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What near misses tell us about risk and safety in mental health care. | PSNet

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October 19, 2022 - Study What near misses tell us about risk and safety in mental health care. Citation Text: Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x. Cop…

"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

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July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. | PSNet

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February 01, 2011 - Study Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Citation Text: Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…

Risk factors in patient safety: minimally invasive surgery versus conventional surgery. | PSNet

psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery

August 10, 2016 - Study Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Citation Text: Rodrigues SP, Wever AM, Dankelman J, et al. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc. 2012;26(2):350-6. doi:10.1007/s0…

Reconcilable differences: correcting medication errors at hospital admission and discharge. | PSNet

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February 13, 2019 - Study Reconcilable differences: correcting medication errors at hospital admission and discharge. Citation Text: Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6. Copy C…

Health technology, quality and safety in a learning health system. | PSNet

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February 09, 2022 - Commentary Health technology, quality and safety in a learning health system. Citation Text: Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383. Copy Citation Format: …

Mitigating the July effect. | PSNet

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August 05, 2020 - Commentary Mitigating the July effect. Citation Text: Wu AW, Vincent CA, Shapiro DW, et al. Mitigating the July effect. J Patient Saf Risk Manag. 2021;26(3):93-96. doi:10.1177/25160435211019142. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. | PSNet

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April 15, 2020 - Study Classic Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Citation Text: Liang H, Tsui BY, Ni H, et al. Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Nat Med. 2019;25(3):433-438.…

Experimental evidence for structured information-sharing networks reducing medical errors. | PSNet

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December 15, 2021 - Study Experimental evidence for structured information-sharing networks reducing medical errors. Citation Text: Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…

Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. | PSNet

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October 12, 2022 - Book/Report Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Citation Text: Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. Washington, DC: Veterans Affairs Office of Inspector General; 2…

Current challenges in health information technology–related patient safety. | PSNet

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July 16, 2015 - Commentary Current challenges in health information technology–related patient safety. Citation Text: Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893. Cop…

Consumer-directed technologies to improve medication management and safety. | PSNet

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December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…

Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. | PSNet

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March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…

Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet

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June 15, 2011 - Book/Report Classic Crossing the Global Quality Chasm: Improving Health Care Worldwide. Citation Text: Crossing the Global Quality Chasm: Improving Health Care Worldwide. Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,…

Sleep and circadian misalignment for the hospitalist: a review. | PSNet

psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review

July 15, 2020 - Review Sleep and circadian misalignment for the hospitalist: a review. Citation Text: Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp Med. 2012;7(6):489-96. doi:10.1002/jhm.1903. Copy Citation Format: DOI Google Schola…

What this computer needs is a physician: humanism and artificial intelligence. | PSNet

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June 21, 2016 - Commentary What this computer needs is a physician: humanism and artificial intelligence. Citation Text: Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. Copy Citatio…

Submit Case | PSNet

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March 25, 2025 - Breadcrumb Home Training and Education WebM&M: Case Studies WebM&M Case Submission PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making

June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

Structural racism and adverse maternal health outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review

February 15, 2023 - Review Structural racism and adverse maternal health outcomes: a systematic review. Citation Text: Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. …

Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet

psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets

May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

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