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The effects of power, leadership and psychological safety on resident event reporting. | PSNet

psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting

November 16, 2022 - Study The effects of power, leadership and psychological safety on resident event reporting. Citation Text: Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/automated-dispensing-cabinet-overrides-evaluation-necessity-pediatric-emergency-department

October 21, 2020 - Study Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. Citation Text: Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 202…

"That was a close call": endorsing a broad definition of near misses in health care. | PSNet

psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care

August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

Creating a just culture in the perioperative setting. | PSNet

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July 13, 2009 - Commentary Creating a just culture in the perioperative setting. Citation Text: Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. | PSNet

psnet.ahrq.gov/issue/communication-and-information-deficits-patients-discharged-rehabilitation-facilities

January 11, 2017 - Study Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. Citation Text: Gandara E, Moniz T, Ungar J, et al. Communication and information deficits in patients discharged to rehabilitation facilities: An …

Toward a theoretical approach to medical error reporting system research and design. | PSNet

psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design

November 30, 2011 - Study Toward a theoretical approach to medical error reporting system research and design. Citation Text: Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon. 2006;37(3):283-95. Copy Citation Form…

Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. | PSNet

psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and

July 23, 2010 - Commentary Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. Citation Text: Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …

From aviation to pediatric surgery. | PSNet

psnet.ahrq.gov/issue/aviation-pediatric-surgery

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 …

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet

psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient

November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. Citation Text: Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …

ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

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June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

Responding to unprofessional behavior by trainees - a "just culture" framework. | PSNet

psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework

June 24, 2020 - Commentary Responding to unprofessional behavior by trainees - a "just culture" framework. Citation Text: Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…

The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet

psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals

January 19, 2022 - Study The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Citation Text: Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…

Standardization and visualization of the surgical time-out. | PSNet

psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out

November 06, 2024 - Study Standardization and visualization of the surgical time-out. Citation Text: Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. Copy Citation Format: DOI Goog…

Facility-level variation in potentially inappropriate prescribing for older veterans. | PSNet

psnet.ahrq.gov/issue/facility-level-variation-potentially-inappropriate-prescribing-older-veterans

February 17, 2017 - Study Facility-level variation in potentially inappropriate prescribing for older veterans. Citation Text: Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5…

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy

August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

Changes in practice among physicians with malpractice claims. | PSNet

psnet.ahrq.gov/issue/changes-practice-among-physicians-malpractice-claims

February 14, 2017 - Study Changes in practice among physicians with malpractice claims. Citation Text: Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981. Copy Citation Format: D…

Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. | PSNet

psnet.ahrq.gov/issue/obstetric-iatrogenesis-united-states-spectrum-unintentional-harm-disrespect-violence-and

November 11, 2020 - Commentary Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Citation Text: Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, an…

Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. | PSNet

psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using-work-domain

April 17, 2024 - Study Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. Citation Text: Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024…

Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. | PSNet

psnet.ahrq.gov/issue/dont-go-hospital-alone-ensuring-safe-highly-reliable-patient-visitation

May 12, 2021 - Commentary Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Citation Text: Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006. Copy …

Frontiers in measuring structural racism and its health effects. | PSNet

psnet.ahrq.gov/issue/frontiers-measuring-structural-racism-and-its-health-effects

April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…

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