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Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. | PSNet

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November 03, 2021 - Commentary Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. Citation Text: Shin P, Desai V, Conte AH, et al. Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. Perm J. 2023;27(2):1…

Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet

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February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…

Building an ambulatory safety program at an academic health system. | PSNet

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April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

Prescribing errors on admission to hospital and their potential impact: a mixed-methods study. | PSNet

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December 20, 2023 - Study Prescribing errors on admission to hospital and their potential impact: a mixed-methods study. Citation Text: Basey AJ, Krska J, Kennedy TD, et al. Prescribing errors on admission to hospital and their potential impact: a mixed-methods study. BMJ Qual Saf. 2014;23(1):17-25. doi:1…

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality

August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

Medication safety in the neonatal intensive care unit: big measures for our smallest patients. | PSNet

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September 18, 2024 - Commentary Medication safety in the neonatal intensive care unit: big measures for our smallest patients. Citation Text: Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.00…

Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet

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September 24, 2016 - Study Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. Citation Text: Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…

Feedback from incident reporting: information and action to improve patient safety. | PSNet

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August 26, 2009 - Study Feedback from incident reporting: information and action to improve patient safety. Citation Text: Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…

Advancing nursing home quality through quality improvement itself. | PSNet

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November 28, 2018 - Commentary Advancing nursing home quality through quality improvement itself. Citation Text: Werner RM, Konetzka RT. Advancing Nursing Home Quality Through Quality Improvement Itself. Health Aff. 2010;29(1):81-86. doi:10.1377/hlthaff.2009.0555. Copy Citation Format: DOI Goo…

A review of the evidence of harm from self-tests. | PSNet

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August 03, 2009 - Review A review of the evidence of harm from self-tests. Citation Text: Brown AN, Djimeu EW, Cameron DB. A review of the evidence of harm from self-tests. AIDS Behav. 2014;18 Suppl 4:S445-9. doi:10.1007/s10461-014-0831-y. Copy Citation Format: DOI Google Scholar PubMed BibT…

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. | PSNet

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April 01, 2020 - Study Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. Citation Text: Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341…

Medication errors in hospitalised children. | PSNet

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September 03, 2014 - Study Medication errors in hospitalised children. Citation Text: Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health. 2014;50(1):71-7. doi:10.1111/jpc.12412. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. | PSNet

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April 08, 2020 - Study Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. Citation Text: Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…

Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet

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September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…

Uncharted territory: measuring costs of diagnostic errors outside the medical record. | PSNet

psnet.ahrq.gov/issue/uncharted-territory-measuring-costs-diagnostic-errors-outside-medical-record

September 20, 2011 - Study Uncharted territory: measuring costs of diagnostic errors outside the medical record. Citation Text: Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-…

Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? | PSNet

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January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…

Impact of miscommunication in medical dispute cases in Japan. | PSNet

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September 25, 2019 - Study Impact of miscommunication in medical dispute cases in Japan. Citation Text: Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028. Copy Citation Format: DOI G…

A patient safety dilemma: obesity in the surgical patient. | PSNet

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October 29, 2012 - Study A patient safety dilemma: obesity in the surgical patient. Citation Text: Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

Surgical team training: promoting high reliability with nontechnical skills. | PSNet

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May 01, 2019 - Commentary Surgical team training: promoting high reliability with nontechnical skills. Citation Text: Paige JT. Surgical team training: promoting high reliability with nontechnical skills. Surg Clin North Am. 2010;90(3):569-81. doi:10.1016/j.suc.2010.02.007. Copy Citation Format…

Decision support tools, systems, and artificial intelligence in cardiac imaging. | PSNet

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October 19, 2022 - Review Decision support tools, systems, and artificial intelligence in cardiac imaging. Citation Text: Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04…

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