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Strategies for improving patient safety: linking task type to error type. | PSNet

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August 22, 2012 - Commentary Strategies for improving patient safety: linking task type to error type. Citation Text: Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse. 2012;32(1):52-78. doi:10.4037/ccn2012303. Copy Citation Format: DOI Go…

Effectiveness of surgical safety checklists in improving patient safety. | PSNet

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May 29, 2019 - Commentary Effectiveness of surgical safety checklists in improving patient safety. Citation Text: Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. Copy…

Using simulation to prepare nursing staff for the move to a new building. | PSNet

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January 15, 2014 - Commentary Using simulation to prepare nursing staff for the move to a new building. Citation Text: Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. Copy Citation …

Error training: missing link in surgical education. | PSNet

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December 21, 2014 - Review Error training: missing link in surgical education. Citation Text: DaRosa DA, Pugh CM. Error training: missing link in surgical education. Surgery. 2012;151(2):139-45. doi:10.1016/j.surg.2011.08.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

Nurses' perception of error reporting and patient safety culture in Korea. | PSNet

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July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

The Swiss cheese model of adverse event occurrence—closing the holes. | PSNet

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September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…

Medical simulation gets real. | PSNet

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June 14, 2023 - Newspaper/Magazine Article Medical simulation gets real. Citation Text: Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Health-care professionals' views about safety in maternity services: a qualitative study. | PSNet

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June 10, 2020 - Study Health-care professionals' views about safety in maternity services: a qualitative study. Citation Text: Smith AHK, Dixon AL, Page LA. Health-care professionals' views about safety in maternity services: a qualitative study. Midwifery. 2009;25(1):21-31. doi:10.1016/j.midw.2008.11…

Single-patient rooms for safe patient-centered hospitals. | PSNet

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April 01, 2016 - Commentary Single-patient rooms for safe patient-centered hospitals. Citation Text: Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

To err is human: use of simulation to enhance training and patient safety in anaesthesia. | PSNet

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January 18, 2023 - Review To err is human: use of simulation to enhance training and patient safety in anaesthesia. Citation Text: Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex3…

Inpatient fall prevention: use of in-room Webcams. | PSNet

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July 19, 2023 - Study Inpatient fall prevention: use of in-room Webcams. Citation Text: Hardin SR, Dienemann J, Rudisill P, et al. Inpatient fall prevention: use of in-room Webcams. J Patient Saf. 2013;9(1):29-35. doi:10.1097/PTS.0b013e3182753e4f. Copy Citation Format: DOI Google Scholar…

Understanding safer practices in health care: a prologue for the role of indicators. | PSNet

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May 07, 2008 - Study Understanding safer practices in health care: a prologue for the role of indicators. Citation Text: Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70. Copy Citation …

Medical errors in neurosurgery. | PSNet

psnet.ahrq.gov/issue/medical-errors-neurosurgery

February 14, 2018 - Review Medical errors in neurosurgery. Citation Text: Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

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June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

Fault/no fault: bearing the brunt of medical mishaps. | PSNet

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January 27, 2021 - Commentary Fault/no fault: bearing the brunt of medical mishaps. Citation Text: Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11. doi:10.1503/cmaj.081020. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? | PSNet

psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric

October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…

Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan

October 21, 2010 - Commentary Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. Citation Text: SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…

The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. | PSNet

psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead-electrocardiogram

February 10, 2016 - Study The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Citation Text: Bond RR, Finlay DD, Nugent CD, et al. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Eur J…

Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. | PSNet

psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error-reporting-and

July 14, 2010 - Study Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. Citation Text: Snyder RA, Abarca J, Meza JL, et al. Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and P…

Changing how we think about healthcare improvement. | PSNet

psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement

October 09, 2024 - Commentary Classic Changing how we think about healthcare improvement. Citation Text: Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. Copy Citation Format: DOI Google Scholar PubMed Bib…

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