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Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. | PSNet

psnet.ahrq.gov/issue/improving-code-team-performance-and-survival-outcomes-implementation-pediatric-resuscitation

February 03, 2011 - Study Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. Citation Text: Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. C…

Patient safety in primary care: conceptual meanings to the health care team and patients. | PSNet

psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients

September 28, 2022 - Study Patient safety in primary care: conceptual meanings to the health care team and patients. Citation Text: Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042. Cop…

Language barriers and patient safety risks in hospital care. A mixed methods study. | PSNet

psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study

May 18, 2016 - Study Language barriers and patient safety risks in hospital care. A mixed methods study. Citation Text: van Rosse F, de Bruijne M, Suurmond J, et al. Language barriers and patient safety risks in hospital care. A mixed methods study. Int J Nurs Stud. 2016;54:45-53. doi:10.1016/j.ijnurst…

Advances in Patient Safety and Medical Liability. | PSNet

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May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…

Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during

April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

Opioids in the United Kingdom: safety and surveillance during COVID-19. | PSNet

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July 14, 2009 - Review Opioids in the United Kingdom: safety and surveillance during COVID-19. Citation Text: Osborne V. Opioids in the United Kingdom: safety and surveillance during COVID-19. Curr Opin Psychiatry. 2021;34(4):357-362. doi:10.1097/yco.0000000000000719. Copy Citation Format: …

Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. | PSNet

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June 21, 2016 - Study Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. Citation Text: Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010. C…

Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/improving-cancer-patient-care-combined-medication-error-reviews-and-morbidity-and-mortality

February 01, 2012 - Study Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. Citation Text: Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy…

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

psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting

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

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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

psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances

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…

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