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Cognitive error in an academic emergency department. | PSNet

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July 29, 2020 - Study Cognitive error in an academic emergency department. Citation Text: Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. Copy Citation Format: DOI Google Scholar PubMed B…

"That was a close call": endorsing a broad definition of near misses in health care. | PSNet

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August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

Reviewing methodologically disparate data: a practical guide for the patient safety research field. | PSNet

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April 24, 2018 - Commentary Reviewing methodologically disparate data: a practical guide for the patient safety research field. Citation Text: Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…

Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. | PSNet

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December 18, 2014 - Study Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. Citation Text: O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident e…

Disclosing adverse events to patients: international norms and trends. | PSNet

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July 29, 2020 - Study Disclosing adverse events to patients: international norms and trends. Citation Text: Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. Copy Citation For…

Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. | PSNet

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December 09, 2020 - Book/Report Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Citation Text: Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of C…

Evidence-based guidelines for fatigue risk management in emergency medical services. | PSNet

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August 03, 2017 - Review Evidence-based guidelines for fatigue risk management in emergency medical services. Citation Text: Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.…

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

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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…

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. | PSNet

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November 26, 2014 - Study "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals. Citation Text: Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at t…

Promoting patient safety through prospective risk identification: example from peri-operative care. | PSNet

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September 23, 2020 - Study Promoting patient safety through prospective risk identification: example from peri-operative care. Citation Text: Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(…

Developing a reporting and tracking tool for nursing student errors and near misses. | PSNet

psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses

September 21, 2009 - Commentary Developing a reporting and tracking tool for nursing student errors and near misses. Citation Text: Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. Cop…

Medication errors and trainees: advice for learners and organizations. | PSNet

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April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…

Resident hesitation in the operating room: does uncertainty equal incompetence? | PSNet

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September 24, 2016 - Study Resident hesitation in the operating room: does uncertainty equal incompetence? Citation Text: Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. Copy Citati…

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

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November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

A model for the departmental quality management infrastructure within an academic health system. | PSNet

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August 08, 2018 - Commentary A model for the departmental quality management infrastructure within an academic health system. Citation Text: Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…

Structural racism and the COVID-19 experience in the United States. | PSNet

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June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. | PSNet

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April 05, 2017 - Commentary The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Citation Text: Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):…

Aviation and healthcare: a comparative review with implications for patient safety. | PSNet

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February 14, 2018 - Review Aviation and healthcare: a comparative review with implications for patient safety. Citation Text: Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…

Using prospective clinical surveillance to identify adverse events in hospital. | PSNet

psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital

November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…

Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? | PSNet

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August 04, 2021 - Review Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? Citation Text: Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patient…

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