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Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. | PSNet

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July 29, 2015 - Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods … January 4, 2021 Methods for studying medication safety following electronic health record … April 21, 2010 Incidence and root cause analysis of wrong-site pain management procedures … Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures … January 27, 2021 A mixed-methods analysis of patient safety incidents involving opioid

Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

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May 02, 2012 - safety through creation of a structured preoperative briefing protocol for gynecologic and orthopedic procedures … October 21, 2015 Harms from discharge to primary care: mixed methods analysis of incident … Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods … Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures

From Safety-I to Safety-II: A White Paper. | PSNet

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September 16, 2015 - November 17, 2021 Interventions for reducing wrong-site surgery and invasive procedures … Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure … June 30, 2021 A meta-review of methods of measuring and monitoring safety in primary … into reliability-seeking health care organizations: a systematic review of their goals and measuring methods … October 19, 2011 Toward the translation of systems thinking methods in patient safety

Improving risk management: from lame excuses to principled practice. | PSNet

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April 05, 2006 - Patterns in nursing home medication errors: disproportionality analysis as a novel method … January 29, 2020 Current teaching and evaluation methods in critical care medicine: has … Defining optimal length of opioid pain medication prescription after common surgical procedures … August 2, 2017 A surgical procedure grid for safety and operating room communication … February 8, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. | PSNet

psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review

November 12, 2014 - Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures … April 5, 2023 Timeout procedure in paediatric surgery: effective tool or lip service? … March 21, 2007 Hospital staff should use more than one method to detect adverse events … A mixed-methods study with a focus on user experience. … December 11, 2013 A structured judgement method to enhance mortality case note review

Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators. | PSNet

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October 26, 2011 - April 10, 2024 A national mixed-methods evaluation of preparedness for general surgery … 2, 2021 A dynamic risk management approach for reducing harm from invasive bedside procedures … May 16, 2012 Dissemination of Lean methods to improve Pap testing quality and patient … June 25, 2014 Incorrect surgical procedures within and outside of the operating room. … Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures

Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. | PSNet

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July 08, 2015 - July 8, 2015 Outcomes of daytime procedures performed by attending surgeons after night … Potentially unintended discontinuation of long-term medication use after elective surgical procedures … June 22, 2022 Clinical reasoning assessment methods: a scoping review and practical guidance … August 8, 2018 A national mixed-methods evaluation of preparedness for general surgery … 2, 2020 Adverse events in intensive care and continuing care units during bed-bath procedures

Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. | PSNet

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September 28, 2005 - May 31, 2006 Dissemination of Lean methods to improve Pap testing quality and patient … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … March 14, 2018 Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist … July 30, 2014 Wrong-site and wrong-patient procedures in the Universal Protocol era: … 2010 Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods

Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. | PSNet

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September 30, 2015 - Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … December 11, 2013 A structured judgement method to enhance mortality case note review … May 31, 2017 Nature of blame in patient safety incident reports: mixed methods analysis … August 30, 2023 Why an open disclosure procedure is and is not followed after an avoidable … April 25, 2018 A method to identify pediatric high-risk diagnoses missed in the emergency

"Excuse me": teaching interns to speak up. | PSNet

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November 28, 2012 - November 17, 2021 A meta-review of methods of measuring and monitoring safety in primary … 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods … Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures … November 21, 2012 New persistent opioid use after minor and major surgical procedures … December 1, 2010 Incidence and root cause analysis of wrong-site pain management procedures

TRIAD IX: can a patient testimonial safely help ensure prehospital appropriate critical versus end-of-life care? | PSNet

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March 11, 2015 - September 14, 2011 Application of human factors methods to ensure appropriate infant … October 6, 2021 Medication safety in mental health hospitals: a mixed-methods analysis … October 28, 2020 Why an open disclosure procedure is and is not followed after an avoidable … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures … Factors influencing medication errors in the prehospital paramedic environment: a mixed method

A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical

June 10, 2009 - September 2, 2020 Clinical reasoning assessment methods: a scoping review and practical … June 24, 2020 Harms from discharge to primary care: mixed methods analysis of incident … December 9, 2015 The use of human factors methods to identify and mitigate safety issues … Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure … October 11, 2023 Green Cross method in a postanaesthesia care unit: a qualitative study

Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/primary-care-medication-safety-surveillance-integrated-primary-and-secondary-care-electronic

November 25, 2015 - , 2018 Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … December 21, 2022 A multi-method exploratory evaluation of a service designed to improve … August 11, 2021 Patient safety in palliative care: a mixed-methods study of reports to … February 2, 2022 Medication safety in mental health hospitals: a mixed-methods analysis … September 18, 2019 A mixed-method study of practitioners' perspectives on issues related

The competent surgeon: individual accountability in the era of "systems" failure. | PSNet

psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure

May 12, 2010 - April 24, 2019 Clinical reasoning assessment methods: a scoping review and practical … May 8, 2019 The use of human factors methods to identify and mitigate safety issues in … Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure … March 8, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person … February 8, 2023 National Safety Standards for Invasive Procedures (NatSSIPs2).

Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink. | PSNet

psnet.ahrq.gov/issue/examining-variations-prescribing-safety-uk-general-practice-cross-sectional-study-using

July 22, 2015 - , 2023 Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … August 11, 2021 Medication safety in mental health hospitals: a mixed-methods analysis … August 4, 2021 A multi-method exploratory evaluation of a service designed to improve … June 15, 2022 Harms from discharge to primary care: mixed methods analysis of incident … July 14, 2021 Comparison of methods to reduce bias from clinical prediction models of

Patient perceptions of missed nursing care. | PSNet

psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care

October 14, 2015 - July 17, 2013 Utilizing improvement science methods to improve physician compliance with … March 27, 2013 The Safe Home Care Intervention Study: implementation methods and effectiveness … June 20, 2018 Interventional procedures outside of the operating room: results from the … Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method … January 20, 2021 We Want to Know-a mixed methods evaluation of a comprehensive program

An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet

psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals

April 13, 2016 - 2022 Patient safety incidents in advance care planning for serious illness: a mixed-methods … October 14, 2015 Harms from discharge to primary care: mixed methods analysis of incident … Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods … Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods … October 26, 2016 Sources of unsafe primary care for older adults: a mixed-methods analysis

Patient safety and job-related stress: a focus group study. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study

December 05, 2012 - 2021 Barcode medication administration technology use in hospital practice: a mixed-methods … September 13, 2023 Green Cross method in a postanaesthesia care unit: a qualitative study … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." … November 8, 2017 Fast forward rounds: an effective method for teaching medical students … December 7, 2016 Medication double-checking procedures in clinical practice: a cross-sectional

The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population. | PSNet

psnet.ahrq.gov/issue/utility-adding-retrospective-medication-profiling-computerized-provider-order-entry

June 22, 2011 - December 20, 2017 Patients and families as teachers: a mixed methods assessment of a … March 27, 2005 The harm susceptibility model: a method to prioritise risks identified … Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure … May 8, 2019 A mixed-method study of practitioners' perspectives on issues related to … 2019 Medication safety in emergency medical services: approaching an evidence-based method

Using "near misses" analysis to prevent wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery

March 08, 2017 - By tracking improper surgical bookings and observing time-out procedures, this study measured near … After this education, surgical booking and time-out procedures improved. … March 16, 2016 Mixed-methods evaluation of real-time safety reporting by hospitalized … November 11, 2020 Clinical reasoning assessment methods: a scoping review and practical … March 29, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or

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