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Clinical handover of the critically ill postoperative patient: an integrative review. | PSNet

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March 23, 2016 - Review Clinical handover of the critically ill postoperative patient: an integrative review. Citation Text: Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.…

Diagnostic errors--The next frontier for patient safety. | PSNet

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October 14, 2020 - Commentary Diagnostic errors--The next frontier for patient safety. Citation Text: Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. Copy Citation Format: DOI Google Scholar PubMed …

Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. | PSNet

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August 26, 2011 - Study Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Citation Text: Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…

Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet

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March 10, 2021 - Commentary Beyond the corrective action hierarchy: a systems approach to organizational change. Citation Text: Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…

Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. | PSNet

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December 19, 2011 - Study Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. Citation Text: Apker J, Mallak LA, Applegate B, et al. Exploring emergency physician-hospitalist handoff interactions: development of the Handoff Communication Ass…

Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. | PSNet

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October 04, 2023 - Review Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. Citation Text: Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. …

Clinical handover incident reporting in one UK general hospital. | PSNet

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May 03, 2023 - Study Clinical handover incident reporting in one UK general hospital. Citation Text: Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. Copy Citation For…

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-…

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

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September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

Sensemaking of patient safety risks and hazards. | PSNet

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March 03, 2011 - Commentary Sensemaking of patient safety risks and hazards. Citation Text: Battles J, Dixon NM, Borotkanics RJ, et al. Sensemaking of patient safety risks and hazards. Health Serv Res. 2006;41(4 Pt 2):1555-1575. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. | PSNet

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February 09, 2011 - Study ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Citation Text: Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. d…

Inpatient suicide in a general hospital. | PSNet

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May 27, 2020 - Study Inpatient suicide in a general hospital. Citation Text: Cheng I-C, Hu F-C, Tseng M-CM. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-5. doi:10.1016/j.genhosppsych.2008.12.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

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…

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…

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…

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: 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…

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…

Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. | PSNet

psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety

July 05, 2008 - Book/Report Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Citation Text: Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Gra…

Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. | PSNet

psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging

April 06, 2022 - Study Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. Citation Text: Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov…

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