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Interventions to engage patients and families in patient safety: a systematic review. | PSNet

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March 04, 2020 - Review Interventions to engage patients and families in patient safety: a systematic review. Citation Text: Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet

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January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Citation Text: de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. | PSNet

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September 24, 2018 - Study Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. Citation Text: McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiologic…

Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. | PSNet

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September 15, 2021 - Study Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience. Citation Text: Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation…

Evaluation of wound photography for remote postoperative assessment of surgical site infections. | PSNet

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July 03, 2014 - Study Evaluation of wound photography for remote postoperative assessment of surgical site infections. Citation Text: Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. do…

Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." | PSNet

psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical

August 05, 2020 - Study Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." Citation Text: Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review …

Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet

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February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…

Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

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February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…

The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

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November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. | PSNet

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March 04, 2020 - Commentary Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum. Citation Text: Nutescu EA, Wittkowsky AK, Burnett A, et al. Delivery of optimized inpatient anticoagulation therapy: consensus statement from the anticoagulation forum…

Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet

psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative

June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

Serious experience events: applying patient safety concepts to improve patient experience. | PSNet

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August 04, 2021 - Commentary Serious experience events: applying patient safety concepts to improve patient experience. Citation Text: Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…

Leading successful rapid response teams: a multisite implementation evaluation. | PSNet

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August 04, 2010 - Image/Poster Leading successful rapid response teams: a multisite implementation evaluation. Citation Text: Donaldson N, Shapiro S, Scott M, et al. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009;39(4):176-81. doi:10.1097/NNA.0b013e31819…

Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-using-same-vs-different-order-second-readings-screening-mammograms-rates-breast-cancer

August 29, 2018 - Study Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial. Citation Text: Taylor-Phillips S, Wallis MG, Jenkinson D, et al. Effect of Using the Same vs Different Order for Second Readings…

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. | PSNet

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September 25, 2008 - Study Classic Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. Citation Text: Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical intern…

Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent

April 24, 2019 - Study Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Citation Text: Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…

Safety Climate Survey: reliability of results from a multicenter ICU survey. | PSNet

psnet.ahrq.gov/issue/safety-climate-survey-reliability-results-multicenter-icu-survey

June 13, 2012 - Study Safety Climate Survey: reliability of results from a multicenter ICU survey. Citation Text: Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316. Copy Citation Format…

Surgical glove perforation and the risk of surgical site infection. | PSNet

psnet.ahrq.gov/issue/surgical-glove-perforation-and-risk-surgical-site-infection

March 02, 2011 - Study Surgical glove perforation and the risk of surgical site infection. Citation Text: Misteli H, Weber WP, Reck S, et al. Surgical glove perforation and the risk of surgical site infection. Arch Surg. 2009;144(6):553-8; discussion 558. doi:10.1001/archsurg.2009.60. Copy Citation …

National survey on the effect of oncology drug shortages on cancer care. | PSNet

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April 22, 2015 - Study National survey on the effect of oncology drug shortages on cancer care. Citation Text: McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563. Copy Citat…

Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet

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February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

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