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Is culture associated with patient safety in the emergency department? A study of staff perspectives. | PSNet

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July 10, 2013 - Study Is culture associated with patient safety in the emergency department? A study of staff perspectives. Citation Text: Van Noord IV-, Wagner C, van Dyck C, et al. Is culture associated with patient safety in the emergency department? A study of staff perspectives. Int J Qual Health C…

The relationship between culture of safety and rate of adverse events in long-term care facilities. | PSNet

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June 09, 2021 - Study The relationship between culture of safety and rate of adverse events in long-term care facilities. Citation Text: Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…

More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. | PSNet

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September 02, 2016 - Congressional Testimony More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Citation Text: More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…

Determining current insulin pen use practices and errors in the inpatient setting. | PSNet

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June 29, 2016 - Study Determining current insulin pen use practices and errors in the inpatient setting. Citation Text: Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…

Quality and safety practices among academic obstetrics and gynecology departments. | PSNet

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October 19, 2022 - Study Quality and safety practices among academic obstetrics and gynecology departments. Citation Text: Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. | PSNet

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March 19, 2019 - Commentary Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. Citation Text: Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…

Effect of clinical decision-support systems: a systematic review. | PSNet

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September 23, 2020 - Review Effect of clinical decision-support systems: a systematic review. Citation Text: Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. Copy Citatio…

The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet

psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes

February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…

Drug administration errors in hospital inpatients: a systematic review. | PSNet

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September 01, 2016 - Review Drug administration errors in hospital inpatients: a systematic review. Citation Text: Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. Copy Citation …

Cause and effect analysis of closed claims in obstetrics and gynecology. | PSNet

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April 05, 2017 - Study Cause and effect analysis of closed claims in obstetrics and gynecology. Citation Text: White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. Copy Citation Format: …

The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled

January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

Safety of overlapping surgery at a high-volume referral center. | PSNet

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January 11, 2017 - Study Classic Safety of overlapping surgery at a high-volume referral center. Citation Text: Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …

Universal protection: operationalizing infection prevention guidance in the COVID-19 era. | PSNet

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August 18, 2021 - Study Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Citation Text: Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. …

Nurse sensemaking for responding to patient and family safety concerns. | PSNet

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November 02, 2022 - Study Nurse sensemaking for responding to patient and family safety concerns. Citation Text: Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. Copy Citation …

A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare | PSNet

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July 19, 2023 - Study A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare Citation Text: Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contr…

Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective

October 18, 2023 - Study Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. Citation Text: Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observatio…

The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. | PSNet

psnet.ahrq.gov/issue/standardisation-handoffs-large-academic-paediatric-emergency-department-using-i-pass

October 21, 2020 - Study The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. Citation Text: Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e00125…

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. | PSNet

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March 14, 2022 - Study Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. Citation Text: Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-hospital transiti…

Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet

psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety

September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. Citation Text: Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 20…

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand

December 02, 2020 - Study Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Citation Text: Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…

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