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psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care
November 20, 2019 - Study
The correlation between neonatal intensive care unit safety culture and quality of care.
Citation Text:
Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…
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psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
March 27, 2005 - Book/Report
Classic
A Tale of Two Stories: Contrasting Views of Patient Safety.
Citation Text:
A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997.
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psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
January 16, 2013 - Study
Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory of planned behaviour.
Citation Text:
Williams SD, Phipps D, Ashcroft DM. Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theo…
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psnet.ahrq.gov/issue/analysis-risk-medical-errors-using-structural-equation-modelling-6-month-prospective-cohort
June 10, 2020 - Study
Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study.
Citation Text:
Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf…
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psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
June 01, 2016 - Study
Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study.
Citation Text:
Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualit…
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psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
April 13, 2022 - Study
Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.
Citation Text:
Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…
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psnet.ahrq.gov/issue/results-survey-among-gp-practices-how-they-manage-patient-safety-aspects-related-point-care
November 21, 2018 - Study
Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice.
Citation Text:
de Vries C, Doggen C, Hilbers E, et al. Results of a survey among GP practices on how they manage patient safety aspects related t…
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psnet.ahrq.gov/issue/graduating-pediatrics-residents-reports-impact-fatigue-over-past-decade-duty-hour-changes
July 21, 2010 - Study
Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes.
Citation Text:
Schumacher DJ, Frintner MP, Winn A, et al. Graduating Pediatrics Residents' Reports on the Impact of Fatigue Over the Past Decade of Duty Hour Changes. Acad P…
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psnet.ahrq.gov/issue/seeing-risk-and-allocating-responsibility-talk-culture-and-its-consequences-work-patient
November 03, 2015 - Study
Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety.
Citation Text:
Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi…
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psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency
September 21, 2022 - Review
Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review.
Citation Text:
Jala S, Fry M, Elliott R. Cognitive bias during clinical decision‐making and its influence on patient outcomes in the emergency depart…
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psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
September 02, 2009 - Study
Medical malpractice as reflected by the forensic evaluation of 4450 autopsies.
Citation Text:
Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013.
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psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
October 19, 2022 - Study
Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture.
Citation Text:
Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…
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psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - Study
Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens.
Citation Text:
Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the Gen…
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psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose
August 02, 2017 - Study
Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates.
Citation Text:
Dowell D, Zhang K, Noonan RK, et al. Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death Rates. He…
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Patient Safety Events and the Role of Patient Safety
Organizations During the COVID-19 Pandemic
January 12, 2022
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations
During the COVID-19 Pandemic. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/patient…
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psnet.ahrq.gov/web-mm/check-anesthesia-machine
August 01, 2006 - Care Providers
Quality and Safety Professionals
Anesthesiology
Medication Errors/Preventable Adverse … Drug Events
View More
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Finally, the hospitalist adjusted therapy based on an incorrect
dose, causing the adverse drug event
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psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
November 16, 2015 - Newspaper/Magazine Article
Results of survey on pediatric medication safety—part 1 and part 2.
Citation Text:
Results of survey on pediatric medication safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5.
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psnet.ahrq.gov/issue/family-perceptions-medication-administration-school-errors-risk-factors-and-consequences
April 24, 2018 - Study
Family perceptions of medication administration at school: errors, risk factors, and consequences.
Citation Text:
Clay D, Farris K, McCarthy AM, et al. Family perceptions of medication administration at school: errors, risk factors, and consequences. J Sch Nurs. 2008;24(2):95-102…
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Study
A simulation design for research evaluating safety innovations in anaesthesia.
Citation Text:
Merry AF, Weller JM, Robinson BJ, et al. A simulation design for research evaluating safety innovations in anaesthesia*. Anaesthesia. 2008;63(12):1349-57. doi:10.1111/j.1365-2044.2008.…