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The introduction of a surgical safety checklist in a tertiary referral obstetric centre. | PSNet

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October 04, 2023 - Study The introduction of a surgical safety checklist in a tertiary referral obstetric centre. Citation Text: Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs…

Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. | PSNet

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January 26, 2022 - Study Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatie…

What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. | PSNet

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May 25, 2011 - Commentary What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training. Citation Text: Siassakos D, Fox R, Bristowe K, et al. What makes maternity teams effective and safe? Lessons from a series of research on teamwork, lead…

Strategies for detecting adverse drug events among older persons in the ambulatory setting. | PSNet

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February 09, 2011 - Study Strategies for detecting adverse drug events among older persons in the ambulatory setting. Citation Text: Field T, Gurwitz JH, Harrold LR, et al. Strategies for detecting adverse drug events among older persons in the ambulatory setting. J Am Med Inform Assoc. 2004;11(6):492-8. …

Pediatric surgical errors: a systematic scoping review. | PSNet

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August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…

Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

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April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…

An initiative to improve the management of clinically significant test results in a large health care network. | PSNet

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November 26, 2014 - Study An initiative to improve the management of clinically significant test results in a large health care network. Citation Text: Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …

Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

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April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

Interprofessional teamwork and team interventions in chronic care: a systematic review. | PSNet

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April 24, 2019 - Review Interprofessional teamwork and team interventions in chronic care: a systematic review. Citation Text: Körner M, Bütof S, Müller C, et al. Interprofessional teamwork and team interventions in chronic care: A systematic review. J Interprof Care. 2016;30(1):15-28. doi:10.3109/135618…

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. | PSNet

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May 29, 2013 - Review Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Citation Text: Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…

Hospital discharge documentation and risk of rehospitalisation. | PSNet

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March 25, 2015 - Study Hospital discharge documentation and risk of rehospitalisation. Citation Text: Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. Copy Citation Format: …

Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. | PSNet

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November 05, 2013 - Study Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. Citation Text: Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…

Diagnostic errors--The next frontier for patient safety. | PSNet

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October 14, 2020 - Commentary Diagnostic errors--The next frontier for patient safety. Citation Text: Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. Copy Citation Format: DOI Google Scholar PubMed …

To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. | PSNet

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January 26, 2022 - Commentary To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. Citation Text: Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…

Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet

psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors

August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Citation Text: Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…

Effect of a rapid response team on the incidence of in-hospital mortality. | PSNet

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March 15, 2023 - Study Effect of a rapid response team on the incidence of in-hospital mortality. Citation Text: Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. Copy…

Accuracy of radiographic readings in the emergency department. | PSNet

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November 18, 2016 - Study Accuracy of radiographic readings in the emergency department. Citation Text: Petinaux B, Bhat R, Boniface K, et al. Accuracy of radiographic readings in the emergency department. Am J Emerg Med. 2011;29(1):18-25. doi:10.1016/j.ajem.2009.07.011. Copy Citation Format: …

Progress in interoperability: measuring US hospitals' engagement in sharing patient data. | PSNet

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March 27, 2024 - Study Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Citation Text: Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. do…

Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. | PSNet

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October 19, 2022 - Commentary Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. Citation Text: Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…

Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. | PSNet

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August 19, 2009 - Study Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. Citation Text: Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care: clinicians d…

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