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The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. | PSNet

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September 23, 2020 - Commentary The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Citation Text: Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technolog…

Embracing multiple aims in healthcare improvement and innovation. | PSNet

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June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

Adverse Events in Hospitals: State Reporting Systems. | PSNet

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January 14, 2009 - Book/Report Adverse Events in Hospitals: State Reporting Systems. Citation Text: Adverse Events in Hospitals: State Reporting Systems. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471. …

A framework for patient safety: a defense nuclear industry-based high-reliability model. | PSNet

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June 14, 2017 - Commentary A framework for patient safety: a defense nuclear industry-based high-reliability model. Citation Text: Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…

Dissemination of Lean methods to improve Pap testing quality and patient safety. | PSNet

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June 14, 2011 - Study Dissemination of Lean methods to improve Pap testing quality and patient safety. Citation Text: Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0…

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

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January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. | PSNet

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May 19, 2021 - Commentary 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. Citation Text: Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…

National Action Plan for Adverse Drug Event Prevention. | PSNet

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October 16, 2013 - Book/Report National Action Plan for Adverse Drug Event Prevention. Citation Text: National Action Plan for Adverse Drug Event Prevention. Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014. Copy Cita…

Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

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June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. | PSNet

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January 11, 2017 - Study Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. Citation Text: Gandara E, Moniz T, Ungar J, et al. Communication and information deficits in patients discharged to rehabilitation facilities: An …

Crisis preparedness: a systems-based framework for avoiding harm in surgery. | PSNet

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September 14, 2022 - Study Crisis preparedness: a systems-based framework for avoiding harm in surgery. Citation Text: Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.00000000000003…

Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

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September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet

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October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation practices. Citation Text: Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…

Medication competency of nurses according to theoretical and drug calculation online exams: a descriptive correlational study. | PSNet

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May 08, 2024 - Study Medication competency of nurses according to theoretical and drug calculation online exams: a descriptive correlational study. Citation Text: Sneck S, Saarnio R, Isola A, et al. Medication competency of nurses according to theoretical and drug calculation online exams: A descriptiv…

The power of written word: reflection reduces errors of omission. | PSNet

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April 24, 2018 - Study The power of written word: reflection reduces errors of omission. Citation Text: Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. Copy Citation Format: DOI Go…

Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery. | PSNet

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March 16, 2022 - Review Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery. Citation Text: Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent environments to faci…

The effectiveness of root cause analysis: what does the literature tell us? | PSNet

psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us

February 11, 2013 - Review The effectiveness of root cause analysis: what does the literature tell us? Citation Text: Percarpio KB, Watts V, Weeks WB. The effectiveness of root cause analysis: what does the literature tell us? Jt Comm J Qual Patient Saf. 2008;34(7):391-8. Copy Citation Format: …

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. | PSNet

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June 15, 2011 - Study Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Citation Text: Hutchinson A, Cooper KL, Dean JE, et al. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care…

Characterising 'near miss' events in complex laparoscopic surgery through video analysis. | PSNet

psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis

October 09, 2013 - Study Characterising 'near miss' events in complex laparoscopic surgery through video analysis. Citation Text: Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…

Advanced practice nursing students' identification of patient safety issues in ambulatory care. | PSNet

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March 02, 2012 - Study Advanced practice nursing students' identification of patient safety issues in ambulatory care. Citation Text: Schnall R, Larson EL, Stone PW, et al. Advanced practice nursing students' identification of patient safety issues in ambulatory care. J Nurs Care Qual. 2013;28(2):169-75…

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