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Using simulation to improve patient safety: dawn of a new era. | PSNet

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October 29, 2017 - Commentary Using simulation to improve patient safety: dawn of a new era. Citation Text: Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817. Copy Citation Format: …

Rapid response teams: qualitative analysis of their effectiveness. | PSNet

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November 02, 2010 - Study Rapid response teams: qualitative analysis of their effectiveness. Citation Text: Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990. Copy Citation Format: DOI Google Schol…

Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet

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July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and patient safety. Citation Text: Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…

System weaknesses as contributing causes of accidents in health care. | PSNet

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August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

Using "near misses" analysis to prevent wrong-site surgery. | PSNet

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April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. Citation Text: Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037. Copy Citation Format: DOI Google Scho…

Description of inpatient medication management using cognitive work analysis. | PSNet

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October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…

Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. | PSNet

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December 12, 2012 - Commentary Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. Citation Text: Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…

What causes prescribing errors in children? Scoping review. | PSNet

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September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …

Using simulation to address hierarchy issues during medical crises. | PSNet

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June 15, 2012 - Commentary Using simulation to address hierarchy issues during medical crises. Citation Text: Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…

Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries

June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

Patient safety in the office-based setting. | PSNet

psnet.ahrq.gov/issue/patient-safety-office-based-setting

August 20, 2018 - Commentary Patient safety in the office-based setting. Citation Text: Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

Sidelining safety — the FDA's inadequate response to the IOM. | PSNet

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November 13, 2009 - Commentary Sidelining safety — the FDA's inadequate response to the IOM. Citation Text: Smith SW. Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children. | PSNet

psnet.ahrq.gov/issue/measuring-inappropriate-medical-diagnosis-and-treatment-survey-data-case-adhd-among-school

February 10, 2015 - Newspaper/Magazine Article Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children. Citation Text: Evans WN, Morrill MS, Parente ST. Measuring inappropriate medical diagnosis and treatment in survey data: The case of ADHD among…

In the wake of hospital inquiries: impact on staff and safety. | PSNet

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January 12, 2022 - Commentary In the wake of hospital inquiries: impact on staff and safety. Citation Text: Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. Copy Citation Format: Google Scholar PubMed BibTeX…

Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. | PSNet

psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness

August 23, 2017 - Study Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Citation Text: Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…

Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. | PSNet

psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care

August 04, 2021 - Commentary Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Citation Text: Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. do…

Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet

psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey

September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

Surgical site signing and "time out": issues of compliance or complacence. | PSNet

psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence

January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. | PSNet

psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ

December 30, 2014 - Study High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. Citation Text: Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…

Life of the Mother. How Abortion Bans Lead to Preventable Deaths. | PSNet

psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths

October 02, 2024 - Special or Theme Issue Life of the Mother. How Abortion Bans Lead to Preventable Deaths. Citation Text: Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. Copy Citation Format: …

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