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Safety through redundancy: a case study of in-hospital patient transfers. | PSNet

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November 03, 2015 - Study Safety through redundancy: a case study of in-hospital patient transfers. Citation Text: Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. Copy Citation Format: …

Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. | PSNet

psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse

January 12, 2011 - Study Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. Citation Text: Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…

Exclusion of residents from surgery-intensive care team communication: a qualitative study. | PSNet

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December 04, 2015 - Study Exclusion of residents from surgery-intensive care team communication: a qualitative study. Citation Text: Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…

Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. | PSNet

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November 02, 2010 - Review Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings: a scoping review and thematic analysis. Citation Text: Capper T, Ferguson B, Muurlink O. Health professionals' experiences of whistleblowing in maternal and newborn healthcare settings…

Healthcare-associated infections: a national patient safety problem and the coordinated response. | PSNet

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May 20, 2016 - Commentary Healthcare-associated infections: a national patient safety problem and the coordinated response. Citation Text: Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…

Radiologic safety events within a pediatric emergency medicine network. | PSNet

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August 01, 2018 - Study Radiologic safety events within a pediatric emergency medicine network. Citation Text: Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. Copy…

Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. | PSNet

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November 21, 2017 - Study Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. Citation Text: Khalatbari H, Menashe SJ, Otto RK, et al. Clarifying radiology’s role in safety events: a 5-year retrospective common cause analysis o…

Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet

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January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. Citation Text: Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a…

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. | PSNet

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August 02, 2015 - Study Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Citation Text: Glance LG, Dick AW, Osler T, et al. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Arch Surg. 2011;146(10):1170-7. doi:10.1001/archsurg.2011.247. Copy Citation …

Communication failure in the operating room. | PSNet

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February 25, 2009 - Study Communication failure in the operating room. Citation Text: Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Preventing medical injury. | PSNet

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February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

Introductions during time-outs: do surgical team members know one another's names? | PSNet

psnet.ahrq.gov/issue/introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names

November 09, 2015 - Study Introductions during time-outs: do surgical team members know one another's names? Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1…

The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. | PSNet

psnet.ahrq.gov/issue/impact-critical-event-checklists-medical-management-and-teamwork-during-simulated-crises

November 04, 2009 - Study The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. Citation Text: Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management and teamwork during simulated cri…

Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. | PSNet

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August 15, 2018 - Study Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. Citation Text: Prakash S, Bihari S, Need P, et al. Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study. BMC Med Educ. 2017;17(1…

Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. | PSNet

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January 15, 2009 - Study Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Citation Text: Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…

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…

Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report

November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Researc…

Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database-report

November 30, 2016 - Book/Report Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. Citation Text: Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare…

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet

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April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

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April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

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