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Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet

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September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

Informed or Misled? | PSNet

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April 24, 2018 - Informed or Misled? Citation Text: White SM. Informed or Misled? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

The Wrongful Resuscitation | PSNet

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October 12, 2012 - 10 nursing home residents with advanced dementia had a DNH order.( 8 ) The frequency of such orders varied

Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. | PSNet

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October 06, 2021 - Study Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. Citation Text: Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitatio…

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings

February 17, 2021 - Study Classic Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. Citation Text: Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…

Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. | PSNet

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January 11, 2023 - Review Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety. Citation Text: Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic review and recommendations for enh…

Patient safety in inpatient mental health settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review

November 13, 2019 - Review Emerging Classic Patient safety in inpatient mental health settings: a systematic review. Citation Text: Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.…

Differences in medication reconciliation interventions between six hospitals: a mixed method study. | PSNet

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September 08, 2021 - Study Differences in medication reconciliation interventions between six hospitals: a mixed method study. Citation Text: Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv R…

Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. | PSNet

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October 21, 2020 - Study Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. Citation Text: Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…

Lessons from walking the medical distancing tightrope. | PSNet

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October 21, 2020 - Commentary Lessons from walking the medical distancing tightrope. Citation Text: Jenkins I, Sebasky M, Bell J, et al. Lessons from walking the medical distancing tightrope. Jt Comm J Qual Patient Saf. 2020;46(9):542-545. doi:10.1016/j.jcjq.2020.05.006. Copy Citation Format: …

An infrastructure to provide safer, higher quality, and more equitable telehealth. | PSNet

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February 12, 2020 - Commentary An infrastructure to provide safer, higher quality, and more equitable telehealth. Citation Text: Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…

Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era

September 16, 2020 - Commentary Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Citation Text: Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…

Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. | PSNet

psnet.ahrq.gov/issue/prejudice-perceptions-physicians-influence-race-and-gender-evaluations-medical-errors

March 27, 2019 - Study Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. Citation Text: Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and Gender on Evaluations of Medical Errors. J Gen Intern Med. 2…

Variation in the reporting of elective surgeries and its influence on patient safety indicators. | PSNet

psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators

June 30, 2021 - Study Variation in the reporting of elective surgeries and its influence on patient safety indicators. Citation Text: Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…

Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet

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November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. Citation Text: Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…

Artificial intelligence related safety issues associated with FDA medical device reports. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports

May 29, 2024 - Study Artificial intelligence related safety issues associated with FDA medical device reports. Citation Text: Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-…

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet

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December 09, 2020 - Study Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. Citation Text: Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…

Development of a preliminary patient safety classification system for generative AI. | PSNet

psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai

December 21, 2022 - Study Development of a preliminary patient safety classification system for generative AI. Citation Text: Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…

Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. | PSNet

psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power

October 07, 2020 - Study Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. Citation Text: Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/p…

Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet

psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything

November 03, 2021 - Commentary Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Citation Text: Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…

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