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Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. | PSNet

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June 14, 2023 - Commentary Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. Citation Text: Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1…

Implementation of bar-code medication administration to reduce patient harm. | PSNet

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September 23, 2020 - Study Implementation of bar-code medication administration to reduce patient harm. Citation Text: Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…

A growth mindset approach to preparing trainees for medical error. | PSNet

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August 19, 2020 - Commentary A growth mindset approach to preparing trainees for medical error. Citation Text: Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. Copy Citation Forma…

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. | PSNet

psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study

March 09, 2022 - Study Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Citation Text: Sempere L, Bernabeu P, Cameo J, et al. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. Inflamm Bowel Dis. 2023;29(12)…

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. | PSNet

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August 04, 2021 - Study Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Citation Text: Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Phar…

Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. | PSNet

psnet.ahrq.gov/issue/intraoperative-adverse-events-abdominal-surgery-what-happens-operating-room-does-not-stay

January 23, 2017 - Study Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. Citation Text: Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …

Rates of safety incident reporting in MRI in a large academic medical center. | PSNet

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May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center. Citation Text: Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. Copy…

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. | PSNet

psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery

May 21, 2019 - Study A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. Citation Text: Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…

Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. | PSNet

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July 22, 2020 - Commentary Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. Citation Text: Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. …

Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care | PSNet

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January 14, 2014 - Commentary Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care Citation Text: Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality improvement and patient safe…

When COVID-19 hit, many elderly were left to die. | PSNet

psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die

June 24, 2020 - Newspaper/Magazine Article When COVID-19 hit, many elderly were left to die. Citation Text: Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

Hospitalists as emerging leaders in patient safety: targeting a few to affect many. | PSNet

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January 29, 2010 - Commentary Hospitalists as emerging leaders in patient safety: targeting a few to affect many. Citation Text: Flanders SA, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. J Patient Saf. 2005;1(2):78-82. doi:10.1097/pts.0b0…

How to reduce stigma and bias in clinical communication: a narrative review. | PSNet

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July 27, 2022 - Review How to reduce stigma and bias in clinical communication: a narrative review. Citation Text: Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y. Copy Cit…

Psychological responses, coping and supporting needs of healthcare professionals as second victims. | PSNet

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August 20, 2018 - Review Psychological responses, coping and supporting needs of healthcare professionals as second victims. Citation Text: Chan ST, Khong PCB, Wang W. Psychological responses, coping and supporting needs of healthcare professionals as second victims. Intern Nurs Rev. 2017;64(2):242-262. d…

A nursing home’s 64-day Covid siege: ‘They’re all going to die’. | PSNet

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September 15, 2021 - Newspaper/Magazine Article A nursing home’s 64-day Covid siege: ‘They’re all going to die’. Citation Text: Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. | PSNet

psnet.ahrq.gov/issue/point-integrating-patient-safety-education-obstetrics-and-gynecology-undergraduate-curriculum

January 02, 2017 - Review To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. Citation Text: Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculu…

Decreasing surgical site infections by developing a high reliability culture. | PSNet

psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture

July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…

Unintended adverse consequences of a clinical decision support system: two cases. | PSNet

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October 23, 2018 - Commentary Unintended adverse consequences of a clinical decision support system: two cases. Citation Text: Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096. Copy Citation …

'Trust but verify'—five approaches to ensure safe medical apps. | PSNet

psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps

September 27, 2023 - Commentary 'Trust but verify'—five approaches to ensure safe medical apps. Citation Text: Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z. Copy Citation Format: DOI Google Scholar PubM…

The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet

psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure

October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…

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