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  1. Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. | PSNet

    psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
    March 01, 2011 - Study Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. Citation Text: Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Pati…

  2. Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. | PSNet

    psnet.ahrq.gov/issue/introducing-new-junior-doctor-electronic-weekend-handover-orthopaedic-ward
    May 31, 2017 - Commentary Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. Citation Text: Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. Copy C…

  3. Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

    psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
    November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

  4. Making residents part of the safety culture: improving error reporting and reducing harms. | PSNet

    psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
    April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…

  5. Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014). | PSNet

    psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-departments-2001-2014
    July 19, 2023 - Study Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014). Citation Text: Hawley KL, Mazer-Amirshahi M, Zocchi MS, et al. Longitudinal Trends in U.S. Drug Shortages for Medications Used in Emergency Departments (2001-2014). Acad Emerg Med.…

  6. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. | PSNet

    psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and
    June 13, 2011 - Study A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. Citation Text: Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…

  7. Resident wellness in US ophthalmic graduate medical education: the resident perspective. | PSNet

    psnet.ahrq.gov/issue/resident-wellness-us-ophthalmic-graduate-medical-education-resident-perspective
    April 03, 2013 - Study Resident wellness in US ophthalmic graduate medical education: the resident perspective. Citation Text: Tran EM, Scott IU, Clark MA, et al. Resident Wellness in US Ophthalmic Graduate Medical Education: The Resident Perspective. JAMA Ophthalmol. 2018;136(6):695-701. doi:10.1001/jam…

  8. 'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. | PSNet

    psnet.ahrq.gov/issue/safe-enough-here-patients-expectations-and-experiences-feeling-safe-acute-psychiatric
    January 23, 2017 - Study 'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. Citation Text: Stenhouse RC. 'Safe enough in here?': patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. J Clin Nurs. 20…

  9. Nurses' perceived causes of medication administration errors: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/nurses-perceived-causes-medication-administration-errors-qualitative-systematic-review
    September 16, 2020 - Review Nurses' perceived causes of medication administration errors: a qualitative systematic review. Citation Text: Schroers G, Ross JG, Moriarty H. Nurses' perceived causes of medication administration errors: a qualitative systematic review. Jt Comm J Qual Patient Saf. 2021;47(1):38-5…

  10. Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. | PSNet

    psnet.ahrq.gov/issue/accuracy-skin-cancer-diagnosis-physician-assistants-compared-dermatologists-large-health-care
    August 04, 2021 - Study Emerging Classic Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. Citation Text: Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compar…

  11. The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. | PSNet

    psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
    October 11, 2017 - Study The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. Citation Text: Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and …

  12. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet

    psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist
    May 04, 2012 - Study Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Citation Text: Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…

  13. A systemwide strategy to embed equity into patient safety event analysis. | PSNet

    psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
    November 16, 2022 - Study A systemwide strategy to embed equity into patient safety event analysis. Citation Text: Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004. …

  14. Medication safety in older adults: home-based practice patterns. | PSNet

    psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
    June 30, 2011 - Study Medication safety in older adults: home-based practice patterns. Citation Text: Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. Copy Citation Format: Google Scholar PubMed Bi…

  15. Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

    psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
    January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

  16. Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet

    psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
    October 19, 2022 - Study Clinical clerkship students' perceptions of (un)safe transitions for every patient. Citation Text: Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…

  17. Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

    psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
    July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

  18. Teaching a 'good' ward round. | PSNet

    psnet.ahrq.gov/issue/teaching-good-ward-round
    October 28, 2020 - Commentary Teaching a 'good' ward round. Citation Text: Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  19. Falling through the cracks: the invisible hospital cleaning workforce. | PSNet

    psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
    June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

  20. The costs of adverse drug events in community hospitals. | PSNet

    psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
    February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…
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