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The morbidity and mortality meeting: time for a different approach? | PSNet

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August 30, 2023 - Commentary The morbidity and mortality meeting: time for a different approach? Citation Text: Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536. Copy Citation Format: DOI Googl…

Why simulation matters: a systematic review on medical errors occurring during simulated health care. | PSNet

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September 25, 2019 - Review Why simulation matters: a systematic review on medical errors occurring during simulated health care. Citation Text: Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-1…

A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. | PSNet

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November 17, 2010 - Commentary A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. Citation Text: O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…

Analysis of laboratory critical value reporting at a large academic medical center. | PSNet

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December 05, 2013 - Study Analysis of laboratory critical value reporting at a large academic medical center. Citation Text: Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. Copy Citation For…

Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. | PSNet

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August 04, 2021 - Organizational Policy/Guidelines Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. Citation Text: Anderson E, Bythell V, Gemmell L, et al. Checking Anaesthetic Equipment 2012. Anaesthesia. 2012;67(6). doi:10.1111/j.1365-2044.2012.07163.x. …

The role of documents and documentation in communication failure across the perioperative pathway. A literature review. | PSNet

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November 06, 2015 - Review The role of documents and documentation in communication failure across the perioperative pathway. A literature review. Citation Text: Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…

Opportunities for performance improvement in relation to medication administration during pediatric stabilization. | PSNet

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June 28, 2023 - Study Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Citation Text: Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…

Alarm fatigue: use of an evidence-based alarm management strategy. | PSNet

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July 24, 2024 - Commentary Alarm fatigue: use of an evidence-based alarm management strategy. Citation Text: Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Using Plan Do Study Act to transform a simulation center. | PSNet

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March 13, 2024 - Commentary Using Plan Do Study Act to transform a simulation center. Citation Text: Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

Managing patients with identical names in the same ward. | PSNet

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November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…

Treatment errors in healthcare: a safety climate approach. | PSNet

psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach

July 13, 2010 - Study Treatment errors in healthcare: a safety climate approach. Citation Text: Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. . Manage Sci. 2005;51(6):948-960. doi:10.1287/mnsc.1050.0372. Copy Citation Format: DOI Google Schol…

Some cancer experts see 'overdiagnosis,' question emphasis on early detection. | PSNet

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June 19, 2019 - Newspaper/Magazine Article Some cancer experts see 'overdiagnosis,' question emphasis on early detection. Citation Text: Linos E, Schroeder SA, Chren M-M. Potential Overdiagnosis of Basal Cell Carcinoma in Older Patients With Limited Life Expectancy. JAMA. 2014;312(10). doi:10.1001/jama.…

Making it easier to do the right thing: a modern communication QI agenda. | PSNet

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January 20, 2016 - Commentary Making it easier to do the right thing: a modern communication QI agenda. Citation Text: Wynia M. Making it easier to do the right thing: a modern communication QI agenda. Patient Educ Couns. 2012;88(3):364-6. doi:10.1016/j.pec.2012.06.027. Copy Citation Format: …

Information technology cannot guarantee patient safety. | PSNet

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March 14, 2022 - Commentary Information technology cannot guarantee patient safety. Citation Text: de Wildt SN, Verzijden R, van den Anker JN, et al. Information technology cannot guarantee patient safety. BMJ. 2007;334(7598):851-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

The doctor's new dilemma. | PSNet

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November 13, 2024 - Commentary The doctor's new dilemma. Citation Text: Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). | PSNet

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January 13, 2010 - Study Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Citation Text: Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …

Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. | PSNet

psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed

February 17, 2016 - Study Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. Citation Text: Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi…

Tools and methods for quality improvement and patient safety in perinatal care. | PSNet

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November 16, 2022 - Commentary Tools and methods for quality improvement and patient safety in perinatal care. Citation Text: Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. Copy C…

When things go wrong: how health care organizations deal with major failures. | PSNet

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March 13, 2013 - Commentary Classic When things go wrong: how health care organizations deal with major failures. Citation Text: Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11. Copy …

Clinical dilemmas and a review of strategies to manage drug shortages. | PSNet

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August 04, 2021 - Review Clinical dilemmas and a review of strategies to manage drug shortages. Citation Text: Rider AE, Templet DJ, Daley MJ, et al. Clinical dilemmas and a review of strategies to manage drug shortages. J Pharm Pract. 2013;26(3):183-91. doi:10.1177/0897190013482332. Copy Citation F…

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