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Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff

July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. | PSNet

psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment

December 04, 2016 - Study How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. Citation Text: Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to …

Does full disclosure of medical errors affect malpractice liability? The jury is still out. | PSNet

psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out

November 16, 2011 - Review Classic Does full disclosure of medical errors affect malpractice liability? The jury is still out. Citation Text: Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Com…

Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. | PSNet

psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex

November 20, 2024 - Study Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response. Citation Text: Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…

Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. | PSNet

psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors

September 29, 2017 - Study Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. Citation Text: Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability …

Disclosing harmful mammography errors to patients. | PSNet

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November 03, 2015 - Study Disclosing harmful mammography errors to patients. Citation Text: Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. Copy Citation Format: DOI Google Scholar BibTeX EndN…

Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. | PSNet

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December 09, 2020 - Study Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Citation Text: Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011…

Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. | PSNet

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April 30, 2014 - Study Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Citation Text: Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and c…

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet

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November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…

The "To Err Is Human Report" and the patient safety literature. | PSNet

psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature

November 16, 2022 - Review The "To Err Is Human Report" and the patient safety literature. Citation Text: Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. Copy Citation Format: Google Scholar P…

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. | PSNet

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May 19, 2021 - Study Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. Citation Text: Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…

Measuring patient safety climate: a review of surveys. | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys

June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

Information flow during pediatric trauma care transitions: things falling through the cracks. | PSNet

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February 16, 2022 - Study Information flow during pediatric trauma care transitions: things falling through the cracks. Citation Text: Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…

Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. | PSNet

psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic

February 09, 2022 - Study Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Citation Text: Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg …

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. | PSNet

psnet.ahrq.gov/issue/i-psi-short-and-long-term-efficacy-comprehensive-initiative-promote-patient-safety-event

November 18, 2020 - Study I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. Citation Text: Prabhu V, Mikhly M, Chung R, et al. I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting …

Physicians' attitudes towards copy and pasting in electronic note writing. | PSNet

psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing

March 04, 2015 - Study Physicians' attitudes towards copy and pasting in electronic note writing. Citation Text: O'Donnell HC, Kaushal R, Barrón Y, et al. Physicians' attitudes towards copy and pasting in electronic note writing. J Gen Intern Med. 2009;24(1):63-8. doi:10.1007/s11606-008-0843-2. Copy …

Building a learning organization. | PSNet

psnet.ahrq.gov/issue/building-learning-organization

June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Learning Health Systems | PSNet

psnet.ahrq.gov/issue/learning-health-systems

December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

Shifting the learning curve. | PSNet

psnet.ahrq.gov/issue/shifting-learning-curve

March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Learning from Investigations. | PSNet

psnet.ahrq.gov/issue/learning-investigations

July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…

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