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Murphy JI. Clin Simul Nurs. 2013;9:e257-e264.
Murphy JI. Using Plan Do Study Act to transform a simulation center. Clin Simul Nurs. 2013; 9: e257-e264
This commentary describes the results and goals of an initiative that used the Plan-Do-Study-Act model to shift the emphasis of a simulation training effort from clinical skill development to quality improvement.
Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.
Pernar LIM, Shaw TJ, Pozner CN, et al. Jt Comm J Qual Patient Saf. 2012;38:414-418.
Infusion medication error reduction by two-person verification: a quality improvement initiative.
Subramanyam R, Mahmoud M, Buck D, Varughese A. Pediatrics. 2016;138:e20154413.
Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care.
Stinnett-Donnelly JM, Stevens PG, Hood VL. BMJ Qual Saf. 2016;25:901-908.
Aviation tools to improve patient safety.
Ross J. J Perianesth Nurs. 2014;29:508-510.
The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve!
ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5.
Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training.
Knight LJ, Gabhart JM, Earnest KS, Leong KM, Anglemyer A, Franzon D. Crit Care Med. 2014;42:243-251.
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.
Epner PL, Gans JE, Graber ML. BMJ Qual Saf. 2013;22(supp 2):6-10.
Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.
Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.
How to incorporate quality improvement and patient safety projects in your training.
Siddique SM, Ketwaroo G, Newberry C, Mathews S, Khungar V, Mehta SJ. Gastroenterology. 2018;154:1564-1568.
"To err is human" but disclosure must be taught: a simulation-based assessment study.
Crimmins AC, Wong AH, Bonz JW, et al. Simul Healthc. 2018;13:107-116.
Piloting a patient safety and quality improvement co-curriculum.
Kroker-Bode C, Whicker SA, Pline ER, et al. J Community Hosp Intern Med Perspect. 2017;7:351-357.
So much care it hurts: unneeded scans, therapy, surgery only add to patients' ills.
Szabo L. Kaiser Health News. October 23, 2017.
Simulation-based education to ensure provider competency within the healthcare system.
Griswold S, Fralliccardi A, Boulet J, et al. Acad Emerg Med. 2018;25:168-176.
Improving patient care through improved caregiver support.
Headley M. Patient Saf Qual Healthc. August 21, 2017.
Framework for direct observation of performance and safety in healthcare.
Catchpole K, Neyens DM, Abernathy J, Allison D, Joseph A, Reeves ST. BMJ Qual Saf. 2017;26:1015-1021.
Improving reconciliation following medical injury: a qualitative study of responses to patient safety incidents in New Zealand.
Moore J, Mello MM. BMJ Qual Saf. 2017;26:788-798.
Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.
Ferraro K, Zernzach R, Maturo S, Nagy C, Barrett R. Mil Med. 2017;182:e1747-e1751.
Is misdiagnosis inevitable?
Page L. Medscape Business of Medicine. March 28, 2016.
High reliability: excellent care every time.
Saver C. OR Manager. 2016;32:22-26.
Listening for What Matters: Avoiding Contextual Errors in Health Care.
Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996.
Patient and family advisory councils. The Massachusetts experience.
Wachenheim D. Patient Saf Qual Healthc. December 8, 2015.
Petty, dangerous, disruptive doctors: watch out!
Crane ME. Medscape Business of Medicine. July 23, 2015.
Aiming higher to enhance professionalism: beyond accreditation and certification.
Chassin MR, Baker DW. JAMA. 2015;313:1795-1796.
Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study.
Dudas RA, Barone MA. BMC Med Educ. 2015;15:288.
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model.
Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. ISBN: 9780826169068.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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