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Portable advanced medical simulation for new emergency department testing and orientation. | PSNet

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September 23, 2020 - Commentary Portable advanced medical simulation for new emergency department testing and orientation. Citation Text: Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5. C…

Observation for assessment of clinician performance: a narrative review. | PSNet

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September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…

The case for simulation as part of a comprehensive patient safety program. | PSNet

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September 02, 2015 - Review The case for simulation as part of a comprehensive patient safety program. Citation Text: Argani CH, Eichelberger M, Deering S, et al. The case for simulation as part of a comprehensive patient safety program. Am J Obstet Gynecol. 2012;206(6):451-5. doi:10.1016/j.ajog.2011.09.01…

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

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May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

Chemotherapy medication errors. | PSNet

psnet.ahrq.gov/issue/chemotherapy-medication-errors

May 19, 2014 - Review Emerging Classic Chemotherapy medication errors. Citation Text: Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol. 2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9. Copy Citation Format: DOI Google S…

Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. | PSNet

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November 30, 2016 - Commentary Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Citation Text: Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601. Copy Citation Save Save to your library Print Download…

Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. | PSNet

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August 30, 2017 - Commentary Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. Citation Text: Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…

Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. | PSNet

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March 15, 2023 - Study Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. Citation Text: Veazey Brooks J, Bosk CL. Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity. Soc Sci Med. 2012;75(9). doi:10.1016…

Hospital responses to the Leapfrog Group in local markets. | PSNet

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March 04, 2011 - Study Hospital responses to the Leapfrog Group in local markets. Citation Text: Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499. Copy Citation Format: DOI Goog…

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…

A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. | PSNet

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January 30, 2019 - Newspaper/Magazine Article A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. Citation Text: Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…

Sleep deprivation, physician performance, and patient safety. | PSNet

psnet.ahrq.gov/issue/sleep-deprivation-physician-performance-and-patient-safety

November 13, 2024 - Commentary Sleep deprivation, physician performance, and patient safety. Citation Text: Olson EJ, Drage LA, Auger R. Sleep deprivation, physician performance, and patient safety. Chest. 2009;136(5):1389-1396. doi:10.1378/chest.08-1952. Copy Citation Format: DOI Google Schol…

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet

psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology

May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

The second victim: a contested term? | PSNet

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December 08, 2021 - Study The second victim: a contested term? Citation Text: Tumelty M-E. The second victim: a contested term? J Patient Saf. 2021;17(8):e1488-e1493. doi:10.1097/pts.0000000000000558. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. | PSNet

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June 04, 2014 - Commentary Classic The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Citation Text: Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…

Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. | PSNet

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December 05, 2018 - Review Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence. Citation Text: Bergs J, Lambrechts F, Simons P, et al. Barriers and facilitators related to the implementation of surgical safety checklists: a s…

Automation failures and patient safety. | PSNet

psnet.ahrq.gov/issue/automation-failures-and-patient-safety

November 21, 2012 - Review Automation failures and patient safety. Citation Text: Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

Enhancing pediatric perioperative patient safety. | PSNet

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January 28, 2015 - Commentary Enhancing pediatric perioperative patient safety. Citation Text: Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442. doi:10.1016/j.aorn.2017.09.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. | PSNet

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September 24, 2010 - Study Classic The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. Citation Text: Greengold NL, Shane R, Schneider PJ, et al. The impact of dedicated medication nurses on the medication administr…

Effect of surgical safety checklists on pediatric surgical complications in Ontario. | PSNet

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December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …

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