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The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

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June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. | PSNet

psnet.ahrq.gov/issue/accuracy-skin-cancer-diagnosis-physician-assistants-compared-dermatologists-large-health-care

August 04, 2021 - Study Emerging Classic Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. Citation Text: Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compar…

The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. | PSNet

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October 11, 2017 - Study The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. Citation Text: Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and …

Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet

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September 07, 2016 - Government Resource Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Citation Text: Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…

Mitigating racial bias in machine learning. | PSNet

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July 22, 2020 - Commentary Mitigating racial bias in machine learning. Citation Text: Kostick-Quenet KM, Cohen IG, Gerke S, et al. Mitigating racial bias in machine learning. J Law Med Ethics. 2022;50(1):92-100. doi:10.1017/jme.2022.13. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

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

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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…

The systems approach at the sharp end. | PSNet

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April 21, 2021 - Commentary The systems approach at the sharp end. Citation Text: Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

From tasks to processes: the case for changing health information technology to improve health care. | PSNet

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February 10, 2015 - Commentary From tasks to processes: the case for changing health information technology to improve health care. Citation Text: Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-…

Insufficient communication about medication use at the interface between hospital and primary care. | PSNet

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February 03, 2021 - Study Insufficient communication about medication use at the interface between hospital and primary care. Citation Text: Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…

Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

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November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

From guideline to order set to patient harm. | PSNet

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October 10, 2017 - Commentary From guideline to order set to patient harm. Citation Text: Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

Strategies for sustaining a quality improvement collaborative and its patient safety gains. | PSNet

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February 01, 2011 - Study Strategies for sustaining a quality improvement collaborative and its patient safety gains. Citation Text: Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:…

Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. | PSNet

psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk

August 06, 2014 - Study Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. Citation Text: Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…

Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. | PSNet

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December 09, 2020 - Book/Report Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Citation Text: Care Post-Roe: Documenting Cases of Poor-quality Care Since the Dobbs Decision. Grossman D, Joffe C, Kaller S, et al. Advancing New Standards in Reproductive Health, University of C…

Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study. | PSNet

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January 29, 2020 - Study Classic Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study. Citation Text: Chua K-P, Fischer MA, Linder JA. Appropriateness of outpatient antibiotic prescribing among privately in…

'More than words' - interpersonal communication, cognitive bias and diagnostic errors. | PSNet

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March 11, 2013 - Commentary 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. Citation Text: Dahm MR, Williams M, Crock C. ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Educ Couns. 2022;105(1):252-256. doi:10.1016/j.pec…

Resident and nurse perspectives on the use of secure text messaging systems. | PSNet

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March 02, 2022 - Study Resident and nurse perspectives on the use of secure text messaging systems. Citation Text: Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. Copy Citation For…

What are we doing when we double check? | PSNet

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June 10, 2020 - Commentary What are we doing when we double check? Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

Paediatric dosing errors before and after electronic prescribing. | PSNet

psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing

February 13, 2008 - Study Paediatric dosing errors before and after electronic prescribing. Citation Text: Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068. Copy Citation Format: …

Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. | PSNet

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September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …

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