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Racial and ethnic harm in patient care is a patient safety issue. | PSNet

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October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. | PSNet

psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication

July 01, 2016 - Study The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. Citation Text: Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurr…

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. | PSNet

psnet.ahrq.gov/issue/preventability-adverse-drug-events-involving-multiple-drugs-using-publicly-available-clinical

December 21, 2017 - Study Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. Citation Text: Wright A, Feblowitz J, Phansalkar S, et al. Preventability of adverse drug events involving multiple drugs using publicly available clinical dec…

Emergency department crowding and risk of preventable medical errors. | PSNet

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November 23, 2011 - Study Emergency department crowding and risk of preventable medical errors. Citation Text: Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8. Copy Citation …

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet

psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic

January 27, 2016 - Study Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Citation Text: Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…

Analysis of errors enacted by surgical trainees during skills training courses. | PSNet

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August 20, 2018 - Study Analysis of errors enacted by surgical trainees during skills training courses. Citation Text: Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20. Copy Citation Format: Google Sch…

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

psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital

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. …

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet

psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural

March 03, 2011 - Study A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Citation Text: Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…

The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. | PSNet

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January 09, 2019 - Commentary The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. Citation Text: Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care. | PSNet

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July 18, 2012 - Study "Learning by Doing"—resident perspectives on developing competency in high-quality discharge care. Citation Text: Greysen R, Schiliro D, Curry LA, et al. "Learning by doing"--resident perspectives on developing competency in high-quality discharge care. J Gen Intern Med. 2012;27(9)…

Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. | PSNet

psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient

July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…

Root-cause analysis: swatting at mosquitoes versus draining the swamp. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp

January 31, 2024 - Commentary Root-cause analysis: swatting at mosquitoes versus draining the swamp. Citation Text: Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. Copy Citation Format: …

Reliability of the assessment of preventable adverse drug events in daily clinical practice. | PSNet

psnet.ahrq.gov/issue/reliability-assessment-preventable-adverse-drug-events-daily-clinical-practice

March 04, 2011 - Study Reliability of the assessment of preventable adverse drug events in daily clinical practice. Citation Text: van Doormaal J, Mol PGM, van den Bemt PMLA, et al. Reliability of the assessment of preventable adverse drug events in daily clinical practice. Pharmacoepidemiol Drug Saf. …

Making residents part of the safety culture: improving error reporting and reducing harms. | PSNet

psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms

April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? | PSNet

psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurgery-teaching-hospitals

May 23, 2018 - Study Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? Citation Text: Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals? J Neurosurg. 2006;105(3 Suppl):169-76. Copy Citation Format: Go…

Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. | PSNet

psnet.ahrq.gov/issue/perceptions-use-names-recognition-roles-and-teamwork-after-labeling-surgical-caps

March 18, 2009 - Study Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. Citation Text: Wong BJ, Nassar AK, Earley M, et al. Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. JAMA Netw Open. 2023;6(11):e2341182. doi:1…

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. | PSNet

psnet.ahrq.gov/issue/prospective-controlled-trial-effect-multi-faceted-intervention-early-recognition-and

June 13, 2011 - Study A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients. Citation Text: Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted interve…

Strategies to reduce errors associated with 2-component vaccines. | PSNet

psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-component-vaccines

December 16, 2020 - Study Strategies to reduce errors associated with 2-component vaccines. Citation Text: Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines. Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9. Copy Citation Format: …

Teams under pressure in the emergency department: an interview study. | PSNet

psnet.ahrq.gov/issue/teams-under-pressure-emergency-department-interview-study

June 03, 2013 - Study Teams under pressure in the emergency department: an interview study. Citation Text: Flowerdew L, Brown R, Russ S, et al. Teams under pressure in the emergency department: an interview study. Emerg Med J. 2012;29(12):e2. doi:10.1136/emermed-2011-200084. Copy Citation Format…

Resident wellness in US ophthalmic graduate medical education: the resident perspective. | PSNet

psnet.ahrq.gov/issue/resident-wellness-us-ophthalmic-graduate-medical-education-resident-perspective

April 03, 2013 - Study Resident wellness in US ophthalmic graduate medical education: the resident perspective. Citation Text: Tran EM, Scott IU, Clark MA, et al. Resident Wellness in US Ophthalmic Graduate Medical Education: The Resident Perspective. JAMA Ophthalmol. 2018;136(6):695-701. doi:10.1001/jam…

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