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Adverse event reporting: harnessing residents to improve patient safety. | PSNet

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July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. | PSNet

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August 03, 2022 - Study Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. Citation Text: Stewart AL, Lynch KJ. Identifying discrepancies in electronic medical records through pharmacist medication reconciliation. J Am Pharm Assoc (2003). 2012;52(1):59-…

Decoding laboratory test names: a major challenge to appropriate patient care. | PSNet

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April 24, 2018 - Study Decoding laboratory test names: a major challenge to appropriate patient care. Citation Text: Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…

Prioritizing patient safety interventions in small and rural hospitals. | PSNet

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October 14, 2009 - Study Prioritizing patient safety interventions in small and rural hospitals. Citation Text: Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702. Copy Citation Format: …

Association of patient photographs and reduced retract-and-reorder events. | PSNet

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February 24, 2021 - Study Association of patient photographs and reduced retract-and-reorder events. Citation Text: Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and-reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042. Copy Cit…

Provider and patient perceptions of an external medication history function. | PSNet

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July 16, 2015 - Study Provider and patient perceptions of an external medication history function. Citation Text: Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197. C…

Medical emergency team calls in the radiology department: patient characteristics and outcomes. | PSNet

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July 06, 2011 - Study Medical emergency team calls in the radiology department: patient characteristics and outcomes. Citation Text: Ott LK, Pinsky MR, Hoffman LA, et al. Medical emergency team calls in the radiology department: patient characteristics and outcomes. BMJ Qual Saf. 2012;21(6):509-18. d…

The stories clinicians tell: achieving high reliability and improving patient safety. | PSNet

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April 24, 2018 - Commentary The stories clinicians tell: achieving high reliability and improving patient safety. Citation Text: Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety. Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039. Copy Citation …

Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. | PSNet

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September 23, 2020 - Review Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Citation Text: Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of publ…

Exploring how nursing schools handle student errors and near misses. | PSNet

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May 28, 2014 - Study Exploring how nursing schools handle student errors and near misses. Citation Text: Disch J, Barnsteiner J, Connor S, et al. CE: Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses. Am J Nurs. 2017;117(10):24-31. doi:10.1097/01.NAJ.0000525849.3553…

Patient safety in nursing education: contexts, tensions and feeling safe to learn. | PSNet

psnet.ahrq.gov/issue/patient-safety-nursing-education-contexts-tensions-and-feeling-safe-learn

September 19, 2013 - Study Patient safety in nursing education: contexts, tensions and feeling safe to learn. Citation Text: Steven A, Magnusson C, Smith P, et al. Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse Educ Today. 2014;34(2):277-84. doi:10.1016/j.nedt.2013…

The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet

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February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. | PSNet

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March 20, 2024 - Study The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. Citation Text: Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to prescribing error: a prospe…

Do safety briefings improve patient safety in the acute hospital setting? A systematic review. | PSNet

psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review

August 14, 2024 - Review Do safety briefings improve patient safety in the acute hospital setting? A systematic review. Citation Text: Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…

Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet

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November 26, 2014 - Study Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Citation Text: Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…

Implementation of bar-code medication administration to reduce patient harm. | PSNet

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September 23, 2020 - Study Implementation of bar-code medication administration to reduce patient harm. Citation Text: Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…

Using data to enhance performance and improve quality and safety in surgery. | PSNet

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March 15, 2023 - Commentary Using data to enhance performance and improve quality and safety in surgery. Citation Text: Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. Co…

Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. | PSNet

psnet.ahrq.gov/issue/burnout-neonatal-intensive-care-unit-and-its-relation-healthcare-associated-infections

November 20, 2019 - Study Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. Citation Text: Tawfik DS, Sexton JB, Kan P, et al. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. J Perinatol. 2017;37(3). doi:10.103…

Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet

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September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure injury policy. Citation Text: Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…

Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice. | PSNet

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November 04, 2012 - Study Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice. Citation Text: Ajeigbe DO, McNeese-Smith D, Leach LS, et al. Nurse-physician teamwork in the emergency department: impact on perceptions of job env…

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