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Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. | PSNet

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September 27, 2017 - Study Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. Citation Text: Haw C, Stubbs J, Dickens GL. Barriers to the reporting of medication administration errors and near misses: an interview study of nu…

Diagnostic error in the pediatric hospital: a narrative review. | PSNet

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November 16, 2022 - Review Diagnostic error in the pediatric hospital: a narrative review. Citation Text: Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040. Copy Citation …

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. | PSNet

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December 21, 2014 - Study Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Citation Text: Carney BT, West P, Neily J, et al. Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. Am J…

Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. | PSNet

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June 01, 2011 - Study Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. Citation Text: Carbo AR, Tess A, Roy CL, et al. Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. J Patient Sa…

Improving the safety of medication administration using an interactive CD-ROM program. | PSNet

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February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…

Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet

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December 21, 2014 - Study Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Citation Text: Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medi…

Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. | PSNet

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April 29, 2020 - Study Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. Citation Text: Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum…

In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. | PSNet

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April 13, 2017 - Study In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Citation Text: Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Int J Qual Health Care. 2018;30(8):602-607.…

Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. | PSNet

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April 07, 2021 - Study Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. Citation Text: Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classific…

Systems approach to suicide prevention: strengthening culture, practice, and education. | PSNet

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July 10, 2024 - Commentary Systems approach to suicide prevention: strengthening culture, practice, and education. Citation Text: Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…

Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

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September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

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November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

Inappropriate medications in elderly ICU survivors: where to intervene? | PSNet

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May 08, 2017 - Study Inappropriate medications in elderly ICU survivors: where to intervene? Citation Text: Morandi A, Vasilevskis EE, Pandharipande PP, et al. Inappropriate medications in elderly ICU survivors: where to intervene? Arch Intern Med. 2011;171(11):1032-4. doi:10.1001/archinternmed.2011.…

A meta-review of methods of measuring and monitoring safety in primary care. | PSNet

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November 03, 2021 - Review A meta-review of methods of measuring and monitoring safety in primary care. Citation Text: O’Connor P, Madden C, O’Dowd E, et al. A meta-review of methods of measuring and monitoring safety in primary care. Int J Qual Health Care. 2021;33(3):mzab117. doi:10.1093/intqhc/mzab117. …

Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. | PSNet

psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation

October 06, 2021 - Commentary Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. Citation Text: Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…

Learning from excellence in healthcare: a new approach to incident reporting. | PSNet

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August 31, 2022 - Commentary Learning from excellence in healthcare: a new approach to incident reporting. Citation Text: Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021. …

Building a learning organization. | PSNet

psnet.ahrq.gov/issue/building-learning-organization

June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

Dashboards for visual display of patient safety data: a systematic review. | PSNet

psnet.ahrq.gov/issue/dashboards-visual-display-patient-safety-data-systematic-review

November 11, 2020 - Review Dashboards for visual display of patient safety data: a systematic review. Citation Text: Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. …

Towards a framework for managing risk associated with technology-induced error. | PSNet

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May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …

Are personal health records (PHRs) facilitating patient safety? A scoping review. | PSNet

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February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…

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