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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…

Thirty-day outcomes support implementation of a surgical safety checklist. | PSNet

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April 10, 2024 - Study Thirty-day outcomes support implementation of a surgical safety checklist. Citation Text: Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…

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…

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet

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April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. Citation Text: Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…

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…

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…

Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

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June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. | PSNet

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January 26, 2022 - Study Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatie…

Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

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April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

Interprofessional teamwork and team interventions in chronic care: a systematic review. | PSNet

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April 24, 2019 - Review Interprofessional teamwork and team interventions in chronic care: a systematic review. Citation Text: Körner M, Bütof S, Müller C, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15-28. doi:10.3109/135618…

Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? | PSNet

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November 13, 2019 - Review Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? Citation Text: Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. C…

To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. | PSNet

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January 26, 2022 - Commentary To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. Citation Text: Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…

The family's contribution to patient safety. | PSNet

psnet.ahrq.gov/issue/familys-contribution-patient-safety

October 13, 2018 - Study The family's contribution to patient safety. Citation Text: Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep. 2023;13(2):634-643. doi:10.3390/nursrep13020056. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. | PSNet

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July 05, 2017 - Commentary Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. Citation Text: Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Int…

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/provencare-quality-improvement-model-designing-highly-reliable-care-cardiac-surgery

February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Citation Text: Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…

From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. | PSNet

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December 14, 2022 - Commentary From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. Citation Text: Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice a…

Re-examining high reliability: actively organising for safety. | PSNet

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October 13, 2018 - Commentary Re-examining high reliability: actively organising for safety. Citation Text: Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698. Copy Citation Format: …

Health care worker fatigue. | PSNet

psnet.ahrq.gov/issue/health-care-worker-fatigue

July 08, 2020 - Commentary Health care worker fatigue. Citation Text: Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet

psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis

March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

Composite measures for profiling hospitals on bariatric surgery performance. | PSNet

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January 31, 2013 - Study Composite measures for profiling hospitals on bariatric surgery performance. Citation Text: Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. Copy Cit…

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