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The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. | PSNet

psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers

April 24, 2018 - Study The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. Citation Text: Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 20…

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

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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…

Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? | PSNet

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October 06, 2011 - Study Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? Citation Text: Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?…

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. | PSNet

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March 13, 2013 - Commentary Classic Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. Citation Text: Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. Copy Cit…

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

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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 …

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

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January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

Preventing surgical site infections: are safety climate level and its strength associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures? | PSNet

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July 19, 2023 - Study Preventing surgical site infections: are safety climate level and its strength associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures? Citation Text: Pfeiffer Y, Atkinson A, Maag J, et al. Preventing surgical site infections: a…

Exploring relationships between hospital patient safety culture and adverse events. | PSNet

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August 27, 2012 - Study Exploring relationships between hospital patient safety culture and adverse events. Citation Text: Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1…

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. | PSNet

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September 11, 2018 - Book/Report Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. Citation Text: Understanding the knowledge gaps in whistleblowing and speaking up…

The dilemma of patient safety work: perceptions of hospital middle managers. | PSNet

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February 03, 2015 - Study The dilemma of patient safety work: perceptions of hospital middle managers. Citation Text: Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325. Copy Ci…

Improving medication-related clinical decision support. | PSNet

psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support

July 01, 2017 - Review Emerging Classic Improving medication-related clinical decision support. Citation Text: Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. …

The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet

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March 17, 2021 - Commentary The morbidity and mortality conference: opportunities for enhancing patient safety. Citation Text: Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…

Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment. | PSNet

psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical

September 19, 2018 - Study Mitigating patient and consumer safety risks when using conversational assistants for medical information: exploratory mixed methods experiment. Citation Text: Bickmore TW, Olafsson S, O'Leary TK. Mitigating patient and consumer safety risks when using conversational assistants for…

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. | PSNet

psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen

December 03, 2014 - Study The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. Citation Text: Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical …

Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. | PSNet

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May 21, 2014 - Special or Theme Issue Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Citation Text: Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395…

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective

April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. | PSNet

psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients

February 09, 2012 - Study Classic How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. Citation Text: Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing

April 23, 2014 - Study "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. Citation Text: Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…

Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet

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November 21, 2021 - Commentary Adopting high reliability organization principles to lead a large scale clinical transformation. Citation Text: Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;…

Unintended consequences of patient online access to health records: a qualitative study in UK primary care. | PSNet

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February 02, 2022 - Study Unintended consequences of patient online access to health records: a qualitative study in UK primary care. Citation Text: Turner A, Morris R, McDonagh L, et al. Unintended consequences of patient online access to health records: a qualitative study in UK primary care. Br J Gen Pra…

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