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Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. | PSNet

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September 23, 2020 - Commentary Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. Citation Text: King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…

Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. | PSNet

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December 07, 2011 - Study Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. Citation Text: Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety practices and f…

Iatrogenesis in the context of residential dementia care: a concept analysis. | PSNet

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August 17, 2022 - Commentary Iatrogenesis in the context of residential dementia care: a concept analysis. Citation Text: Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. Copy Citati…

Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet

psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019

February 10, 2021 - Review Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 Citation Text: de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. Copy Citation Format: …

"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

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July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

Lessons learned: use of event reporting by nurses to improve patient safety and quality. | PSNet

psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality

May 19, 2013 - Study Lessons learned: use of event reporting by nurses to improve patient safety and quality. Citation Text: Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…

Quality and strength of patient safety climate on medical–surgical units. | PSNet

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February 15, 2011 - Study Quality and strength of patient safety climate on medical–surgical units. Citation Text: Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. Copy…

Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). | PSNet

psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill

March 11, 2015 - Study Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Citation Text: Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):…

Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients. | PSNet

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December 21, 2014 - Study Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients. Citation Text: Privette AR, Shackford SR, Osler T, et al. Implementation of resident …

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. | PSNet

psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years

August 04, 2021 - Review Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. Citation Text: Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…

Costs associated with surgical site infections in Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals

June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …

Opportunities to enhance laboratory professionals' role on the diagnostic team. | PSNet

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April 13, 2022 - Study Opportunities to enhance laboratory professionals' role on the diagnostic team. Citation Text: Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048. Copy Cit…

How do physicians conduct medication reviews? | PSNet

psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews

September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…

Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. | PSNet

psnet.ahrq.gov/issue/tell-me-how-pleased-you-are-your-workplace-and-i-will-tell-you-how-often-you-wash-your-hands

July 26, 2023 - Study Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Citation Text: Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Am J Infect Control. 2017;45(6):677-681. …

Patient safety culture transformation in a children's hospital: an interprofessional approach. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach

January 16, 2010 - Study Patient safety culture transformation in a children's hospital: an interprofessional approach. Citation Text: Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64.…

Association of patient photographs and reduced retract-and-reorder events. | PSNet

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February 24, 2021 - Study Association of patient photographs and reduced retract-and-reorder events. Citation Text: Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042. Copy Cit…

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. | PSNet

psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives

April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…

Improving electronic health record usability and safety requires transparency. | PSNet

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September 19, 2018 - Commentary Improving electronic health record usability and safety requires transparency. Citation Text: Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079. Copy Cita…

Analysis of medication errors in simulated pediatric resuscitation by residents. | PSNet

psnet.ahrq.gov/issue/analysis-medication-errors-simulated-pediatric-resuscitation-residents

January 22, 2016 - Study Analysis of medication errors in simulated pediatric resuscitation by residents. Citation Text: Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. Cop…

Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. | PSNet

psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs

June 13, 2015 - Study Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. Citation Text: Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient…

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