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The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

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March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…

Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. | PSNet

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June 22, 2022 - Study Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Citation Text: DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…

A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. | PSNet

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March 08, 2023 - Study A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. Citation Text: McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…

The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. | PSNet

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September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…

National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. | PSNet

psnet.ahrq.gov/issue/national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012

January 16, 2019 - Study National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. Citation Text: Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;1…

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

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July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

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February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…

Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. | PSNet

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December 23, 2020 - Study Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Citation Text: Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.00…

The role of theory in research to develop and evaluate the implementation of patient safety practices. | PSNet

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September 20, 2011 - Commentary The role of theory in research to develop and evaluate the implementation of patient safety practices. Citation Text: Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …

Creating high reliability in health care organizations. | PSNet

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September 20, 2011 - Commentary Creating high reliability in health care organizations. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617. Copy Citation Format: Google Scholar PubMe…

The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. | PSNet

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January 22, 2016 - Review The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. Citation Text: Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …

The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

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September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. | PSNet

psnet.ahrq.gov/issue/business-case-quality-economic-analysis-michigan-keystone-patient-safety-program-icus

September 20, 2011 - Study Classic The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs. Citation Text: Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan Keystone Patient Saf…

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. | PSNet

psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality

August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…

"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet

psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk

January 07, 2022 - Study "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. Citation Text: McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…

The application of the Global Trigger Tool: a systematic review. | PSNet

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December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…

High-reliability health care: getting there from here. | PSNet

psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here

January 23, 2012 - Study Classic High-reliability health care: getting there from here. Citation Text: Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. Copy Citation Format: DOI Go…

Developing and aligning a safety event taxonomy for inpatient psychiatry. | PSNet

psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry

September 14, 2022 - Study Developing and aligning a safety event taxonomy for inpatient psychiatry. Citation Text: Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. Copy …

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. | PSNet

psnet.ahrq.gov/issue/impact-accreditation-council-graduate-medical-education-work-hour-regulations-neurosurgical

June 03, 2020 - Study Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. Citation Text: Jagannathan J, Vates E, Pouratian N, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour r…

Impact of medical education on patient safety: finding the signal through the noise. | PSNet

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December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…

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