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Taking the pulse of health care systems: experiences of patients with health problems in six countries. | PSNet

psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries

December 23, 2012 - Multi-use Website Classic Taking the pulse of health care systems: experiences of patients with health problems in six countries. Citation Text: Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients With Health P…

Patient misidentifications caused by errors in standard barcode technology. | PSNet

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June 13, 2012 - Study Patient misidentifications caused by errors in standard barcode technology. Citation Text: Snyder ML, Carter A, Jenkins K, et al. Patient misidentifications caused by errors in standard bar code technology. Clin Chem. 2010;56(10):1554-60. doi:10.1373/clinchem.2010.150094. Copy …

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. | PSNet

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June 02, 2021 - Study Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. Citation Text: McCarthy BC, Tuiskula KA, Driscoll TP, et al. Medication errors resulting in harm: Using chargemaster data to determine association …

Evaluation of the culture of safety and quality in pediatric primary care practices. | PSNet

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January 26, 2022 - Study Evaluation of the culture of safety and quality in pediatric primary care practices. Citation Text: Oyegoke S, Gigli KH. Evaluation of the culture of safety and quality in pediatric primary care practices. J Patient Saf. 2022;18(4):e753-e759. doi:10.1097/pts.0000000000000942. Cop…

The heart of darkness: the impact of perceived mistakes on physicians. | PSNet

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April 24, 2018 - Study Classic The heart of darkness: the impact of perceived mistakes on physicians. Citation Text: Christensen JF, Levinson W, Dunn PM. The heart of darkness: the impact of perceived mistakes on physicians. J Gen Intern Med. 1992;7(4):424-31. Copy Citation …

A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. | PSNet

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August 28, 2017 - Study A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. Citation Text: Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…

Medical errors and quality of care: from control to commitment. | PSNet

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July 15, 2020 - Commentary Medical errors and quality of care: from control to commitment. Citation Text: Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. Copy Citation Format…

Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. | PSNet

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November 17, 2014 - Study Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. Citation Text: Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …

"Doctor Jazz": lessons that medical professionals can learn from jazz musicians. | PSNet

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August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. Citation Text: van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. Copy Ci…

No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). | PSNet

psnet.ahrq.gov/issue/no-safety-no-quality-synthesis-research-hospital-and-patient-safety-1996-2007

January 04, 2010 - Review No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). Citation Text: Tzeng H-M, Yin C-Y. No safety, no quality: synthesis of research on hospital and patient safety (1996-2007). J Nurs Care Qual. 2007;22(4):299-306. Copy Citation Format: …

Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios. | PSNet

psnet.ahrq.gov/issue/comparing-utility-standard-pediatric-resuscitation-cart-pediatric-resuscitation-cart-based

December 15, 2011 - Study Comparing the utility of a standard pediatric resuscitation cart with a pediatric resuscitation cart based on the Broselow tape: a randomized, controlled, crossover trial involving simulated resuscitation scenarios. Citation Text: Agarwal S, Swanson S, Murphy A, et al. Comparing …

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care

June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

Anesthesia Risk Alert program: a proactive safety initiative. | PSNet

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September 02, 2015 - Study Anesthesia Risk Alert program: a proactive safety initiative. Citation Text: Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. Copy Citation Format: …

Department of anesthesiology skilled peer support program outcomes: second victim perceptions. | PSNet

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April 12, 2011 - Study Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Citation Text: Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…

"We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. | PSNet

psnet.ahrq.gov/issue/were-all-truly-pulling-exact-same-direction-qualitative-study-attending-and-resident

December 09, 2020 - Study "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. Citation Text: Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qu…

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement

July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review | PSNet

psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals

August 28, 2024 - Review Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review Citation Text: Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…

The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. | PSNet

psnet.ahrq.gov/issue/randomized-ambora-trial-impact-pharmacologicalpharmaceutical-care-medication-safety-and

November 03, 2021 - Study Emerging Classic The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. Citation Text: Dürr P, Schlichtig K, Kelz C, et al. The randomi…

Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration

May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet

psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call

October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Citation Text: Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…

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