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The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet

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November 18, 2020 - Newspaper/Magazine Article The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Citation Text: May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. Copy Citation …

The hard talk: dealing with the disruptive physician. | PSNet

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April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…

Adverse events during dental care for children: implications for practitioner health and wellness. | PSNet

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December 22, 2021 - Review Adverse events during dental care for children: implications for practitioner health and wellness. Citation Text: Nainar SMH. Adverse events during dental care for children: implications for practitioner health and wellness. Pediatr Dent. 2018;40(5):323-326. Copy Citation Fo…

Understanding the "Swiss cheese model" and its application to patient safety. | PSNet

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May 25, 2022 - Commentary Classic Understanding the "Swiss cheese model" and its application to patient safety. Citation Text: Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…

Critical incident reporting system in emergency medicine. | PSNet

psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine

August 07, 2019 - Review Critical incident reporting system in emergency medicine. Citation Text: Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82. Copy Citation Format: DOI Google Scholar PubMed …

Preventing medication errors in the information age. | PSNet

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February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

Tips to reduce dangerous interruptions by healthcare staff. | PSNet

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September 23, 2020 - Commentary Tips to reduce dangerous interruptions by healthcare staff. Citation Text: Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0. Copy Citation Format: …

Surgical complications: disclosing adverse events and medical errors. | PSNet

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September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …

Machine learning in medicine. | PSNet

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March 13, 2024 - Commentary Classic Machine learning in medicine. Citation Text: Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347-1358. doi:10.1056/NEJMra1814259. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Clinical decision support in the era of artificial intelligence. | PSNet

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November 06, 2015 - Commentary Classic Clinical decision support in the era of artificial intelligence. Citation Text: Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. Copy Cit…

The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet

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May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…

Assessing and improving safety climate in a large cohort of intensive care units. | PSNet

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September 20, 2011 - Study Assessing and improving safety climate in a large cohort of intensive care units. Citation Text: Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…

Value of human factors to medication and patient safety in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit

December 01, 2010 - Study Value of human factors to medication and patient safety in the intensive care unit. Citation Text: Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2. Copy Citation …

Implementing strategies to prevent home medication administration errors in children with medical complexity. | PSNet

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March 14, 2022 - Commentary Implementing strategies to prevent home medication administration errors in children with medical complexity. Citation Text: Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…

Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. | PSNet

psnet.ahrq.gov/issue/effects-mental-demands-during-dispensing-perceived-medication-safety-and-employee-well-being

May 16, 2012 - Study Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. Citation Text: Holden RJ, Patel NR, Scanlon M, et al. Effects of mental demands during dispensing on perceived medication safe…

Textbook of Rapid Response Systems: Concept and Implementation. | PSNet

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September 30, 2010 - Book/Report Textbook of Rapid Response Systems: Concept and Implementation. Citation Text: Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). Springer; 2025. ISBN 9783031679513. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNo…

Patient safety is not elective: a debate at the NPSF Patient Safety Congress. | PSNet

psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress

March 18, 2019 - Commentary Patient safety is not elective: a debate at the NPSF Patient Safety Congress. Citation Text: McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429. …

Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet

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November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet

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February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. | PSNet

psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling

September 04, 2013 - Study Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. Citation Text: Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…

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