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The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

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September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet

psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting

March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

A comprehensive departmental care review model: requirements, structure, and flow. | PSNet

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July 06, 2022 - Commentary A comprehensive departmental care review model: requirements, structure, and flow. Citation Text: Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…

The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. | PSNet

psnet.ahrq.gov/issue/enabling-enacting-and-elaborating-factors-safety-culture-associated-patient-safety-multilevel

September 21, 2022 - Study The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. Citation Text: Lee SE, Dahinten VS. The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. J Nu…

Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet

psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process

December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet

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August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

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September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. | PSNet

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February 18, 2011 - Organizational Policy/Guidelines Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. Citation Text: Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Phy…

Interpreting and coding causal relationships for quality and safety using ICD-11. | PSNet

psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11

November 15, 2017 - Commentary Interpreting and coding causal relationships for quality and safety using ICD-11. Citation Text: Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…

'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. | PSNet

psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety

October 06, 2021 - Study 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. Citation Text: Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…

Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. | PSNet

psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented

August 30, 2023 - Study Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. Citation Text: Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised prov…

Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. | PSNet

psnet.ahrq.gov/issue/developing-safer-dx-checklist-ten-safety-recommendations-health-care-organizations-address

June 22, 2022 - Commentary Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. Citation Text: Singh H, Mushtaq U, Marinez A, et al. Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to Add…

Device use errors among patients with asthma and COPD and the role of training: a real-life study. | PSNet

psnet.ahrq.gov/issue/device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life-study

June 22, 2022 - Study Device use errors among patients with asthma and COPD and the role of training: a real-life study. Citation Text: Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133…

Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. | PSNet

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February 25, 2015 - Study Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. Citation Text: Ahmed K, Khan N, Khan MS, et al. Development and content validation of a surgical safety checklist for operating theatres that use robotic technolog…

What and when to debrief: a scoping review examining interprofessional clinical debriefing. | PSNet

psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing

September 09, 2015 - Review What and when to debrief: a scoping review examining interprofessional clinical debriefing. Citation Text: Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…

Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. | PSNet

psnet.ahrq.gov/issue/ethical-considerations-development-flexibility-duty-hour-requirements-surgical-trainees-trial

June 21, 2017 - Commentary Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. Citation Text: Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Tr…

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid

July 06, 2022 - Study Emerging Classic Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. Citation Text: McGarry BE, Grabowski DC, Barnett ML. Severe staffing and personal protective equipment shortages faced by nurs…

Using social and behavioural science to support COVID-19 pandemic response. | PSNet

psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response

March 02, 2022 - Commentary Classic Using social and behavioural science to support COVID-19 pandemic response. Citation Text: Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460-471. do…

Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? | PSNet

psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and

May 25, 2022 - Study Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Citation Text: Waldron J, Denisiuk M, Sharma R, et al. Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? Injury. 2022;53(6…

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. | PSNet

psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life

April 24, 2018 - Review Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. Citation Text: Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…

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