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Gaps in the continuity of care and progress on patient safety. | PSNet

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January 16, 2017 - Commentary Classic Gaps in the continuity of care and progress on patient safety. Citation Text: Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. Copy Citation Format: Google Sch…

Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. | PSNet

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November 04, 2020 - Study Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. Citation Text: Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital manager and incident i…

Communicating critical test results: safe practice recommendations. | PSNet

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June 13, 2011 - Study Communicating critical test results: safe practice recommendations. Citation Text: Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. Copy Citation Format: Google Schol…

Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. | PSNet

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February 21, 2024 - Review Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. Citation Text: Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration t…

Using near-miss events to improve MRI safety in a large academic centre. | PSNet

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May 31, 2017 - Commentary Using near-miss events to improve MRI safety in a large academic centre. Citation Text: Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. Copy Citation…

'Bad apples': time to redefine as a type of systems problem? | PSNet

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April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. | PSNet

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November 13, 2024 - Study Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. Citation Text: Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018…

The computerized ECG: friend and foe. | PSNet

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December 04, 2024 - Review Emerging Classic The computerized ECG: friend and foe. Citation Text: Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

12 h shifts and rates of error among nurses: a systematic review. | PSNet

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October 20, 2021 - Review 12 h shifts and rates of error among nurses: a systematic review. Citation Text: Clendon J, Gibbons V. 12 h shifts and rates of error among nurses: a systematic review. Int J Nurs Stud. 2015;52(7):1231-1242. doi:10.1016/j.ijnurstu.2015.03.011. Copy Citation Format: …

Developing expert medical teams: toward an evidence-based approach. | PSNet

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September 29, 2017 - Review Developing expert medical teams: toward an evidence-based approach. Citation Text: Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. Copy …

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? | PSNet

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July 14, 2021 - Commentary Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Citation Text: Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10…

Developing an action plan for patient radiation safety in adult cardiovascular medicine. | PSNet

psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine

August 04, 2021 - Commentary Developing an action plan for patient radiation safety in adult cardiovascular medicine. Citation Text: Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings from the Duke University Clin…

The "July phenomenon": is trauma the exception? | PSNet

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January 15, 2014 - Study The "July phenomenon": is trauma the exception? Citation Text: Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. Copy Citation Format: DOI Google …

Building safer systems through critical occurrence reviews: nine years of learning. | PSNet

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July 05, 2017 - Study Building safer systems through critical occurrence reviews: nine years of learning. Citation Text: Stevens P, Campbell J, Urmson L, et al. Building safer systems through critical occurrence reviews: nine years of learning. Healthc Q. 2010;13 Spec No:74-80. Copy Citation For…

Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. | PSNet

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April 06, 2022 - Study Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. Citation Text: Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department patients…

Change in intern calls at night after a work hour restriction process change. | PSNet

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September 01, 2017 - Study Change in intern calls at night after a work hour restriction process change. Citation Text: Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternm…

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. | PSNet

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March 02, 2022 - Study Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. Citation Text: Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:1…

Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. | PSNet

psnet.ahrq.gov/issue/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg

February 16, 2022 - Commentary Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. Citation Text: Bamberger E, Bamberger P. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. BMJ Qual Saf. 2022;31(9):638-641. doi:10.11…

Using a medical emergency team to manage anaphylactic shock. | PSNet

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June 26, 2024 - Commentary Using a medical emergency team to manage anaphylactic shock. Citation Text: Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. Copy Citation Format: Google Scholar PubMed …

From harm to hope and purposeful action: what could we do after Francis? | PSNet

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August 01, 2016 - Commentary From harm to hope and purposeful action: what could we do after Francis? Citation Text: Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. Copy Ci…

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