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Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. | PSNet

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November 04, 2020 - Study Explaining the negative effects of patient participation in patient safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. Citation Text: Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in…

Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. | PSNet

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June 20, 2018 - Press Release/Announcement Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up. Citation Text: Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…

Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

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September 22, 2021 - Study Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…

A contemporary analysis of closed claims related to wrong site surgery. | PSNet

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March 03, 2021 - Study A contemporary analysis of closed claims related to wrong site surgery. Citation Text: Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. Copy Cit…

Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. | PSNet

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July 08, 2020 - Study Classic Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. Citation Text: Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. | PSNet

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May 05, 2021 - Commentary 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. Citation Text: Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…

Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. | PSNet

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August 12, 2020 - Study Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. Citation Text: Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug e…

Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. | PSNet

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August 29, 2018 - Study Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. Citation Text: Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments …

Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. | PSNet

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August 26, 2020 - Study Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a ho…

Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. | PSNet

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June 02, 2010 - Study Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Citation Text: Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.…

Medication discrepancy rates and sources upon nursing home intake: a prospective study. | PSNet

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February 12, 2020 - Study Medication discrepancy rates and sources upon nursing home intake: a prospective study. Citation Text: Patterson ME, Bollinger S, Coleman C, et al. Medication discrepancy rates and sources upon nursing home intake: a prospective study. Res Social Adm Pharm. 2022;18(5):2830-2836. do…

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. | PSNet

psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population

December 29, 2014 - Study Classic Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Citation Text: Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patie…

The long road to patient safety: a status report on patient safety systems. | PSNet

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October 04, 2011 - Study Classic The long road to patient safety: a status report on patient safety systems. Citation Text: Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. Copy Citation …

Identifying risk in the use of tumor markers to improve patient safety. | PSNet

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March 09, 2022 - Study Identifying risk in the use of tumor markers to improve patient safety. Citation Text: Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015…

Factors contributing to an increase in duplicate medication order errors after CPOE implementation. | PSNet

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December 31, 2014 - Study Factors contributing to an increase in duplicate medication order errors after CPOE implementation. Citation Text: Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …

Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. | PSNet

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July 29, 2020 - Study Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. Citation Text: Amin PB, Bradford CD, Rizos AL, et al. Measuring the Impact of Medication-Related Interventions on 30-Day Readmission Rates in a Skilled Nursing Facili…

Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care

January 12, 2022 - Study Getting the whole story: integrating patient complaints and staff reports of unsafe care. Citation Text: van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …

Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/education-and-training-nurses-use-advanced-medical-technologies-home-care-related-patient

July 15, 2020 - Study Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey. Citation Text: ten Haken I, Ben Allouch S, van Harten WH. Education and training of nurses in the use of advanced medical technologies in h…

Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components. | PSNet

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February 17, 2021 - Study Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components. Citation Text: Harvey J, Avery A, Ashcroft DM, et al. Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organiz…

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors

July 14, 2021 - Study The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. Citation Text: Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:…

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