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The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet

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June 03, 2020 - Study The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. Citation Text: James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…

Intensive care units, communication between nurses and physicians, and patients' outcomes. | PSNet

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May 28, 2008 - Study Intensive care units, communication between nurses and physicians, and patients' outcomes. Citation Text: Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…

Impact of the World Health Organization surgical safety checklist on patient safety. | PSNet

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November 03, 2015 - Review Impact of the World Health Organization surgical safety checklist on patient safety. Citation Text: Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000…

Patient involvement in patient safety: the health-care professional's perspective. | PSNet

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July 06, 2012 - Study Patient involvement in patient safety: the health-care professional's perspective. Citation Text: Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …

The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

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April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

Implementing a perioperative handoff tool to improve postprocedural patient transfers. | PSNet

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February 29, 2012 - Commentary Implementing a perioperative handoff tool to improve postprocedural patient transfers. Citation Text: Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42. …

Call to action: addressing pediatric fall safety in ambulatory environments. | PSNet

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June 30, 2021 - Study Call to action: addressing pediatric fall safety in ambulatory environments. Citation Text: Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. Copy Citat…

The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet

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January 19, 2011 - Study The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. Citation Text: Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents …

Safety culture, patient safety, and quality of care outcomes: a literature review. | PSNet

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October 24, 2018 - Review Safety culture, patient safety, and quality of care outcomes: a literature review. Citation Text: Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…

Minimizing bias when using artificial intelligence in critical care medicine. | PSNet

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September 23, 2020 - Review Minimizing bias when using artificial intelligence in critical care medicine. Citation Text: Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796. Copy Citation …

Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. | PSNet

psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance

March 01, 2023 - Study Classic Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. Citation Text: Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveill…

Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse

June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience

October 04, 2011 - Study The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Citation Text: Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience…

Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. | PSNet

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August 04, 2021 - Study Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. Citation Text: Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…

Case study research: the view from complexity science. | PSNet

psnet.ahrq.gov/issue/case-study-research-view-complexity-science

January 03, 2017 - Commentary Case study research: the view from complexity science. Citation Text: Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study. | PSNet

psnet.ahrq.gov/issue/behavioral-integrity-safety-priority-safety-psychological-safety-and-patient-safety-team

April 21, 2010 - Study Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study. Citation Text: Leroy H, Dierynck B, Anseel F, et al. Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: A team-level study…

Hospital progress in reducing error: the impact of external interventions. | PSNet

psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions

December 04, 2016 - Study Hospital progress in reducing error: the impact of external interventions. Citation Text: Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20. Copy Citation Format: DOI Google S…

Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. | PSNet

psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial

March 12, 2025 - Study Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. Citation Text: Mazurenko O, Andraka-Christou BT, Bair MJ, et al. Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspec…

All CLEAR? Preparing for IT downtime. | PSNet

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November 16, 2022 - Commentary All CLEAR? Preparing for IT downtime. Citation Text: Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

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April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

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