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Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. | PSNet

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October 07, 2020 - Book/Report Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. Citation Text: Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation and …

A health system that won't learn from its mistakes. | PSNet

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October 26, 2022 - Commentary A health system that won't learn from its mistakes. Citation Text: Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. doi:10.1377/hlthaff.2022.00581. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

Patient safety attitudes of paediatric trainee physicians. | PSNet

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December 01, 2010 - Study Patient safety attitudes of paediatric trainee physicians. Citation Text: Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230. Copy Citation Format: DOI Goog…

Finding blunders in thyroid testing: experience in newborns. | PSNet

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March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. | PSNet

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November 18, 2020 - Book/Report The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Citation Text: The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient Safety. Disch J, Kilo CM, Passiment M, Wagner R, Weiss KB; National C…

Costs and consequences associated with misdiagnosed lower extremity cellulitis. | PSNet

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November 12, 2014 - Study Costs and consequences associated with misdiagnosed lower extremity cellulitis. Citation Text: Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816. Copy C…

Why the nation needs a policy push on patient-centered health care. | PSNet

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November 11, 2020 - Commentary Why the nation needs a policy push on patient-centered health care. Citation Text: Epstein RM, Fiscella K, Lesser CS, et al. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;29(8):1489-1495. doi:10.1377/hlthaff.2009.0888. Copy C…

Machine learning in medicine. | PSNet

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March 13, 2024 - Commentary Classic Machine learning in medicine. Citation Text: Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347-1358. doi:10.1056/NEJMra1814259. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet

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September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. | PSNet

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September 27, 2022 - Commentary The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Citation Text: Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. Copy Ci…

IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet

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February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. | PSNet

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December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …

Ambiguity and workarounds as contributors to medical error. | PSNet

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December 23, 2008 - Commentary Ambiguity and workarounds as contributors to medical error. Citation Text: Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet

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September 19, 2018 - Book/Report Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Citation Text: Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of M…

The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet

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July 08, 2008 - Study The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Citation Text: Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…

Improving communication of diagnostic uncertainty to families of hospitalized children. | PSNet

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December 23, 2020 - Study Improving communication of diagnostic uncertainty to families of hospitalized children. Citation Text: Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-20…

What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet

psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare

September 23, 2020 - Review What is the effectiveness of reporting systems in promoting learning in healthcare? Citation Text: Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444. Copy Citation F…

Presenting complaint: use of language that disempowers patients. | PSNet

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July 13, 2022 - Commentary Presenting complaint: use of language that disempowers patients. Citation Text: doi:10.1136/bmj-2021-066720. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to …

Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. | PSNet

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May 18, 2022 - Book/Report Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Citation Text: Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World H…

Preventable mortality after common urological surgery: failing to rescue? | PSNet

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July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

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