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Making communication and resolution programmes mission critical in healthcare organisations. | PSNet

psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations

September 09, 2020 - Commentary Making communication and resolution programmes mission critical in healthcare organisations. Citation Text: Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…

The problem with root cause analysis. | PSNet

psnet.ahrq.gov/issue/problem-root-cause-analysis

August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. | PSNet

psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety

December 21, 2017 - Study Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Citation Text: Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…

Predictors of nursing home nurses' willingness to report medication near-misses. | PSNet

psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses

July 31, 2024 - Study Predictors of nursing home nurses' willingness to report medication near-misses. Citation Text: Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-0…

Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. | PSNet

psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic

September 18, 2019 - Study Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. Citation Text: Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…

Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. | PSNet

psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident

July 27, 2016 - Study Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. Citation Text: Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident…

The role of AI in detecting and mitigating human errors in safety-critical industries: a review. | PSNet

psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review

January 15, 2025 - Review The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Citation Text: Gursel E, Madadi M, Coble JB, et al. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Reliability Eng System Saf. 2025;25…

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. | PSNet

psnet.ahrq.gov/issue/impact-electronic-health-record-interoperability-safety-and-quality-care-high-income

July 27, 2022 - Review The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. Citation Text: Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and quality of care in high-incom…

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet

psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure

January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. Citation Text: Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. JACC H…

A novel approach for assessing bias during team-based clinical decision-making. | PSNet

psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making

April 10, 2024 - Study A novel approach for assessing bias during team-based clinical decision-making. Citation Text: Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.101477…

The Economic Measurement of Medical Errors. | PSNet

psnet.ahrq.gov/issue/economic-measurement-medical-errors

March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. | PSNet

psnet.ahrq.gov/issue/factors-associated-potentially-harmful-medication-prescribing-nursing-homes-scoping-review

September 27, 2016 - October 19, 2022 Medication errors and processes to reduce them in care homes in the United

Safety perceptions of health care leaders in 2 Canadian academic acute care centers. | PSNet

psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers

March 14, 2022 - Study Safety perceptions of health care leaders in 2 Canadian academic acute care centers. Citation Text: Goldstein DH, Nyce JM, Van Den Kerkhof EG. Safety Perceptions of Health Care Leaders in 2 Canadian Academic Acute Care Centers. J Patient Saf. 2017;13(2):62-68. doi:10.1097/PTS.00000…

Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet

psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs

June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…

Physicians' attitudes towards copy and pasting in electronic note writing. | PSNet

psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing

March 04, 2015 - the Same Author(s) Ambulatory prescribing errors among community-based providers in two states

Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study. | PSNet

psnet.ahrq.gov/issue/effect-sleep-deprivation-after-night-shift-duty-simulated-crisis-management-residents

August 09, 2023 - Study Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study. Citation Text: Arzalier-Daret S, Buléon C, Bocca M-L, et al. Effect of sleep deprivation after a night shift duty on simulated crisis manag…

Long-term impacts faced by patients and families after harmful healthcare events. | PSNet

psnet.ahrq.gov/issue/long-term-impacts-faced-patients-and-families-after-harmful-healthcare-events

December 01, 2021 - Study Long-term impacts faced by patients and families after harmful healthcare events. Citation Text: Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…

Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. | PSNet

psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and

April 05, 2023 - Using the status characteristics and expectation states (SCES), transcripts and videos were coded separately

Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. | PSNet

psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety

April 06, 2011 - Study Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety. Citation Text: Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc. Cop…

Pediatric prehospital medication dosing errors: a national survey of paramedics. | PSNet

psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics

August 25, 2021 - Study Pediatric prehospital medication dosing errors: a national survey of paramedics. Citation Text: Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…

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