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Improving self-reporting of adverse drug events in a West Virginia hospital. | PSNet

psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital

March 10, 2011 - Study Improving self-reporting of adverse drug events in a West Virginia hospital. Citation Text: Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. Copy Citation Format: Go…

Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? | PSNet

psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve

December 11, 2024 - Review Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Citation Text: Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr…

Preventable errors in organ transplantation: an emerging patient safety issue? | PSNet

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September 09, 2015 - Commentary Preventable errors in organ transplantation: an emerging patient safety issue? Citation Text: Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x.…

Patient safety: this is public health. | PSNet

psnet.ahrq.gov/issue/patient-safety-public-health

July 19, 2023 - Commentary Patient safety: this is public health. Citation Text: Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

Getting boards on board: engaging governing boards in quality and safety. | PSNet

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February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety. Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…

Interpretive error in radiology. | PSNet

psnet.ahrq.gov/issue/interpretive-error-radiology

August 01, 2018 - Commentary Interpretive error in radiology. Citation Text: Waite S, Scott JM, Gale B, et al. Interpretive Error in Radiology. AJR Am J Roentgenol. 2017;208(4):739-749. doi:10.2214/AJR.16.16963. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

Adverse event protocol for interventional pain medicine: the importance of an organized response. | PSNet

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January 12, 2022 - Study Adverse event protocol for interventional pain medicine: the importance of an organized response. Citation Text: Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…

Can electronic clinical documentation help prevent diagnostic errors? | PSNet

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December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? Citation Text: Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734. Copy Citation Format: …

Assessing the performance of surgical teams. | PSNet

psnet.ahrq.gov/issue/assessing-performance-surgical-teams

July 05, 2017 - Study Assessing the performance of surgical teams. Citation Text: Leach LS, Myrtle RC, Weaver FA, et al. Assessing the performance of surgical teams. Health Care Manage Rev. 2009;34(1):29-41. doi:10.1097/01.HMR.0000342977.84307.64. Copy Citation Format: DOI Google Scholar…

Workplace bullying in risk and safety professionals. | PSNet

psnet.ahrq.gov/issue/workplace-bullying-risk-and-safety-professionals

May 05, 2021 - Study Workplace bullying in risk and safety professionals. Citation Text: Brewer G, Holt B, Malik S. Workplace bullying in risk and safety professionals. J Safety Res. 2018;64:129-133. doi:10.1016/j.jsr.2017.12.015. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

Patient safety issues continue to plague American hospitals. | PSNet

psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals

November 20, 2015 - Commentary Patient safety issues continue to plague American hospitals. Citation Text: Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q. 2019;97(3):641-644. doi:10.1111/1468-0009.12406. Copy Citation Format: DOI Google Scholar PubMed B…

Implementing computerized physician order management at a community hospital. | PSNet

psnet.ahrq.gov/issue/implementing-computerized-physician-order-management-community-hospital

November 16, 2022 - Commentary Implementing computerized physician order management at a community hospital. Citation Text: Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84. Copy Citation For…

Team structure and adverse events in home health care. | PSNet

psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care

February 03, 2011 - Study Team structure and adverse events in home health care. Citation Text: Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

"Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. | PSNet

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September 04, 2024 - Commentary "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. Citation Text: Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3…

Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. | PSNet

psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease-hospital

March 11, 2020 - Study Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. Citation Text: Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2…

Intra-operative monitoring—many alarms with minor impact. | PSNet

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June 18, 2014 - Study Intra-operative monitoring—many alarms with minor impact. Citation Text: de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact. Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289. Copy Citation Format: DOI Google Scholar …

The relationship between patient safety culture and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review

March 11, 2020 - Review The relationship between patient safety culture and patient outcomes: a systematic review. Citation Text: DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058. C…

Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement. | PSNet

psnet.ahrq.gov/issue/viewpoint-patient-safety-primary-care-patients-are-not-just-beneficiary-critical-component

August 16, 2017 - Commentary Viewpoint: Patient safety in primary care - patients are not just a beneficiary but a critical component in its achievement. Citation Text: Kavanagh KT, Cormier LE. Viewpoint: Patient safety in primary care – patients are not just a beneficiary but a critical component in its …

Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. | PSNet

psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees

December 31, 2012 - Study Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. Citation Text: Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…

System weaknesses as contributing causes of accidents in health care. | PSNet

psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care

August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

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