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Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet

psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance

November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. | PSNet

psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven

June 07, 2023 - Study The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Citation Text: Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Q…

The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. | PSNet

psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and

April 05, 2013 - Study The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. Citation Text: Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on…

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. | PSNet

psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california

July 13, 2010 - Study Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Citation Text: Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…

Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. | PSNet

psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors

March 17, 2021 - Study Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. Citation Text: Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important m…

A meta-analysis of the effectiveness of crew resource management training in acute care domains. | PSNet

psnet.ahrq.gov/issue/meta-analysis-effectiveness-crew-resource-management-training-acute-care-domains

July 24, 2013 - Review A meta-analysis of the effectiveness of crew resource management training in acute care domains. Citation Text: O'Dea A, O'Connor P, Keogh I. A meta-analysis of the effectiveness of crew resource management training in acute care domains. Postgrad Med J. 2014;90(1070):699-708. doi…

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…

Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. | PSNet

psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical

February 18, 2011 - Study Classic Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. Citation Text: Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to …

Machine learning to enhance electronic detection of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors

December 18, 2024 - Commentary Machine learning to enhance electronic detection of diagnostic errors. Citation Text: Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. Copy Cit…

Perspectives about racism and patient-clinician communication among black adults with serious illness. | PSNet

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September 13, 2023 - Study Perspectives about racism and patient-clinician communication among black adults with serious illness. Citation Text: Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication among black adults with serious illness. JAMA Netw Open. 2023…

Paying the piper: investing in infrastructure for patient safety. | PSNet

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July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety. Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet

psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure

May 08, 2017 - Study Classic Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Citation Text: Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flaw…

Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. | PSNet

psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource

September 16, 2020 - Study Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. Citation Text: Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J …

Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns. | PSNet

psnet.ahrq.gov/issue/does-simulator-based-clinical-performance-correlate-actual-hospital-behavior-effect-extended

February 17, 2011 - Study Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns. Citation Text: Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With Ac…

Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet

psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting

September 07, 2022 - Study Adverse events in patients transitioning from the emergency department to the inpatient setting. Citation Text: Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…

Workplace factors associated with burnout of family physicians. | PSNet

psnet.ahrq.gov/issue/workplace-factors-associated-burnout-family-physicians

July 03, 2016 - Study Workplace factors associated with burnout of family physicians. Citation Text: Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391. Copy Citation F…

Autopsy as a quality control measure for radiology, and vice versa. | PSNet

psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa

April 24, 2018 - Study Autopsy as a quality control measure for radiology, and vice versa. Citation Text: Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. Copy Citation Fo…

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort

December 03, 2014 - Study Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. Citation Text: Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):21…

Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. | PSNet

psnet.ahrq.gov/issue/communication-and-transparency-means-strengthening-workplace-culture-during-covid-19

January 16, 2019 - Book/Report Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. Citation Text: Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicin…

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review

January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

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