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Debunking the myth that the majority of medical errors are attributed to communication. | PSNet

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February 14, 2024 - Journal Article Debunking the myth that the majority of medical errors are attributed to communication. Citation Text: Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. Copy C…

Impact of a relocation to a new critical care building on pediatric safety events. | PSNet

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May 27, 2020 - Study Impact of a relocation to a new critical care building on pediatric safety events. Citation Text: Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324. Copy…

Using inpatient hospital discharge data to monitor patient safety events. | PSNet

psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events

March 02, 2011 - Study Using inpatient hospital discharge data to monitor patient safety events. Citation Text: Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107. Copy Citation …

Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. | PSNet

psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping

November 10, 2021 - Review Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. Citation Text: Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):24…

The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project | PSNet

psnet.ahrq.gov/issue/impact-post-fall-huddles-repeat-fall-rates-and-perceptions-safety-culture-quasi-experimental

December 30, 2014 - Journal Article The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project Citation Text: Jones KJ, Crowe J, Allen JA, et al. The impact of post-fall huddles on repeat fall rates and pe…

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. | PSNet

psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking

August 03, 2022 - Review Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. Citation Text: Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…

An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. | PSNet

psnet.ahrq.gov/issue/electronic-checklist-improves-transfer-and-retention-critical-information-intraoperative

July 21, 2021 - Study An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. Citation Text: Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of c…

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet

psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia

May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. | PSNet

psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their

July 31, 2008 - Study How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Citation Text: Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …

Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. | PSNet

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November 03, 2021 - Review Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. Citation Text: Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…

Patient safety begins with proper planning: a quantitative method to improve hospital design. | PSNet

psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design

July 19, 2023 - Study Patient safety begins with proper planning: a quantitative method to improve hospital design. Citation Text: Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):46…

Establishing psychological safety in clinical supervision: multi-professional perspectives. | PSNet

psnet.ahrq.gov/issue/establishing-psychological-safety-clinical-supervision-multi-professional-perspectives

October 13, 2021 - Commentary Establishing psychological safety in clinical supervision: multi-professional perspectives. Citation Text: Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi‐professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111…

The evolving literature on safety WalkRounds: emerging themes and practical messages. | PSNet

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February 25, 2015 - Commentary The evolving literature on safety WalkRounds: emerging themes and practical messages. Citation Text: Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416. …

Root cause analyses of suicides of mental health clients. | PSNet

psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients

March 16, 2016 - Study Root cause analyses of suicides of mental health clients. Citation Text: Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…

ASPEN survey of parenteral nutrition access issues: how the system fails the patients. | PSNet

psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients

October 02, 2013 - Study ASPEN survey of parenteral nutrition access issues: how the system fails the patients. Citation Text: Mirtallo JM, Allen P, Book WM, et al. ASPEN survey of parenteral nutrition access issues: how the system fails the patient. Nutr Clin Pract. 2024;39(5):1164-1181. doi:10.1002/ncp.1…

Pathologists' perspectives on disclosing harmful pathology error. | PSNet

psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error

January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

Who applies an intervention to influence cultural attributes in a quality improvement collaborative? | PSNet

psnet.ahrq.gov/issue/who-applies-intervention-influence-cultural-attributes-quality-improvement-collaborative

January 22, 2016 - Study Who applies an intervention to influence cultural attributes in a quality improvement collaborative? Citation Text: Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6. Copy Cit…

Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. | PSNet

psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals

January 29, 2014 - Study Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. Citation Text: Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…

Implementation of crew resource management: a qualitative study in 3 intensive care units. | PSNet

psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units

July 10, 2013 - Study Implementation of crew resource management: a qualitative study in 3 intensive care units. Citation Text: Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.109…

Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/diagnostic-accuracy-artificial-intelligence-based-automated-diabetic-retinopathy-screening

September 28, 2022 - Review Diagnostic accuracy of artificial intelligence-based automated diabetic retinopathy screening in real-world settings: a systematic review and meta-analysis. Citation Text: Joseph S, Selvaraj J, Mani I, et al. Diagnostic accuracy of artificial intelligence-based automated diabetic …

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