensive strategies for obstetric safety: simulation drills and communication. Citation Text: Austin N, Goldhaber-Fiebert SN, Daniels K, et al. Building Comprehensive Strategies for Obstetric Safety: Simulation Drills and Communication. Anesth Analg. 2016;123(5):…

Reducing hospital errors: interventions that build safety culture. | PSNet

psnet.ahrq.gov/issue/reducing-hospital-errors-interventions-build-safety-culture

September 27, 2017 - Review Reducing hospital errors: interventions that build safety culture. Citation Text: Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439. Copy Citation For…

Have you M.E.T. the future of better patient safety? | PSNet

psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety

November 13, 2024 - Newspaper/Magazine Article Have you M.E.T. the future of better patient safety? Citation Text: Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. Copy Citation Format: Google Scholar PubMed…

What about doctors? The impact of medical errors. | PSNet

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January 14, 2015 - Commentary What about doctors? The impact of medical errors. Citation Text: Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet

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April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

Association of emotional intelligence with malpractice claims: a review. | PSNet

psnet.ahrq.gov/issue/association-emotional-intelligence-malpractice-claims-review

August 02, 2015 - Review Association of emotional intelligence with malpractice claims: a review. Citation Text: Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065. Copy Citation …

Sentinel events. In memory of Ben—a case study. | PSNet

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July 01, 2016 - Study Sentinel events. In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. | PSNet

psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel

February 10, 2015 - Study Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Citation Text: Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…

Failure to report poor care as a breach of moral and professional expectation. | PSNet

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March 05, 2025 - Commentary Failure to report poor care as a breach of moral and professional expectation. Citation Text: Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299. Copy Citation …

Attitudes toward the large-scale implementation of an incident reporting system. | PSNet

psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system

March 23, 2011 - Study Attitudes toward the large-scale implementation of an incident reporting system. Citation Text: Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…

Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. | PSNet

psnet.ahrq.gov/issue/patient-raceethnicity-age-gender-and-education-are-not-related-preference-or-response

April 11, 2011 - Study Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. Citation Text: Hobgood C, Tamayo-Sarver JH, Weiner B. Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. Qual…

Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. | PSNet

psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations

December 18, 2014 - Commentary Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. Citation Text: Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1…

Committed to Safety: Ten Case Studies on Reducing Harm to Patients. | PSNet

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July 31, 2012 - Book/Report Committed to Safety: Ten Case Studies on Reducing Harm to Patients. Citation Text: Committed to Safety: Ten Case Studies on Reducing Harm to Patients. McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. Copy Citation Save Save to you…

Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet

psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot

November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

Teaching medical error disclosure to residents using patient-centered simulation training. | PSNet

psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training

October 19, 2022 - Study Teaching medical error disclosure to residents using patient-centered simulation training. Citation Text: Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…

Escape Fire: Lessons for the Future of Health Care. | PSNet

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July 05, 2008 - Book/Report Classic Escape Fire: Lessons for the Future of Health Care. Citation Text: Escape Fire: Lessons for the Future of Health Care. Berwick DM. Washington DC: Commonwealth Fund; 2002. Copy Citation Save Save to your library P…

Positive deviance: a new tool for infection prevention and patient safety. | PSNet

psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety

March 09, 2022 - Commentary Positive deviance: a new tool for infection prevention and patient safety. Citation Text: Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. Copy Citation Format: Google Sch…

Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations

January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…

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