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Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. | PSNet

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February 15, 2011 - Commentary Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. Citation Text: Ferranti JM, Langman MK, Tanaka D, et al. Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effe…

Adverse drug events in general practice patients in Australia. | PSNet

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March 04, 2020 - Study Adverse drug events in general practice patients in Australia. Citation Text: Miller GC, Britth HC, Valenti L. Adverse drug events in general practice patients in Australia. Med J Aust. 2006;184(7):321-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet

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November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. | PSNet

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November 29, 2023 - Book/Report Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Citation Text: Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Washington, DC: Department of Veterans Affairs, Office of Inspector…

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review

April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

Patient safety in Taiwan: a survey on orthopedic surgeons. | PSNet

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October 27, 2016 - Study Patient safety in Taiwan: a survey on orthopedic surgeons. Citation Text: Yang C-T, Chen H-H, Hou S-M. Patient safety in Taiwan: a survey on orthopedic surgeons. J Formos Med Assoc. 2007;106(3):212-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

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June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. | PSNet

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March 26, 2015 - Study Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. Citation Text: Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J On…

Interruptions during the delivery of high-risk medications. | PSNet

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September 26, 2016 - Study Interruptions during the delivery of high-risk medications. Citation Text: Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047. Copy Citation Format: DOI G…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

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March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

Learning from failure: the need for independent safety investigation in healthcare. | PSNet

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September 24, 2018 - Commentary Learning from failure: the need for independent safety investigation in healthcare. Citation Text: Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. Copy…

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. | PSNet

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January 27, 2016 - Study Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Citation Text: Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. Copy Cita…

Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? | PSNet

psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced

March 22, 2011 - Study Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? Citation Text: van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality…

Communication and shared understanding between parents and resident-physicians at night. | PSNet

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May 08, 2017 - Study Communication and shared understanding between parents and resident-physicians at night. Citation Text: Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…

Impact of an electronic health record transition on chemotherapy error reporting | PSNet

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June 17, 2020 - Study Impact of an electronic health record transition on chemotherapy error reporting Citation Text: Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/10781552198…

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. | PSNet

psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration-errors-care

March 23, 2011 - Study The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. Citation Text: Alldred DP, Standage C, Fletcher O, et al. The influence of formulation and medicine delivery system on medication administration errors in…

Variation in hospital mortality associated with inpatient surgery. | PSNet

psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery

August 02, 2015 - Study Classic Variation in hospital mortality associated with inpatient surgery. Citation Text: Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…

Care management implementation and patient safety. | PSNet

psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety

July 14, 2010 - Study Care management implementation and patient safety. Citation Text: Care management implementation and patient safety. Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96. Copy Citation Save Save to your library Print Downlo…

Patient safety and mental health-a growing quality gap in Canada. | PSNet

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February 19, 2010 - Commentary Patient safety and mental health-a growing quality gap in Canada. Citation Text: Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596. Copy Citation Format: DO…

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. | PSNet

psnet.ahrq.gov/issue/bridging-gap-framework-and-strategies-integrating-quality-and-safety-mission-teaching

April 24, 2018 - Commentary Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. Citation Text: Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Saf…

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