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The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

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June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

Design of a safety dashboard for patients. | PSNet

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March 16, 2022 - Study Design of a safety dashboard for patients. Citation Text: Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement. | PSNet

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July 03, 2016 - Review Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement. Citation Text: Kitto S, Bell M, Peller J, et al. Positioning continuing education: boundaries and intersections …

Nurses' perspectives on the intersection of safety and informed decision making in maternity care. | PSNet

psnet.ahrq.gov/issue/nurses-perspectives-intersection-safety-and-informed-decision-making-maternity-care

May 21, 2019 - Study Nurses' perspectives on the intersection of safety and informed decision making in maternity care. Citation Text: Jacobson CH, Zlatnik MG, Kennedy HP, et al. Nurses' perspectives on the intersection of safety and informed decision making in maternity care. J Obstet Gynecol Neonata…

Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

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January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

Implementation of a structured hospital-wide morbidity and mortality rounds model. | PSNet

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January 20, 2015 - Study Implementation of a structured hospital-wide morbidity and mortality rounds model. Citation Text: Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…

Patient preferences for participation in patient care and safety activities in hospitals. | PSNet

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July 17, 2024 - Study Patient preferences for participation in patient care and safety activities in hospitals. Citation Text: Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266…

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet

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October 19, 2022 - Review Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. Citation Text: Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…

Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

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February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

Falling through the cracks: the invisible hospital cleaning workforce. | PSNet

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June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

Defining attributes of patient safety through a concept analysis. | PSNet

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May 08, 2013 - Review Defining attributes of patient safety through a concept analysis. Citation Text: Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715. Copy Citation Format: …

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. | PSNet

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January 07, 2015 - Study Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. Citation Text: Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136…

Payment innovations to improve diagnostic accuracy and reduce diagnostic error. | PSNet

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December 16, 2020 - Commentary Payment innovations to improve diagnostic accuracy and reduce diagnostic error. Citation Text: Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error. Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714. Co…

Reducing health care hazards: lessons from the Commercial Aviation Safety Team. | PSNet

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September 17, 2010 - Commentary Reducing health care hazards: lessons from the Commercial Aviation Safety Team. Citation Text: Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hl…

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet

psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence

October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. Citation Text: Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…

Improving adverse drug event reporting by healthcare professionals. | PSNet

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April 12, 2019 - Review Improving adverse drug event reporting by healthcare professionals. Citation Text: Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. …

Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators

January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…

Care at the point of impact: insights into the second-victim experience. | PSNet

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January 03, 2017 - Commentary Care at the point of impact: insights into the second-victim experience. Citation Text: Scott SD, McCoig MM. Care at the point of impact: Insights into the second-victim experience. J Healthc Risk Manag. 2016;35(4):6-13. doi:10.1002/jhrm.21218. Copy Citation Format: …

The impact of a tele-ICU on provider attitudes about teamwork and safety climate. | PSNet

psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate

May 25, 2016 - Study The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Citation Text: Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.…

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 …

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