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What do family physicians consider an error? A comparison of definitions and physician perception. | PSNet

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February 15, 2011 - Study What do family physicians consider an error? A comparison of definitions and physician perception. Citation Text: Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73. Copy Cit…

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet

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April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. Citation Text: Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…

Discrepant advanced directives and code status orders: a preventable medical error. | PSNet

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October 31, 2018 - Journal Article Discrepant advanced directives and code status orders: a preventable medical error. Citation Text: Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm…

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. | PSNet

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November 22, 2017 - Study Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Citation Text: Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.…

Psychosocial factors and safety in high-risk industries: a systematic literature review. | PSNet

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July 15, 2020 - Review Psychosocial factors and safety in high-risk industries: a systematic literature review. Citation Text: Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. …

How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? | PSNet

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October 23, 2024 - Study How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Citation Text: DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…

Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. | PSNet

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February 22, 2019 - Study Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. Citation Text: Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions and Distractions Recorde…

Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. | PSNet

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February 15, 2017 - Review Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. Citation Text: Panagioti M, Stokes J, Esmail A, et al. Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis. PLoS One. 2015;10(8):e0135…

Strategies for detecting adverse drug events among older persons in the ambulatory setting. | PSNet

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February 09, 2011 - Study Strategies for detecting adverse drug events among older persons in the ambulatory setting. Citation Text: Field T, Gurwitz JH, Harrold LR, et al. Strategies for detecting adverse drug events among older persons in the ambulatory setting. J Am Med Inform Assoc. 2004;11(6):492-8. …

Dementia and risk of adverse warfarin-related events in the nursing home setting. | PSNet

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February 23, 2011 - Study Dementia and risk of adverse warfarin-related events in the nursing home setting. Citation Text: Tjia J, Field T, Mazor KM, et al. Dementia and risk of adverse warfarin-related events in the nursing home setting. Am J Geriatr Pharmacother. 2012;10(5):323-30. doi:10.1016/j.amjopha…

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. | PSNet

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April 28, 2021 - Study Emerging Classic Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. Citation Text: Gurwitz JH, Kapoor A, Garber L, et al. Effect of …

Evaluation of a measurement system to assess ICU team performance. | PSNet

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November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? | PSNet

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January 23, 2019 - Review A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? Citation Text: Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…

How is safety climate measured? A review and evaluation. | PSNet

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January 26, 2022 - Review How is safety climate measured? A review and evaluation. Citation Text: Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413. Copy Citation Format: DOI Google Scholar Bib…

Physicians' needs in coping with emotional stressors: the case for peer support. | PSNet

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September 09, 2008 - Study Physicians' needs in coping with emotional stressors: the case for peer support. Citation Text: Hu Y-Y, Fix ML, Hevelone ND, et al. Physicians' needs in coping with emotional stressors: the case for peer support. Arch Surg. 2012;147(3):212-217. doi:10.1001/archsurg.2011.312. Copy…

Perioperative safety: learning, not taking, from aviation. | PSNet

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June 26, 2019 - Commentary Perioperative safety: learning, not taking, from aviation. Citation Text: Neuhaus C, Hofer S, Hofmann G, et al. Perioperative Safety: Learning, Not Taking, from Aviation. Anesth Analg. 2016;122(6):2059-63. doi:10.1213/ANE.0000000000001315. Copy Citation Format: D…

Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient

April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…

What COVID-19 teaches us about implicit bias in pediatric health care. | PSNet

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March 25, 2020 - Commentary What COVID-19 teaches us about implicit bias in pediatric health care. Citation Text: Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. Copy Citation F…

Rapid response systems: a prospective study of response times. | PSNet

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November 16, 2022 - Study Rapid response systems: a prospective study of response times. Citation Text: Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013. Copy Citation Format: …

Assessing system failures in operating rooms and intensive care units. | PSNet

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June 15, 2011 - Study Assessing system failures in operating rooms and intensive care units. Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google Sch…

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