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Diagnostic errors--The next frontier for patient safety. | PSNet

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October 14, 2020 - Commentary Diagnostic errors--The next frontier for patient safety. Citation Text: Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. Copy Citation Format: DOI Google Scholar PubMed …

Ordering interruptions in a tertiary care center: a prospective observational study. | PSNet

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July 15, 2020 - Study Ordering interruptions in a tertiary care center: a prospective observational study. Citation Text: Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016…

Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. | PSNet

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October 19, 2022 - Commentary Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. Citation Text: Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…

Peer training using cognitive rehearsal to promote a culture of safety in health care. | PSNet

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November 16, 2022 - Study Peer training using cognitive rehearsal to promote a culture of safety in health care. Citation Text: Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.00000000…

2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. | PSNet

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February 15, 2023 - Commentary 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. Citation Text: Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery

February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Citation Text: Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…

In situ simulation: a method of experiential learning to promote safety and team behavior. | PSNet

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September 03, 2011 - Commentary In situ simulation: a method of experiential learning to promote safety and team behavior. Citation Text: Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-1…

Promoting health care safety through training high reliability teams. | PSNet

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January 06, 2018 - Commentary Promoting health care safety through training high reliability teams. Citation Text: Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. Copy Citation Format: …

Using incident reporting to improve patient safety: a conceptual model. | PSNet

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June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet

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March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. | PSNet

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March 12, 2025 - Commentary Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Citation Text: Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…

What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. | PSNet

psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences

July 27, 2011 - Study What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. Citation Text: Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended…

Emotional exhaustion and workload predict clinician-rated and objective patient safety. | PSNet

psnet.ahrq.gov/issue/emotional-exhaustion-and-workload-predict-clinician-rated-and-objective-patient-safety

February 14, 2017 - Study Emotional exhaustion and workload predict clinician-rated and objective patient safety. Citation Text: Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2014;5:1573. doi:10.3389/fpsyg.2014.01573. Cop…

Patient complaints and malpractice risk. | PSNet

psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk

November 08, 2013 - Study Classic Patient complaints and malpractice risk. Citation Text: Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

Implementation of bar-code medication administration to reduce patient harm. | PSNet

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September 23, 2020 - Study Implementation of bar-code medication administration to reduce patient harm. Citation Text: Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…

A paradigm shift to balance safety and quality in pediatric pain management. | PSNet

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July 01, 2020 - Study A paradigm shift to balance safety and quality in pediatric pain management. Citation Text: Avansino JR, Peters LM, Stockfish SL, et al. A paradigm shift to balance safety and quality in pediatric pain management. Pediatrics. 2013;131(3):e921-7. doi:10.1542/peds.2012-1378. Copy C…

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet

psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research

January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…

Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems. | PSNet

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December 27, 2018 - Commentary Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems. Citation Text: Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2…

A growth mindset approach to preparing trainees for medical error. | PSNet

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August 19, 2020 - Commentary A growth mindset approach to preparing trainees for medical error. Citation Text: Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. Copy Citation Forma…

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. | PSNet

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January 12, 2022 - Study "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. Citation Text: Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions…

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