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Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

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June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

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August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

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January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

The relationship between early emergency team calls and serious adverse events. | PSNet

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June 02, 2010 - Study The relationship between early emergency team calls and serious adverse events. Citation Text: Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…

Parent preferences for medical error disclosure: a qualitative study. | PSNet

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January 25, 2017 - Study Parent preferences for medical error disclosure: a qualitative study. Citation Text: Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. Copy Citation Format: …

The effect of evidence in crisis learning: based on a perspective integration framework. | PSNet

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March 24, 2019 - Commentary The effect of evidence in crisis learning: based on a perspective integration framework. Citation Text: Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…

Medication errors resulting from computer entry by nonprescribers. | PSNet

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January 02, 2017 - Study Medication errors resulting from computer entry by nonprescribers. Citation Text: Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. Copy Citation …

The use of patient pictures and verification screens to reduce computerized provider order entry errors. | PSNet

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November 16, 2022 - Study The use of patient pictures and verification screens to reduce computerized provider order entry errors. Citation Text: Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(…

Spoons systematically bias dosing of liquid medicine. | PSNet

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November 03, 2015 - Study Spoons systematically bias dosing of liquid medicine. Citation Text: Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024. Copy Citation Format: DOI Google Scho…

In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. | PSNet

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December 12, 2012 - Study In-hospital sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. Citation Text: Hill A-M, Jacques A, Chandler M, et al. In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States. Jt Comm J…

Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet

psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths

March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…

Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. | PSNet

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November 12, 2014 - Review Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Citation Text: Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…

Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. | PSNet

psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection

January 08, 2016 - Study Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Citation Text: Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…

Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet

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April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…

A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. | PSNet

psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient

October 27, 2010 - Study A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. Citation Text: Nakajima K, Kurata Y, Takeda H. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a …

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." | PSNet

psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized

April 29, 2018 - Commentary Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." Citation Text: Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…

How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. | PSNet

psnet.ahrq.gov/issue/how-well-do-we-communicate-comparison-intraoperative-diagnoses-listed-pathology-reports-and

May 29, 2019 - Study How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. Citation Text: Talmon G, Horn A, Wedel W, et al. How well do we communicate?: a comparison of intraoperative diagnoses listed in pathology reports and operative no…

Getting by: underuse of interpreters by resident physicians. | PSNet

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February 21, 2018 - Study Getting by: underuse of interpreters by resident physicians. Citation Text: Diamond LC, Schenker Y, Curry LA, et al. Getting by: underuse of interpreters by resident physicians. J Gen Intern Med. 2009;24(2):256-62. doi:10.1007/s11606-008-0875-7. Copy Citation Format: …

How often do physicians review medication charts on ward rounds? | PSNet

psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds

September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

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June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

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