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Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet

psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture

October 22, 2008 - Study Determinants of adverse events in hospitals—the potential role of patient safety culture. Citation Text: Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. Copy Citation …

Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

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August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

Maximizing student potential: lessons for pharmacy programs from the patient safety movement. | PSNet

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October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…

Methods to increase reliability in quality improvement projects. | PSNet

psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects

October 20, 2021 - Commentary Methods to increase reliability in quality improvement projects. Citation Text: Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340. Copy Citation Format:…

Ambulance stretcher adverse events. | PSNet

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March 23, 2011 - Study Ambulance stretcher adverse events. Citation Text: Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. | PSNet

psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates

July 12, 2018 - Commentary Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. Citation Text: Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining L…

High-alert medications in the pediatric intensive care unit. | PSNet

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December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…

Advancing measurement of patient safety culture. | PSNet

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February 14, 2015 - Study Advancing measurement of patient safety culture. Citation Text: Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x. Copy Citation Format: DOI Google Schol…

Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. | PSNet

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July 19, 2023 - Study Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Citation Text: Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…

Rapid response systems: identification and management of the "prearrest state." | PSNet

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May 18, 2022 - Review Rapid response systems: identification and management of the "prearrest state." Citation Text: McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012. Copy Ci…

Towards a common framework to support decision-making in high-risk, low-time environments. | PSNet

psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments

November 16, 2022 - Commentary Towards a common framework to support decision-making in high-risk, low-time environments. Citation Text: Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…

Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. | PSNet

psnet.ahrq.gov/issue/characteristics-unsafe-undergraduate-nursing-students-clinical-practice-integrative

May 10, 2013 - Review Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. Citation Text: Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nur…

Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet

psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and

January 22, 2017 - Study Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Citation Text: Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…

EHR safety: the way forward to safe and effective systems. | PSNet

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December 12, 2012 - Commentary EHR safety: the way forward to safe and effective systems. Citation Text: Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618. Copy Citation Format: …

Complication rates on weekends and weekdays in US hospitals. | PSNet

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August 31, 2011 - Study Complication rates on weekends and weekdays in US hospitals. Citation Text: Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Focused ethnography of diagnosis in academic medical centers. | PSNet

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August 14, 2019 - Study Focused ethnography of diagnosis in academic medical centers. Citation Text: Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966. Copy Citation Format: DOI Google Sch…

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…

Adverse events and near miss reporting in the NHS. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs

August 30, 2023 - Study Adverse events and near miss reporting in the NHS. Citation Text: Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

White paper on recommendation for systems-based practice competency. | PSNet

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December 18, 2017 - Commentary White paper on recommendation for systems-based practice competency. Citation Text: Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NC…

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy

December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…

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