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Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. | PSNet

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May 27, 2020 - Study Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. Citation Text: DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter

June 29, 2009 - Study Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. Citation Text: Sinopoli DJ, Needham DM, Thompson DA, et al. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. J Cr…

Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. | PSNet

psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large

January 03, 2017 - Study Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional …

Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. | PSNet

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February 07, 2022 - Study Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Citation Text: Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanic…

Decreasing handoff-related care failures in children's hospitals. | PSNet

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April 24, 2018 - Study Decreasing handoff-related care failures in children's hospitals. Citation Text: Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. Copy Citation Format: …

Communication through the electronic health record: frequency and implications of free text orders. | PSNet

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May 12, 2021 - Study Communication through the electronic health record: frequency and implications of free text orders. Citation Text: Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…

Fighting MRSA infections in hospital care: how organizational factors matter. | PSNet

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July 10, 2008 - Study Fighting MRSA infections in hospital care: how organizational factors matter. Citation Text: Salge TO, Vera A, Antons D, et al. Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. Health Serv Res. 2016;52(3):959-983. doi:10.1111/1475-6773.12521. Copy Cit…

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet

psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year

August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. | PSNet

psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-patient-safety-events-hospitalized-children

August 14, 2018 - Study Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1…

The medication reconciliation process and classification of discrepancies: a systematic review. | PSNet

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May 03, 2023 - Review The medication reconciliation process and classification of discrepancies: a systematic review. Citation Text: Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…

Patients' experiences with communication-and-resolution programs after medical injury. | PSNet

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May 05, 2021 - Study Patients' experiences with communication-and-resolution programs after medical injury. Citation Text: Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamaintern…

Using snowball sampling method with nurses to understand medication administration errors. | PSNet

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August 02, 2011 - Study Using snowball sampling method with nurses to understand medication administration errors. Citation Text: Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…

Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent

November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet

psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning

January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. Citation Text: Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. | PSNet

psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true

February 25, 2009 - Study From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. Citation Text: Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…

Saving lives: a meta-analysis of team training in healthcare. | PSNet

psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare

October 31, 2017 - Review Saving lives: a meta-analysis of team training in healthcare. Citation Text: Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. Copy Citation Format: DOI …

Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet

psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical

March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet

psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006

April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. | PSNet

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October 24, 2012 - Study The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. Citation Text: Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…

Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy

November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

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