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Missed opportunities in the primary care management of early acute ischemic heart disease. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-primary-care-management-early-acute-ischemic-heart-disease

January 08, 2016 - Study Missed opportunities in the primary care management of early acute ischemic heart disease. Citation Text: Sequist TD, Marshall R, Lampert S, et al. Missed opportunities in the primary care management of early acute ischemic heart disease. Arch Intern Med. 2006;166(20):2237-43. …

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. | PSNet

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May 23, 2013 - Study In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Citation Text: Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf…

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet

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January 12, 2022 - Study Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. Citation Text: Carlotti APCP, Bachette LG, Carmona F, et al. Discrepancies Between Clinical Diagnoses and Autopsy Findings in Critically Ill Children: A Prospective Study.…

Ambulatory patient safety. What we know and need to know. | PSNet

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May 27, 2015 - Study Ambulatory patient safety. What we know and need to know. Citation Text: Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007. Copy Citation Format: …

Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet

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September 24, 2016 - Study Going blank: factors contributing to interruptions to nurses' work and related outcomes. Citation Text: Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…

E-prescribing, efficiency, quality: lessons from the computerization of UK family practice. | PSNet

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October 01, 2014 - Study E-prescribing, efficiency, quality: lessons from the computerization of UK family practice. Citation Text: Schade CP, Sullivan FM, de Lusignan S, et al. e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice. J Am Med Inform Assoc. 2006;13(5):4…

Outcomes-based nurse staffing during times of crisis and beyond. | PSNet

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March 11, 2020 - Study Outcomes-based nurse staffing during times of crisis and beyond. Citation Text: Dempsey C, Batten P. Outcomes-based nurse staffing during times of crisis and beyond. J Nurs Adm. 2022;52(2):91-98. doi:10.1097/nna.0000000000001114. Copy Citation Format: DOI Google Schol…

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? | PSNet

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May 23, 2018 - Study Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? Citation Text: Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76. Copy Citation Format: Go…

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. | PSNet

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March 25, 2020 - Study A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Citation Text: Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;…

Implementing a human factors approach to RCA(2) : tools, processes and strategies. | PSNet

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July 21, 2021 - Study Implementing a human factors approach to RCA(2) : tools, processes and strategies. Citation Text: Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…

Running a hospital patient safety campaign: a qualitative study. | PSNet

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May 01, 2015 - Study Running a hospital patient safety campaign: a qualitative study. Citation Text: Ozieranski P, Robins V, Minion J, et al. Running a hospital patient safety campaign: a qualitative study. J Health Organ Manag. 2014;28(4):562-75. Copy Citation Format: Google Scholar PubM…

Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. | PSNet

psnet.ahrq.gov/issue/effect-crew-resource-management-diabetes-care-and-patient-outcomes-inner-city-primary-care

November 24, 2010 - Study Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. Citation Text: Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. …

A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. | PSNet

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February 24, 2016 - Commentary A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. Citation Text: Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…

Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool

June 19, 2024 - Commentary Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. Citation Text: Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. | PSNet

psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds

February 02, 2011 - Study Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Citation Text: Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre

July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet

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April 03, 2024 - Commentary Using medicolegal data to support safe medical care: a contributing factor coding framework. Citation Text: McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…

What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet

psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters

December 17, 2010 - Review What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. Citation Text: Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencie…

With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. | PSNet

psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals

July 22, 2020 - Study With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. Citation Text: Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospital…

Challenging authority during an emergency—the effect of a teaching intervention. | PSNet

psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention

December 13, 2017 - Study Challenging authority during an emergency—the effect of a teaching intervention. Citation Text: Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.000000000…

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