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"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet

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October 29, 2014 - Study "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. Citation Text: Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…

Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. | PSNet

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June 21, 2015 - Study Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. Citation Text: Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture. BMC Health Serv Res. 2016;16…

Five system barriers to achieving ultrasafe health care. | PSNet

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September 29, 2017 - Commentary Classic Five system barriers to achieving ultrasafe health care. Citation Text: Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. Copy Citation Format: …

Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet

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January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…

Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. | PSNet

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March 16, 2016 - Study Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. Citation Text: Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…

Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. | PSNet

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February 15, 2023 - Study Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. Citation Text: Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …

Detection of adverse drug events using an electronic trigger tool. | PSNet

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October 02, 2013 - Study Detection of adverse drug events using an electronic trigger tool. Citation Text: Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. Copy Citation F…

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. | PSNet

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October 19, 2022 - Study Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. Citation Text: Bonis PA, Pickens GT, Rind DM, et al. Association of a clini…

Direct reporting of laboratory test results to patients by mail to enhance patient safety. | PSNet

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February 15, 2011 - Study Direct reporting of laboratory test results to patients by mail to enhance patient safety. Citation Text: Sung S, Forman-Hoffman VL, Wilson MC, et al. Direct reporting of laboratory test results to patients by mail to enhance patient safety. J Gen Intern Med. 2006;21(10):1075-8. …

Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet

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July 07, 2021 - Study Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Citation Text: Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. do…

Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. | PSNet

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May 18, 2022 - Study Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. Citation Text: Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From Engli…

Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet

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September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. | PSNet

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March 07, 2012 - Study Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Citation Text: Amaral ACK-B, Barros BS, Barros CCPP, et al. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J R…

Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. | PSNet

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January 22, 2014 - Study Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. Citation Text: Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …

How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. | PSNet

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September 23, 2020 - Study Classic How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Citation Text: Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…

Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet

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February 04, 2009 - Study Medication report reduces number of medication errors when elderly patients are discharged from hospital. Citation Text: Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…

Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial. | PSNet

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November 16, 2022 - Study Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial. Citation Text: O'Connor DM, Jew OS, Perman MJ, et al. Diagnostic Accuracy of Pediatric Teledermatology Using Parent-Submitted Photographs: A Randomized Clinical Trial. …

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter

May 18, 2022 - Study Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial. Citation Text: Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…

What is the scale of prescribing errors committed by junior doctors? A systematic review. | PSNet

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January 30, 2013 - Review What is the scale of prescribing errors committed by junior doctors? A systematic review. Citation Text: Ross S, Bond C, Rothnie H, et al. What is the scale of prescribing errors committed by junior doctors? A systematic review. Br J Clin Pharmacol. 2009;67(6):629-40. doi:10.111…

Medication order errors at hospital admission among children with medical complexity | PSNet

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July 20, 2022 - Study Medication order errors at hospital admission among children with medical complexity Citation Text: Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.00000…

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