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Interruptions in a level one trauma center: a case study. | PSNet

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January 02, 2017 - Study Interruptions in a level one trauma center: a case study. Citation Text: Brixey J, Tang Z, Robinson DJ, et al. Interruptions in a level one trauma center: a case study. Int J Med Inform. 2008;77(4):235-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

Medication reconciliation in a community, nonteaching hospital. | PSNet

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October 19, 2012 - Commentary Medication reconciliation in a community, nonteaching hospital. Citation Text: Wortman SB. Medication reconciliation in a community, nonteaching hospital. Am J Health Syst Pharm. 2008;65(21):2047-54. doi:10.2146/ajhp080091. Copy Citation Format: DOI Google Scho…

Measurement for improvement: a survey of current practice in Australian public hospitals. | PSNet

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December 29, 2014 - Study Measurement for improvement: a survey of current practice in Australian public hospitals. Citation Text: Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. Copy Citation…

As industry automates, adverse events continue to haunt caregivers. | PSNet

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February 08, 2023 - Newspaper/Magazine Article As industry automates, adverse events continue to haunt caregivers. Citation Text: Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management. 2011;19(2):86, 88, 90 passim. Copy Citation Format: Google Scholar PubM…

The road to zero preventable birth injuries. | PSNet

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January 05, 2012 - Commentary The road to zero preventable birth injuries. Citation Text: Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. | PSNet

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August 20, 2018 - Commentary Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. Citation Text: Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from two interprofessional workshops. J Interprof Ca…

Elimination of emergency department medication errors due to estimated weights. | PSNet

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July 08, 2020 - Commentary Elimination of emergency department medication errors due to estimated weights. Citation Text: Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5…

Pediatric medication safety in the emergency department. | PSNet

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November 19, 2018 - Organizational Policy/Guidelines Pediatric medication safety in the emergency department. Citation Text: Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. Copy Citation…

The science of human factors: separating fact from fiction. | PSNet

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January 07, 2015 - Commentary The science of human factors: separating fact from fiction. Citation Text: Russ AL, Fairbanks RJ, Karsh B-T, et al. The science of human factors: separating fact from fiction. BMJ Qual Saf. 2013;22(10):802-8. doi:10.1136/bmjqs-2012-001450. Copy Citation Format: …

A pause in pediatrics: implementation of a pediatric diagnostic time-out. | PSNet

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April 20, 2022 - Study A pause in pediatrics: implementation of a pediatric diagnostic time-out. Citation Text: Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010. Copy Citation …

ACOG Committee Opinion #621: patient safety and health information technology. | PSNet

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May 22, 2019 - Commentary ACOG Committee Opinion #621: patient safety and health information technology. Citation Text: Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.000045…

The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. | PSNet

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February 16, 2011 - Study The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Citation Text: May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. …

Medical error, incident investigation and the second victim: doing better but feeling worse? | PSNet

psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse

July 29, 2020 - Commentary Medical error, incident investigation and the second victim: doing better but feeling worse? Citation Text: Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-20…

The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet

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January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…

The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. | PSNet

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July 22, 2020 - Book/Report The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Citation Text: The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Thompson WC Jr. New York, NY: Off…

Usability study of two common defibrillators reveals hazards. | PSNet

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June 16, 2009 - Study Usability study of two common defibrillators reveals hazards. Citation Text: Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029. Copy Citation Form…

Factors associated with reported preventable adverse drug events: a retrospective, case-control study. | PSNet

psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study

November 16, 2022 - Study Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Citation Text: Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46…

Creating a physician-led quality imperative. | PSNet

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March 20, 2019 - Commentary Creating a physician-led quality imperative. Citation Text: Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683. Copy Citation Format: DOI Google Scholar PubMed B…

Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. | PSNet

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February 12, 2020 - Commentary Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. Citation Text: Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course aimed at addressing dis…

Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. | PSNet

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August 04, 2015 - Study Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Citation Text: Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt C…

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