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Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet

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January 29, 2015 - Commentary Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. Citation Text: Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…

Diagnostic errors related to acute abdominal pain in the emergency department. | PSNet

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December 16, 2020 - Study Diagnostic errors related to acute abdominal pain in the emergency department. Citation Text: Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754.…

Improving alarm performance in the medical intensive care unit using delays and clinical context. | PSNet

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December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…

Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. | PSNet

psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood

October 14, 2011 - Study Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. Citation Text: Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …

Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. | PSNet

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March 09, 2022 - Study Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Citation Text: Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…

Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

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July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

Multidose drug dispensing and discrepancies between medication records. | PSNet

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November 06, 2013 - Study Multidose drug dispensing and discrepancies between medication records. Citation Text: Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745. Copy Citati…

Development of a medication safety and quality survey for small rural hospitals. | PSNet

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July 15, 2010 - Study Development of a medication safety and quality survey for small rural hospitals. Citation Text: Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.00000000…

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet

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April 22, 2011 - Study Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Citation Text: van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. | PSNet

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September 23, 2020 - Commentary Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Citation Text: Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Am J Health S…

Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. | PSNet

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April 03, 2013 - Study Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Citation Text: Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J…

Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. | PSNet

psnet.ahrq.gov/issue/discrepancies-between-prescribed-and-actual-pediatric-home-parenteral-nutrition-solutions

November 11, 2009 - Study Discrepancies between prescribed and actual pediatric home parenteral nutrition solutions. Citation Text: Raphael BP, Murphy M, Gura KM, et al. Discrepancies Between Prescribed and Actual Pediatric Home Parenteral Nutrition Solutions. Nutr Clin Pract. 2016;31(5):654-658. doi:10.117…

Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety

August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

Applying aviation factors to oral and maxillofacial surgery—the human element. | PSNet

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September 23, 2020 - Commentary Applying aviation factors to oral and maxillofacial surgery—the human element. Citation Text: Seager L, Smith DW, Patel A, et al. Applying aviation factors to oral and maxillofacial surgery--the human element. Br J Oral Maxillofac Surg. 2013;51(1):8-13. doi:10.1016/j.bjoms.2…

Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. | PSNet

psnet.ahrq.gov/issue/litigation-related-drug-errors-anaesthesia-analysis-claims-against-nhs-england-1995-2007

November 12, 2014 - Study Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Citation Text: Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2…

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? | PSNet

psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense

January 06, 2017 - Study Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Citation Text: Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…

Therapeutic errors among children in the community setting: nature, causes and outcomes. | PSNet

psnet.ahrq.gov/issue/therapeutic-errors-among-children-community-setting-nature-causes-and-outcomes

September 09, 2009 - Study Therapeutic errors among children in the community setting: nature, causes and outcomes. Citation Text: Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors among children in the community setting: nature, causes and outcomes. J Paediatr Child Health. 2009;45(5):304-9. doi:…

Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. | PSNet

psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication

October 06, 2016 - Study Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. Citation Text: Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-6…

Medication error prevention by pharmacists. | PSNet

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August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Communicating critical test results: safe practice recommendations. | PSNet

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June 13, 2011 - Study Communicating critical test results: safe practice recommendations. Citation Text: Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. Copy Citation Format: Google Schol…

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