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Fixing patient safety: are we nearly there yet? | PSNet

psnet.ahrq.gov/issue/fixing-patient-safety-are-we-nearly-there-yet

April 14, 2021 - Commentary Fixing patient safety: are we nearly there yet? Citation Text: McCulloch P. Fixing patient safety: are we nearly there yet? BMJ Qual Saf. 2024;33(8):539-542. doi:10.1136/bmjqs-2023-016589. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. | PSNet

psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture

January 10, 2024 - Review Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. Citation Text: Scanlan R, Flenady T, Judd J. Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J …

Organizational culture as a source of high reliability. | PSNet

psnet.ahrq.gov/issue/organizational-culture-source-high-reliability

December 03, 2018 - Commentary Classic Organizational culture as a source of high reliability. Citation Text: Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. Copy Citation Format: DOI Google…

A multicenter collaborative approach to reducing pediatric codes outside the ICU. | PSNet

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August 13, 2014 - Study A multicenter collaborative approach to reducing pediatric codes outside the ICU. Citation Text: Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227. …

Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. | PSNet

psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience

April 05, 2023 - Commentary Emerging Classic Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. Citation Text: Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…

Why diagnostic errors don't get any respect--and what can be done about them. | PSNet

psnet.ahrq.gov/issue/why-diagnostic-errors-dont-get-any-respect-and-what-can-be-done-about-them

February 10, 2015 - Commentary Why diagnostic errors don't get any respect--and what can be done about them. Citation Text: Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513. Copy Citation …

Fighting against COVID-19: innovative strategies for clinical pharmacists. | PSNet

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March 24, 2019 - Commentary Fighting against COVID-19: innovative strategies for clinical pharmacists. Citation Text: Li H, Zheng S, Liu F, et al. Fighting against COVID-19: innovative strategies for clinical pharmacists. Res Social Adm Pharm. 2020. doi:10.1016/j.sapharm.2020.04.003. Copy Citation …

"Tech-check-tech": a review of the evidence on its safety and benefits. | PSNet

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September 23, 2020 - Review "Tech-check-tech": a review of the evidence on its safety and benefits. Citation Text: Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022. Copy Citation …

Guide to Reducing Unintended Consequences of Electronic Health Records. | PSNet

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May 25, 2016 - Book/Report Guide to Reducing Unintended Consequences of Electronic Health Records. Citation Text: Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …

Trends in anesthesia-related liability and lessons learned. | PSNet

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August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. Citation Text: Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. Copy Citation Format: DOI Go…

Venous thromboembolism after trauma: a never event? | PSNet

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January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …

A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. | PSNet

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April 08, 2011 - Commentary A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Citation Text: Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Heal…

Effects of critical care nurses' work hours on vigilance and patients' safety. | PSNet

psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vigilance-and-patients-safety

February 19, 2010 - Study Effects of critical care nurses' work hours on vigilance and patients' safety. Citation Text: Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006;15(1):30-7. Copy Citation Format: …

Incomplete care—on the trail of flaws in the system. | PSNet

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February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. Citation Text: Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313. Copy Citation Format: DOI Google Scholar PubMed B…

Teamwork during resuscitation. | PSNet

psnet.ahrq.gov/issue/teamwork-during-resuscitation

January 21, 2017 - Review Teamwork during resuscitation. Citation Text: Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24, xi-xii. doi:10.1016/j.pcl.2008.04.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Medical students' experiences with medical errors: an analysis of medical student essays. | PSNet

psnet.ahrq.gov/issue/medical-students-experiences-medical-errors-analysis-medical-student-essays

June 22, 2022 - Study Medical students' experiences with medical errors: an analysis of medical student essays. Citation Text: Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x. …

Early access to a neurologist reduces the rate of missed diagnosis in young strokes. | PSNet

psnet.ahrq.gov/issue/early-access-neurologist-reduces-rate-missed-diagnosis-young-strokes

December 07, 2011 - Study Early access to a neurologist reduces the rate of missed diagnosis in young strokes. Citation Text: Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.101…

Three perspectives on changes in resident work environment and duty hours. | PSNet

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September 02, 2020 - Commentary Three perspectives on changes in resident work environment and duty hours. Citation Text: Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. Copy Citation S…

Improving patient safety: patient-focused, high-reliability team training. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training

January 07, 2011 - Commentary Improving patient safety: patient-focused, high-reliability team training. Citation Text: McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. …

The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. | PSNet

psnet.ahrq.gov/issue/implementation-perioperative-checklist-increases-patients-perioperative-safety-and-staff

April 03, 2013 - Study The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Citation Text: Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfacti…

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