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Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. | PSNet

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October 19, 2022 - Study Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. Citation Text: Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…

Process changes to increase compliance with the Universal Protocol for bedside procedures. | PSNet

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December 01, 2014 - Study Process changes to increase compliance with the Universal Protocol for bedside procedures. Citation Text: Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. | PSNet

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December 21, 2017 - Study Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools. Citation Text: Wright A, Feblowitz J, Phansalkar S, et al. Preventability of adverse drug events involving multiple drugs using publicly available clinical dec…

Health care huddles: managing complexity to achieve high reliability. | PSNet

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November 17, 2015 - Study Health care huddles: managing complexity to achieve high reliability. Citation Text: Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. Copy Citat…

Error traps in pediatric patient blood management in the perioperative period. | PSNet

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January 12, 2022 - Commentary Error traps in pediatric patient blood management in the perioperative period. Citation Text: Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. Copy C…

The impact of the medical emergency team on the resuscitation practice of critical care nurses. | PSNet

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December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…

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: …

Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. | PSNet

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April 19, 2013 - Study Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. Citation Text: McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicin…

The effect of medical emergency teams on patient outcome: a review of the literature. | PSNet

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September 23, 2020 - Review The effect of medical emergency teams on patient outcome: a review of the literature. Citation Text: Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. | PSNet

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November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. Citation Text: Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system

July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

Mandating limits on workload, duty, and speed in radiology. | PSNet

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August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…

Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. | PSNet

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July 24, 2024 - Study Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Citation Text: Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…

Paramedic self-reported medication errors. | PSNet

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January 14, 2011 - Study Paramedic self-reported medication errors. Citation Text: Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg Care. 2006;10(4):457-462. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. | PSNet

psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical

March 16, 2016 - Study Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. Citation Text: Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…

The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet

psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human

March 02, 2011 - Commentary Classic The end of the beginning: patient safety five years after 'To Err Is Human.' Citation Text: Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. C…

Identifying the latent failures underpinning medication administration errors: an exploratory study. | PSNet

psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study

December 21, 2016 - Study Identifying the latent failures underpinning medication administration errors: an exploratory study. Citation Text: Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…

Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. | PSNet

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March 09, 2022 - Study Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. Citation Text: Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in gener…

What 'just culture' doesn't understand about just punishment. | PSNet

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December 30, 2014 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. | PSNet

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June 08, 2022 - Study Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Citation Text: Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6. Co…

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