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Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. | PSNet

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May 21, 2019 - Commentary Classic Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. Citation Text: Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. do…

Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. | PSNet

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May 18, 2022 - Study Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. Citation Text: Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre dis…

A safety culture transformation: its effects at a children's hospital. | PSNet

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November 04, 2014 - Study A safety culture transformation: its effects at a children's hospital. Citation Text: Peterson TH, Teman SF, Connors RH. A safety culture transformation: its effects at a children's hospital. J Patient Saf. 2012;8(3):125-30. doi:10.1097/PTS.0b013e31824bd744. Copy Citation F…

ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

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June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

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March 16, 2022 - Commentary Qualitative content analysis: a framework for the substantive review of hospital incident reports. Citation Text: Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…

Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. | PSNet

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February 14, 2017 - Study Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. Citation Text: Bismark M, Studdert DM. Governance of quality of care: a qualitative study of health service boards in Victoria, Australia. BMJ Qual Saf. 2014;23(6):474-82. doi:10.113…

Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. | PSNet

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May 11, 2016 - Study Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. Citation Text: Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…

The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas. | PSNet

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September 28, 2022 - Study The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas. Citation Text: Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida and Texas. Am J Hea…

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. | PSNet

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March 03, 2011 - Study The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Citation Text: Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…

Impact of duty-hour restriction on resident inpatient teaching. | PSNet

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February 24, 2011 - Study Impact of duty-hour restriction on resident inpatient teaching. Citation Text: Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448. Copy Citation Format: DOI Google Sc…

Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. | PSNet

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March 12, 2025 - Commentary Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Citation Text: Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…

What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. | PSNet

psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences

July 27, 2011 - Study What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. Citation Text: Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended…

Impact of organizational leadership on physician burnout and satisfaction. | PSNet

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June 28, 2010 - Study Impact of organizational leadership on physician burnout and satisfaction. Citation Text: Shanafelt TD, Gorringe G, Menaker R, et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc. 2015;90(4):432-40. doi:10.1016/j.mayocp.2015.01.012. Co…

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet

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January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. | PSNet

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January 12, 2022 - Study "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions. Citation Text: Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions…

Defining speaking up in the healthcare system: a systematic review. | PSNet

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September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. Citation Text: Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. Copy Citation Forma…

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. …

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

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May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

Program access, depressive symptoms, and medical errors among resident physicians with disability. | PSNet

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May 19, 2021 - Study Program access, depressive symptoms, and medical errors among resident physicians with disability. Citation Text: Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):…

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

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January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

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