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Implementation of a "second victim" program in a pediatric hospital. | PSNet

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December 18, 2013 - Study Implementation of a "second victim" program in a pediatric hospital. Citation Text: Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650. Copy Citation Forma…

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet

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July 07, 2021 - Review Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. Citation Text: Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. Copy Ci…

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 …

Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. | PSNet

psnet.ahrq.gov/issue/oncology-patients-willingness-report-their-medication-safety-concerns-home-qualitative-study

August 21, 2024 - Study Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. Citation Text: Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer…

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet

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April 06, 2011 - Study Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Citation Text: Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

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September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. | PSNet

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August 17, 2017 - Study Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. Citation Text: Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2)…

Student mistakes and teacher reactions in bedside teaching. | PSNet

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January 18, 2012 - Study Student mistakes and teacher reactions in bedside teaching. Citation Text: Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y. Copy Citat…

Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. | PSNet

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May 13, 2009 - Study Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …

Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. | PSNet

psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement

October 04, 2011 - Commentary Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. Citation Text: Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…

Assessment of a simulated case-based measurement of physician diagnostic performance. | PSNet

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May 20, 2019 - Study Assessment of a simulated case-based measurement of physician diagnostic performance. Citation Text: Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…

Communicating critical test results: safe practice recommendations. | PSNet

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June 13, 2011 - Study Communicating critical test results: safe practice recommendations. Citation Text: Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. Copy Citation Format: Google Schol…

Medication error prevention by pharmacists. | PSNet

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August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. | PSNet

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November 14, 2011 - Review A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. Citation Text: Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for opera…

Effect of social influences on pharmacists' intention to report adverse drug events. | PSNet

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November 13, 2019 - Study Effect of social influences on pharmacists' intention to report adverse drug events. Citation Text: Gavaza P, Brown CM, Lawson KA, et al. Effect of social influences on pharmacists' intention to report adverse drug events. J Am Pharm Assoc (2003). 2012;52(5):622-629. Copy Citat…

Changing conversations: teaching safety and quality in residency training. | PSNet

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January 02, 2017 - Study Changing conversations: teaching safety and quality in residency training. Citation Text: Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. Copy Citati…

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet

psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients

September 27, 2017 - Commentary Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. Citation Text: Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

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July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

Advancement toward High Reliability in Healthcare Awards. | PSNet

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June 08, 2011 - January 21, 2009 Teamwork is associated with reduced hospital staff burnout at military

Fatal drug mix-up exposes hospital flaws. | PSNet

psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws

March 02, 2016 - July 10, 2018 Teamwork is associated with reduced hospital staff burnout at military

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