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In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. | PSNet

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April 13, 2017 - Study In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Citation Text: Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Int J Qual Health Care. 2018;30(8):602-607.…

Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. | PSNet

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November 16, 2022 - Commentary Emerging Classic Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. Citation Text: Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382…

The hidden curricula of medical education: a scoping review. | PSNet

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January 13, 2021 - Review The hidden curricula of medical education: a scoping review. Citation Text: Lawrence C, Mhlaba T, Stewart KA, et al. The Hidden Curricula of Medical Education: A Scoping Review. Acad Med. 2018;93(4):648-656. doi:10.1097/ACM.0000000000002004. Copy Citation Format: DOI…

Can communication-and-resolution programs achieve their potential? Five key questions. | PSNet

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September 01, 2018 - Commentary Can communication-and-resolution programs achieve their potential? Five key questions. Citation Text: Gallagher TH, Mello MM, Sage WM, et al. Can Communication-And-Resolution Programs Achieve Their Potential? Five Key Questions. Health Aff (Millwood). 2018;37(11):1845-1852. do…

Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. | PSNet

psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19

April 29, 2020 - Book/Report Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Citation Text: Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. | PSNet

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May 01, 2013 - Commentary Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Citation Text: Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…

Dementia and risk of adverse warfarin-related events in the nursing home setting. | PSNet

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February 23, 2011 - Study Dementia and risk of adverse warfarin-related events in the nursing home setting. Citation Text: Tjia J, Field T, Mazor KM, et al. Dementia and risk of adverse warfarin-related events in the nursing home setting. Am J Geriatr Pharmacother. 2012;10(5):323-30. doi:10.1016/j.amjopha…

Oxytocin as a high-alert medication: implications for perinatal patient safety. | PSNet

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September 29, 2010 - Study Oxytocin as a high-alert medication: implications for perinatal patient safety. Citation Text: Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859…

Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. | PSNet

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April 12, 2023 - Commentary Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. Citation Text: Raffel KE, Gershanik EF, Ranji SR. Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. J Hosp Med. 2025;20(1):71-74. doi:10.1002/j…

Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. | PSNet

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January 31, 2018 - Study Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. Citation Text: Frasier LL, Quamme SRP, Becker A, et al. Investigating Teamwork in the Operating Room: Engaging Stakeholders and Setting the Agenda. JAMA Surg. 2017;152(1):109-111. doi:10.100…

Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

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November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

Patient safety in Taiwan: a survey on orthopedic surgeons. | PSNet

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October 27, 2016 - Study Patient safety in Taiwan: a survey on orthopedic surgeons. Citation Text: Yang C-T, Chen H-H, Hou S-M. Patient safety in Taiwan: a survey on orthopedic surgeons. J Formos Med Assoc. 2007;106(3):212-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. | PSNet

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January 15, 2020 - Commentary Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. Citation Text: Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):…

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). | PSNet

psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart

October 30, 2024 - Study Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). Citation Text: Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

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October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

Successful use of a rapid response team in the pediatric oncology outpatient setting. | PSNet

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December 21, 2016 - Commentary Successful use of a rapid response team in the pediatric oncology outpatient setting. Citation Text: Avent Y, Johnson S, Henderson N, et al. Successful use of a rapid response team in the pediatric oncology outpatient setting. Jt Comm J Qual Patient Saf. 2010;36(1):43-5. Cop…

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. | PSNet

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July 02, 2019 - Study Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. Citation Text: Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies. J Am Med Inform …

Medical morbidity and mortality conferences: past, present and future. | PSNet

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November 30, 2022 - Review Medical morbidity and mortality conferences: past, present and future. Citation Text: George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103. Copy Citation Format: D…

Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet

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November 26, 2014 - Study Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Citation Text: Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…

A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet

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June 24, 2010 - Review A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Citation Text: Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …

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