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Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. | PSNet

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February 19, 2020 - Study Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. Citation Text: Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Sa…

Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. | PSNet

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September 27, 2016 - Study Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. Citation Text: Henrickson SE, Wadhera RK, Elbardissi AW, et al. Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery. J Am Coll Surg. 2009;20…

Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. | PSNet

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June 25, 2018 - Commentary Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …

Lessons from walking the medical distancing tightrope. | PSNet

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October 21, 2020 - Commentary Lessons from walking the medical distancing tightrope. Citation Text: Jenkins I, Sebasky M, Bell J, et al. Lessons from walking the medical distancing tightrope. Jt Comm J Qual Patient Saf. 2020;46(9):542-545. doi:10.1016/j.jcjq.2020.05.006. Copy Citation Format: …

Consensus building for development of outpatient adverse drug event triggers. | PSNet

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November 10, 2010 - Study Consensus building for development of outpatient adverse drug event triggers. Citation Text: Mull HJ, Nebeker JR, Shimada SL, et al. Consensus building for development of outpatient adverse drug event triggers. J Patient Saf. 2011;7(2):66-71. doi:10.1097/PTS.0b013e31820c98ba. C…

Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital. | PSNet

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September 02, 2020 - Study Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital. Citation Text: Iyer RS, Swanson JO, Otto RK, et al. Peer review comments augment diagnostic error characterization and departmental quali…

Using simulation-based training to improve patient safety: what does it take? | PSNet

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August 30, 2006 - Commentary Using simulation-based training to improve patient safety: what does it take? Citation Text: Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. Copy Citation Form…

The relationship between safety climate and safety performance: a review. | PSNet

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February 03, 2021 - Review The relationship between safety climate and safety performance: a review. Citation Text: Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008. Copy Citation …

Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

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April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. | PSNet

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November 08, 2017 - Study An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. Citation Text: Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Af…

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. | PSNet

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November 16, 2022 - Study Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. Citation Text: Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. | PSNet

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March 28, 2011 - Study Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Citation Text: Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Qual Saf Health Care. 2008;…

Inaccuracy of ECG interpretations reported to the poison center. | PSNet

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January 20, 2021 - Study Inaccuracy of ECG interpretations reported to the poison center. Citation Text: Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019. Copy Citation Forma…

In-home medication reviews: a novel approach to improving patient care through coordination of care. | PSNet

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July 01, 2016 - Study In-home medication reviews: a novel approach to improving patient care through coordination of care. Citation Text: Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…

Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. | PSNet

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September 03, 2011 - Study Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Citation Text: Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediat…

The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet

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June 03, 2020 - Study The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. Citation Text: James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…

Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study

April 15, 2009 - Study Mix of methods is needed to identify adverse events in general practice: a prospective observational study. Citation Text: Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…

Preventable morbidity at a mature trauma center. | PSNet

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September 22, 2021 - Study Preventable morbidity at a mature trauma center. Citation Text: Preventable morbidity at a mature trauma center. Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. Copy Citation Save Save to your library Print Download PDF …

Postoperative handover: problems, pitfalls, and prevention of error. | PSNet

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September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. Citation Text: Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. Copy Citation …

Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

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June 03, 2013 - Study Implementing a patient safety and quality program across two merged pediatric institutions. Citation Text: Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…

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