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The future of graduate medical education: a systems-based approach to ensure patient safety. | PSNet

psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety

October 18, 2017 - Commentary The future of graduate medical education: a systems-based approach to ensure patient safety. Citation Text: Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. …

Understanding medical errors and adverse events in ICU patients. | PSNet

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March 20, 2015 - Commentary Understanding medical errors and adverse events in ICU patients. Citation Text: Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. Copy Citation F…

Optimizing transitions of care to reduce rehospitalizations. | PSNet

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November 04, 2015 - Review Optimizing transitions of care to reduce rehospitalizations. Citation Text: Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. Copy Citation Format: DOI Google Schol…

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. | PSNet

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May 04, 2017 - Study Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. Citation Text: Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. BMJ Q…

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

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January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet

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May 01, 2019 - Study Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Citation Text: Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…

Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet

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January 22, 2017 - Study Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Citation Text: Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…

Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. | PSNet

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January 01, 2000 - Review Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. Citation Text: Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.…

Scale, nature, preventability and causes of adverse events in hospitalised older patients. | PSNet

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July 26, 2011 - Study Scale, nature, preventability and causes of adverse events in hospitalised older patients. Citation Text: Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/…

Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

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February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

Intraoperative communications between pathologists and surgeons: do we understand each other? | PSNet

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June 28, 2023 - Study Intraoperative communications between pathologists and surgeons: do we understand each other? Citation Text: Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…

How patients can improve the accuracy of their medical records. | PSNet

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July 20, 2022 - Study How patients can improve the accuracy of their medical records. Citation Text: Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…

Race and the clinical diagnosis of depression in new primary care patients. | PSNet

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October 21, 2020 - Study Race and the clinical diagnosis of depression in new primary care patients. Citation Text: Lukachko A, Olfson M. Race and the clinical diagnosis of depression in new primary care patients. Gen Hosp Psychiatry. 2011;34(1):98-100. doi:10.1016/j.genhosppsych.2011.09.008. Copy Citati…

Variation in hospital mortality associated with inpatient surgery. | PSNet

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August 02, 2015 - Study Classic Variation in hospital mortality associated with inpatient surgery. Citation Text: Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…

Structured handover in general surgery: an audit of current practice. | PSNet

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August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet

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January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? Citation Text: Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. C…

The Daily Plan: including patients for safety's sake. | PSNet

psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake

March 13, 2013 - Study The Daily Plan: including patients for safety's sake. Citation Text: King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. Copy Citation Format: DOI Google Sch…

The effects of bar-coding technology on medication errors: a systematic literature review. | PSNet

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March 20, 2024 - Review The effects of bar-coding technology on medication errors: a systematic literature review. Citation Text: Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…

Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study. | PSNet

psnet.ahrq.gov/issue/paediatric-nurses-adherence-double-checking-process-during-medication-administration

October 03, 2012 - Study Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study. Citation Text: Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during medication administrati…

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome

March 03, 2011 - Study Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Citation Text: Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40…

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