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When public health goes wrong: toward a new concept of public health error. | PSNet

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September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

The need for systems integration in health care. | PSNet

psnet.ahrq.gov/issue/need-systems-integration-health-care

July 01, 2017 - Commentary The need for systems integration in health care. Citation Text: Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

Do some surgical implants do more harm than good? | PSNet

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January 14, 2011 - Newspaper/Magazine Article Do some surgical implants do more harm than good? Citation Text: Do some surgical implants do more harm than good? Groopman J. New Yorker Online. April 13, 2020. Copy Citation Save Save to your library Print Download PD…

Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. | PSNet

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August 02, 2016 - Study Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Citation Text: Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…

Medical emergency team calls: the need to communicate a resuscitation plan. | PSNet

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November 26, 2014 - Commentary Medical emergency team calls: the need to communicate a resuscitation plan. Citation Text: MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1. Copy Citation Format: …

Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice. | PSNet

psnet.ahrq.gov/issue/patient-safety-during-anaesthesia-incorporation-who-safe-surgery-guidelines-clinical-practice

September 20, 2011 - Review Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice. Citation Text: Schlack WS, Boermeester MA. Patient safety during anaesthesia: incorporation of the WHO safe surgery guidelines into clinical practice. Curr Opin Anaesthesi…

Maximize benefits of IV workflow management systems by addressing workarounds and errors. | PSNet

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May 31, 2017 - Newspaper/Magazine Article Maximize benefits of IV workflow management systems by addressing workarounds and errors. Citation Text: Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…

Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. | PSNet

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June 23, 2021 - Book/Report Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Citation Text: Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806 Copy Citati…

Reducing errors in emergency surgery. | PSNet

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January 31, 2018 - Review Reducing errors in emergency surgery. Citation Text: Watters DAK, Truskett PG. Reducing errors in emergency surgery. ANZ J Surg. 2013;83(6):434-437. doi:10.1111/ans.12194. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

Clinical drug interactions in outpatients of a university hospital in Thailand. | PSNet

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September 20, 2011 - Study Clinical drug interactions in outpatients of a university hospital in Thailand. Citation Text: Janchawee B, Owatranporn T, Mahatthanatrakul W, et al. Clinical drug interactions in outpatients of a university hospital in Thailand. J Clin Pharm Ther. 2005;30(6):583-90. Copy Citat…

Error, blame, and the law in health care—an antipodean perspective. | PSNet

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August 02, 2015 - Commentary Error, blame, and the law in health care—an antipodean perspective. Citation Text: Runciman WB, Merry A, Tito F. Error, blame, and the law in health care--an antipodean perspective. Ann Intern Med. 2003;138(12):974-9. Copy Citation Format: Google Scholar PubMed…

Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. | PSNet

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September 11, 2009 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. Citation Text: Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …

Culture change at the source: a medical school tackles patient safety. | PSNet

psnet.ahrq.gov/issue/culture-change-source-medical-school-tackles-patient-safety

April 12, 2023 - Commentary Culture change at the source: a medical school tackles patient safety. Citation Text: Meiris DC, Clarke JL, Nash DB. Culture change at the source: a medical school tackles patient safety. Am J Med Qual. 2006;21(1):9-12. Copy Citation Format: Google Scholar PubM…

Creative education for rapid response team implementation. | PSNet

psnet.ahrq.gov/issue/creative-education-rapid-response-team-implementation

October 13, 2018 - Commentary Creative education for rapid response team implementation. Citation Text: Johnson AL. Creative education for rapid response team implementation. J Contin Educ Nurs. 2009;40(1):38-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

The checklist: recognize limits, but harness its power. | PSNet

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September 07, 2016 - Commentary The checklist: recognize limits, but harness its power. Citation Text: Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? | PSNet

psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self

October 23, 2018 - Commentary To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Citation Text: Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Radiology. 2013;268(1):4-7. doi…

Interdisciplinary communication: an uncharted source of medical error? | PSNet

psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error

September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? Citation Text: Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. Copy Citation Format: Google Scholar Pu…

Mother claims hospital error kept her from newborn daughter. | PSNet

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June 13, 2011 - Newspaper/Magazine Article Mother claims hospital error kept her from newborn daughter. Citation Text: Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007. Copy Citation Save Save to your library Print …

Returning to the roots of culture: a review and re-conceptualisation of safety culture. | PSNet

psnet.ahrq.gov/issue/returning-roots-culture-review-and-re-conceptualisation-safety-culture

December 16, 2020 - Review Returning to the roots of culture: a review and re-conceptualisation of safety culture. Citation Text: Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: A review and re-conceptualisation of safety culture. Saf Sci. 2013;55. doi:10.1016/j.ssci.2013.01.004. Co…

Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet

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March 18, 2020 - Commentary Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 Copy Citation …

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