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Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. | PSNet

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December 06, 2013 - Commentary Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. Citation Text: Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…

Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. | PSNet

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April 06, 2015 - Study Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Citation Text: Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:…

Adverse event rates as measures of hospital performance. | PSNet

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July 29, 2020 - Study Adverse event rates as measures of hospital performance. Citation Text: Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010. Copy Citation Format: DOI…

The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet

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June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…

Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. | PSNet

psnet.ahrq.gov/issue/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-pre-referral

November 02, 2018 - Study Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. Citation Text: Dossett LA, Kauffmann RM, Lee JS, et al. Specialist Physicians' Attitudes and Practice Patterns Regarding Disclosure of Pre-referral Medical Errors. Ann Surg. …

'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. | PSNet

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October 26, 2022 - Commentary 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. Citation Text: Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga…

Chief resident for quality improvement and patient safety: a description. | PSNet

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July 02, 2014 - Commentary Chief resident for quality improvement and patient safety: a description. Citation Text: Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. Copy Citat…

From aviation to pediatric surgery. | PSNet

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January 12, 2022 - Commentary From aviation to pediatric surgery. Citation Text: Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

Implementing an error disclosure coaching model: a multicenter case study. | PSNet

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May 11, 2016 - Study Implementing an error disclosure coaching model: a multicenter case study. Citation Text: White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260. Copy Citati…

Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. | PSNet

psnet.ahrq.gov/issue/organizational-and-social-psychological-conditions-healthcare-and-their-importance-patient

August 16, 2017 - Study Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. Citation Text: Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and…

Error reporting and disclosure systems: views from hospital leaders. | PSNet

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June 16, 2010 - Study Classic Error reporting and disclosure systems: views from hospital leaders. Citation Text: Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. Copy Citation For…

"Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet

psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice

August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

Rating the raters: the inconsistent quality of health care performance measurement. | PSNet

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March 27, 2018 - Commentary Rating the raters: the inconsistent quality of health care performance measurement. Citation Text: Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…

Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. | PSNet

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June 28, 2011 - Study Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. Citation Text: Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sect…

Educating medical trainees on medication reconciliation: a systematic review. | PSNet

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October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. | PSNet

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December 04, 2019 - Study Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. Citation Text: Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academi…

Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. | PSNet

psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations

February 19, 2020 - Commentary Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. Citation Text: Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's p…

The tension between needing to improve care and knowing how to do it. | PSNet

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June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base. | PSNet

psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base

November 03, 2015 - Review Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base. Citation Text: Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Inte…

Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. | PSNet

psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review

August 15, 2018 - Review Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. Citation Text: Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that impact it: resul…

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