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Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary

April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. Citation Text: Peerally MF, Carr S, Waring J, et al. Risk controls identified in action plans following serious incident investigations in secondary care: a qu…

The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. | PSNet

psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems

December 29, 2014 - Study The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Citation Text: Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Sa…

Medication administration discrepancies persist despite electronic ordering. | PSNet

psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering

May 04, 2012 - Study Medication administration discrepancies persist despite electronic ordering. Citation Text: FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.…

Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. | PSNet

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January 15, 2014 - Study Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. Citation Text: Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…

Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. | PSNet

psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing

March 24, 2021 - Study Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. Citation Text: Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations o…

A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other? | PSNet

psnet.ahrq.gov/issue/systematic-review-trauma-crew-resource-management-training-what-can-united-states-and-united

July 14, 2021 - Study A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other? Citation Text: Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what can the United States and …

Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

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May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. | PSNet

psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same

February 02, 2022 - Study Effect of contextual factors on the prevalence of diagnostic errors among patients managed by physicians of the same specialty: a single-centre retrospective observational study. Citation Text: Harada Y, Otaka Y, Katsukura S, et al. Effect of contextual factors on the prevalence of…

An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. | PSNet

psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety

June 08, 2010 - Study An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. Citation Text: Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic

October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…

Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

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August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

Development and measurement of perioperative patient safety indicators. | PSNet

psnet.ahrq.gov/issue/development-and-measurement-perioperative-patient-safety-indicators

February 09, 2022 - Study Development and measurement of perioperative patient safety indicators. Citation Text: Emond YE, Stienen JJ, Wollersheim HC, et al. Development and measurement of perioperative patient safety indicators. Br J Anaesth. 2015;114(6):963-72. doi:10.1093/bja/aeu561. Copy Citation …

A call for the application of patient safety culture in medical humanitarian action: a literature review. | PSNet

psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review

February 10, 2021 - Review A call for the application of patient safety culture in medical humanitarian action: a literature review. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient S…

Developing and evaluating an automated all-cause harm trigger system. | PSNet

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July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? | PSNet

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May 01, 2015 - Study Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? Citation Text: Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric …

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

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September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

Association of overlapping surgery with increased risk for complications following hip surgery. | PSNet

psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery

November 21, 2021 - Study Classic Association of overlapping surgery with increased risk for complications following hip surgery. Citation Text: Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A…

Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. | PSNet

psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi

August 17, 2022 - Study Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. Citation Text: Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analys…

Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and

June 15, 2011 - Study Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data. Citation Text: Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and c…

Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. | PSNet

psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert

May 25, 2016 - Study Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. Citation Text: Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the…

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