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Making an infusion error: the second victims of infusion therapy-related medication errors. | PSNet

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June 27, 2018 - Study Making an infusion error: the second victims of infusion therapy-related medication errors. Citation Text: Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.00000000000…

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. | PSNet

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March 28, 2011 - Commentary Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. Citation Text: Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary ca…

Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

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August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

Effects of extended work shifts and shift work on patient safety, productivity, and employee health. | PSNet

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October 20, 2021 - Commentary Effects of extended work shifts and shift work on patient safety, productivity, and employee health. Citation Text: Keller SM. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. AAOHN J. 2009;57(12):497-504. doi:10.3928/08910…

Patient safety in Taiwan: a survey on orthopedic surgeons. | PSNet

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October 27, 2016 - Study Patient safety in Taiwan: a survey on orthopedic surgeons. Citation Text: Yang C-T, Chen H-H, Hou S-M. Patient safety in Taiwan: a survey on orthopedic surgeons. J Formos Med Assoc. 2007;106(3):212-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

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June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

Interruptions during the delivery of high-risk medications. | PSNet

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September 26, 2016 - Study Interruptions during the delivery of high-risk medications. Citation Text: Trbovich PL, Prakash V, Stewart J, et al. Interruptions during the delivery of high-risk medications. J Nurs Adm. 2010;40(5):211-8. doi:10.1097/NNA.0b013e3181da4047. Copy Citation Format: DOI G…

Safe injection, infusion, and medication vial practices in health care (2016). | PSNet

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October 19, 2022 - Organizational Policy/Guidelines Safe injection, infusion, and medication vial practices in health care (2016). Citation Text: Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American journal of infectio…

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. | PSNet

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September 23, 2020 - Review Emerging Classic Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Citation Text: Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaes…

Improving medication safety in primary care using electronic health records. | PSNet

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April 23, 2008 - Study Improving medication safety in primary care using electronic health records. Citation Text: Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43. Copy Citation Format: Google Scholar PubM…

Year-end resident clinic handoffs: narrative review and recommendations for improvement. | PSNet

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March 28, 2018 - Review Year-end resident clinic handoffs: narrative review and recommendations for improvement. Citation Text: Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…

Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. | PSNet

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November 02, 2016 - Study Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. Citation Text: Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:1…

Communication and shared understanding between parents and resident-physicians at night. | PSNet

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May 08, 2017 - Study Communication and shared understanding between parents and resident-physicians at night. Citation Text: Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…

Considerations for the design of safe and effective consumer health IT applications in the home. | PSNet

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September 24, 2016 - Study Considerations for the design of safe and effective consumer health IT applications in the home. Citation Text: Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67.…

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. | PSNet

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March 23, 2011 - Study The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. Citation Text: Alldred DP, Standage C, Fletcher O, et al. The influence of formulation and medicine delivery system on medication administration errors in…

Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. | PSNet

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April 07, 2021 - Study Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. Citation Text: Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship…

Variation in hospital mortality associated with inpatient surgery. | PSNet

psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery

August 02, 2015 - Study Classic Variation in hospital mortality associated with inpatient surgery. Citation Text: Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…

Duty hours restriction and their effect on resident education and academic departments: the American perspective. | PSNet

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November 16, 2022 - Review Duty hours restriction and their effect on resident education and academic departments: the American perspective. Citation Text: Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…

The ethics of empowering patients as partners in healthcare-associated infection prevention. | PSNet

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January 04, 2019 - Commentary The ethics of empowering patients as partners in healthcare-associated infection prevention. Citation Text: Sharp D, Palmore T, Grady C. The ethics of empowering patients as partners in healthcare-associated infection prevention. Infect Control Hosp Epidemiol. 2014;35(3):307-9…

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. | PSNet

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February 10, 2021 - Study A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Citation Text: Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-…

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