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Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. | PSNet

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December 02, 2015 - Study Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Citation Text: Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-7…

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

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October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet

psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety

October 06, 2021 - Study The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. Citation Text: Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. | PSNet

psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states

June 30, 2021 - Study Classic Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. Citation Text: Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. | PSNet

psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization

September 23, 2020 - Study Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. Citation Text: Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …

A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. | PSNet

psnet.ahrq.gov/issue/narrative-review-safety-concerns-deprescribing-older-adults-and-strategies-mitigate-potential

December 19, 2018 - Review A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Citation Text: Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potentia…

Adverse events in healthcare: learning from mistakes. | PSNet

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February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. | PSNet

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November 24, 2021 - Study 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. Citation Text: Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing t…

A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet

psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors

April 24, 2019 - Study A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." Citation Text: Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …

Flying lessons for clinicians: developing system 2 practice. | PSNet

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April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. | PSNet

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May 19, 2021 - Study Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study. Citation Text: Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge opioid prescription in urge…

Fifteen years after To Err Is Human: a success story to learn from. | PSNet

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August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. | PSNet

psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives

April 13, 2011 - Study Classic Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. Citation Text: Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Advers…

Investigating US medical students' motivation to respond to lapses in professionalism. | PSNet

psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism

January 12, 2022 - Study Investigating US medical students' motivation to respond to lapses in professionalism. Citation Text: van der Vossen MM-, Teherani A, van Mook WNKA, et al. Investigating US medical students' motivation to respond to lapses in professionalism. Med Educ. 2018;52(8):838-850. doi:10.11…

Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. | PSNet

psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance

August 25, 2011 - Study Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Citation Text: Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…

Patient and hospital characteristics associated with delayed diagnosis of appendicitis. | PSNet

psnet.ahrq.gov/issue/patient-and-hospital-characteristics-associated-delayed-diagnosis-appendicitis

January 12, 2022 - Study Patient and hospital characteristics associated with delayed diagnosis of appendicitis. Citation Text: Reyes AM, Royan R, Feinglass J, et al. Patient and hospital characteristics associated with delayed diagnosis of appendicitis. JAMA Surg. 2023;158(3):e227055. doi:10.1001/jamasurg…

Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet

psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection

August 21, 2019 - Study Evaluating an evidence-based bundle for preventing surgical site infection. Citation Text: Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.20…

How to do no harm: empowering local leaders to make care safer in low-resource settings. | PSNet

psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings

March 03, 2021 - Commentary How to do no harm: empowering local leaders to make care safer in low-resource settings. Citation Text: Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…

Information flow during pediatric trauma care transitions: things falling through the cracks. | PSNet

psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks

February 16, 2022 - Study Information flow during pediatric trauma care transitions: things falling through the cracks. Citation Text: Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand

December 02, 2020 - Study Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Citation Text: Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…

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