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Recommendations for quality assurance and improvement in surgical and autopsy pathology. | PSNet

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September 29, 2010 - Commentary Recommendations for quality assurance and improvement in surgical and autopsy pathology. Citation Text: Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):9…

Radiological error: analysis, standard setting, targeted instruction and teamworking. | PSNet

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December 12, 2018 - Commentary Radiological error: analysis, standard setting, targeted instruction and teamworking. Citation Text: FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8). doi:10.1007/s00330-005-2662-8. Copy Citation …

Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. | PSNet

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November 03, 2015 - Commentary Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. Citation Text: Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…

Large-scale Coordination: Health Care. | PSNet

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August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…

Second victim: a traumatic experience. | PSNet

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October 06, 2016 - Commentary Second victim: a traumatic experience. Citation Text: Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

Mistakes and disclosure. | PSNet

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October 19, 2022 - Commentary Mistakes and disclosure. Citation Text: Winter RO, Birnberg BA. Mistakes and disclosure. Fam Med. 2008;40(4):245-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

California doctors alarmed as state links their opioid prescriptions to deaths. | PSNet

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November 01, 2023 - Audiovisual California doctors alarmed as state links their opioid prescriptions to deaths. Citation Text: California doctors alarmed as state links their opioid prescriptions to deaths. Dembosky A. All Things Considered and KQED. January 23, 2019. Copy Citation Save …

Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet

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July 10, 2017 - Commentary Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. Citation Text: Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…

What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. | PSNet

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August 04, 2021 - Study What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. Citation Text: Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication hist…

Using good catches to promote a just culture and perioperative patient safety. | PSNet

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July 18, 2018 - Commentary Using good catches to promote a just culture and perioperative patient safety. Citation Text: Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. Copy Citation Format: DOI…

Nowhere is safe: record number of patients contracted Covid in the hospital in January. | PSNet

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November 18, 2020 - Newspaper/Magazine Article Nowhere is safe: record number of patients contracted Covid in the hospital in January. Citation Text: Nowhere is safe: record number of patients contracted Covid in the hospital in January. Levy R, Vestal AJ. Politico. February 19, 2022. Copy Citation …

Concepts for the development of a customizable checklist for use by patients. | PSNet

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June 04, 2014 - Commentary Concepts for the development of a customizable checklist for use by patients. Citation Text: Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.00000000000…

The Patients' View: 2004 ISQSH National Survey. | PSNet

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July 20, 2022 - Book/Report The Patients' View: 2004 ISQSH National Survey. Citation Text: The Patients' View: 2004 ISQSH National Survey. Dublin: Irish Society for Quality and Safety in Healthcare; 2004. Copy Citation Save Save to your library Print Download PDF…

Creating safe spaces in organizations to talk about safety. | PSNet

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March 18, 2019 - Study Creating safe spaces in organizations to talk about safety. Citation Text: Morath J, Leary M. Creating safe spaces in organizations to talk about safety. Nurs Econ. 2004;22(6):344-51, 354. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Twelve best practices for team training evaluation in health care. | PSNet

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July 02, 2014 - Commentary Twelve best practices for team training evaluation in health care. Citation Text: Weaver SJ, Salas E, King HB. Twelve best practices for team training evaluation in health care. Jt Comm J Qual Patient Saf. 2011;37(8):341-9. Copy Citation Format: Google Scholar …

Evidence under judgment: can we oversee our own decision making? | PSNet

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May 21, 2019 - Commentary Evidence under judgment: can we oversee our own decision making? Citation Text: Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 …

Benefits of a rapid response system at a community hospital. | PSNet

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July 02, 2019 - Commentary Benefits of a rapid response system at a community hospital. Citation Text: Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7. Copy Citation Fo…

Saying "I'm sorry": error disclosure for ophthalmologists. | PSNet

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November 20, 2019 - Commentary Saying "I'm sorry": error disclosure for ophthalmologists. Citation Text: Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010. Copy Citation Format: DOI Google S…

Health plan members' views about disclosure of medical errors. | PSNet

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November 15, 2011 - Study Classic Health plan members' views about disclosure of medical errors. Citation Text: Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18. Copy Citation Format: …

Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era. | PSNet

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January 12, 2022 - Commentary Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era. Citation Text: Schulman PR. Reliability, uncertainty and the management of error: new perspectives in the COVID‐19 era. J Contingencies Crisis Manage. 2022;30(1):92-101. doi:10.1111/146…

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