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  1. African American COVID-19 mortality: a sentinel event. | PSNet

    psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
    November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

  2. Transfusion safety: the nature and outcomes of errors in patient registration. | PSNet

    psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
    December 16, 2020 - Review Transfusion safety: the nature and outcomes of errors in patient registration. Citation Text: Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004. Copy …

  3. Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. | PSNet

    psnet.ahrq.gov/issue/untangling-infusion-confusion-comparative-evaluation-interventions-simulated-intensive-care
    September 01, 2021 - Study Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. Citation Text: Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit …

  4. Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet

    psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient
    January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

  5. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
    March 09, 2022 - Study Cognitive bias impact on management of postoperative complications, medical error, and standard of care. Citation Text: Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res…

  6. Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

    psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
    April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

  7. Telemedicine consultations and medication errors in rural emergency departments. | PSNet

    psnet.ahrq.gov/issue/telemedicine-consultations-and-medication-errors-rural-emergency-departments
    August 29, 2011 - Study Telemedicine consultations and medication errors in rural emergency departments. Citation Text: Dharmar M, Kuppermann N, Romano PS, et al. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics. 2013;132(6):1090-7. doi:10.1542/peds.2013-1374. …

  8. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/technology-enhanced-simulation-health-professions-education-systematic-review-and-meta
    October 19, 2022 - Review Classic Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. Citation Text: Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and me…

  9. Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/investigating-influence-selected-leadership-styles-patient-safety-and-quality-care-systematic
    October 07, 2020 - Review Investigating the influence of selected leadership styles on patient safety and quality of care: a systematic review and meta-analysis. Citation Text: Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety and quality of care: …

  10. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. | PSNet

    psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members
    January 28, 2010 - Study Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. Citation Text: Evans S, Murray A, Patrick I, et al. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. Qual Saf Health Care. 2010;1…

  11. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. | PSNet

    psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
    March 14, 2012 - Review Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. Citation Text: de Feijter JM, de Grave WS, Koopmans RP, et al. Informal learning from error in hospitals: what do we learn, how do we learn…

  12. Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests. | PSNet

    psnet.ahrq.gov/issue/data-quality-associated-handwritten-laboratory-test-requests-classification-and-frequency
    September 27, 2023 - Study Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests. Citation Text: Vecellio E, Toouli G, Georgiou A, et al. Data quality associated with handwritten laboratory test requests: classificat…

  13. PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. | PSNet

    psnet.ahrq.gov/issue/pipc-study-development-indicators-potentially-inappropriate-prescribing-children-pipc-primary
    December 05, 2018 - Study PIPc study: development of indicators of potentially inappropriate prescribing in children (PIPc) in primary care using a modified Delphi technique. Citation Text: Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate prescribing …

  14. Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. | PSNet

    psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
    May 21, 2009 - Study Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey. Citation Text: Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …

  15. 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…

  16. Improving medication safety during hospital-based transitions of care. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
    May 08, 2017 - Commentary Improving medication safety during hospital-based transitions of care. Citation Text: Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care. Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025. Copy Citation …

  17. A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/combined-teamwork-training-and-work-standardisation-intervention-operating-theatres
    January 20, 2015 - Study A combined teamwork training and work standardisation intervention in operating theatres: controlled interrupted time series study. Citation Text: Morgan L, Pickering S, Hadi M, et al. A combined teamwork training and work standardisation intervention in operating theatres: control…

  18. Medicine self-administration errors in the older adult population: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medicine-self-administration-errors-older-adult-population-systematic-review
    August 18, 2021 - Review Medicine self-administration errors in the older adult population: a systematic review. Citation Text: Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review. Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2…

  19. Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff-satisfaction
    February 26, 2020 - Study Emerging Classic Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. Citation Text: Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves p…

  20. Fatal flaws in clinical decision making. | PSNet

    psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
    March 03, 2011 - Study Fatal flaws in clinical decision making. Citation Text: Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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