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Equipped: overcoming barriers to change to improve quality of care (theories of change). | PSNet

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May 23, 2018 - Commentary Equipped: overcoming barriers to change to improve quality of care (theories of change). Citation Text: Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…

Error codes at autopsy to study potential biases in diagnostic error. | PSNet

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November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…

Proactive patient safety: focusing on what goes right in the perioperative environment. | PSNet

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April 26, 2023 - Study Proactive patient safety: focusing on what goes right in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…

Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. | PSNet

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October 16, 2019 - Commentary Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Citation Text: Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.00000000000011…

Developing a medical emergency team running sheet to improve clinical handoff and documentation. | PSNet

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June 26, 2024 - Study Developing a medical emergency team running sheet to improve clinical handoff and documentation. Citation Text: Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2…

Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. | PSNet

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September 05, 2018 - Commentary Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. Citation Text: Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. A…

The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. | PSNet

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September 15, 2011 - Commentary The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. Citation Text: Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event…

Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment. | PSNet

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February 13, 2019 - Commentary Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment. Citation Text: Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in a Pharmacy Benefit Management Environment…

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. | PSNet

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September 29, 2021 - Study Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Citation Text: Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record syste…

Teaching students to administer medications safely. | PSNet

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December 04, 2019 - Commentary Teaching students to administer medications safely. Citation Text: Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72. Copy Citation Format: DOI Google Scholar PubMed Bi…

Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred care with the rigours of patient safety. | PSNet

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December 21, 2017 - Commentary Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred care with the rigours of patient safety. Citation Text: Fawcett TJN, Rhynas SJ. Re-finding the 'human side' of human factors in nursing: helping student nurses to combine …

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. | PSNet

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April 12, 2011 - Study Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. Citation Text: Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…

Trends and patterns in reporting of patient safety situations in transplantation. | PSNet

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October 19, 2022 - Study Trends and patterns in reporting of patient safety situations in transplantation. Citation Text: Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. …

Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. | PSNet

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October 15, 2016 - Study Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. Citation Text: Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatr…

Medication prescribing errors in a teaching hospital. | PSNet

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December 23, 2008 - Study Classic Medication prescribing errors in a teaching hospital. Citation Text: Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. Copy Citation Format: Google Scholar P…

Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

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April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

Health apps and health policy: what is needed? | PSNet

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December 02, 2020 - Commentary Emerging Classic Health apps and health policy: what is needed? Citation Text: Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA. 2018;320(19):1975-1976. doi:10.1001/jama.2018.14378. Copy Citation Format: …

Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. | PSNet

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June 17, 2009 - Study Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. Citation Text: Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…

Two cultures in modern science and technology: for safety and validity does medicine have to update? | PSNet

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January 12, 2022 - Commentary Two cultures in modern science and technology: for safety and validity does medicine have to update? Citation Text: Becker RE. Two cultures in modern science and technology: for safety and validity does medicine have to update? J Patient Saf. 2020;16(1):e46-e50. doi:10.1097/pt…

Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. | PSNet

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June 24, 2020 - Study Adverse events in robotic surgery: a retrospective study of 14 years of FDA data. Citation Text: Alemzadeh H, Raman J, Leveson N, et al. Adverse Events in Robotic Surgery: A Retrospective Study of 14 Years of FDA Data. PLoS One. 2016;11(4):e0151470. doi:10.1371/journal.pone.0151470…

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