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Nurses' role in medical error recovery: an integrative review. | PSNet

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September 28, 2005 - Review Nurses' role in medical error recovery: an integrative review. Citation Text: Gaffney TA, Hatcher BJ, Milligan R. Nurses' role in medical error recovery: an integrative review. J Clin Nurs. 2016;25(7-8):906-17. doi:10.1111/jocn.13126. Copy Citation Format: DOI Google…

The next phase of health care improvement: what can we learn from social movements? | PSNet

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July 22, 2010 - Commentary The next phase of health care improvement: what can we learn from social movements? Citation Text: Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Qual Saf Health Care. 2004;13(1):62-6. Copy Citation Format:…

The OR and a "just culture." | PSNet

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February 01, 2017 - Commentary The OR and a "just culture." Citation Text: Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. | PSNet

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July 19, 2023 - Commentary Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Citation Text: Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med R…

Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel theoretical framework. | PSNet

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May 06, 2015 - Commentary Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel theoretical framework. Citation Text: Naveh E, Katz-Navon T. Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel theo…

IV medication safety software implementation in a multihospital health system. | PSNet

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October 17, 2018 - Commentary IV medication safety software implementation in a multihospital health system. Citation Text: Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151. Copy Citation Format: …

Bedside detection of awareness in the vegetative state: a cohort study. | PSNet

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December 16, 2020 - Study Bedside detection of awareness in the vegetative state: a cohort study. Citation Text: Cruse D, Chennu S, Chatelle C, et al. Bedside detection of awareness in the vegetative state: a cohort study. Lancet. 2011;378(9809):2088-94. doi:10.1016/S0140-6736(11)61224-5. Copy Citation …

The contribution of labelling to safe medication administration in anaesthetic practice. | PSNet

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March 17, 2021 - Commentary The contribution of labelling to safe medication administration in anaesthetic practice. Citation Text: Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…

Development and validation of a tool to assess emergency physicians' nontechnical skills. | PSNet

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December 12, 2012 - Study Development and validation of a tool to assess emergency physicians' nontechnical skills. Citation Text: Flowerdew L, Brown R, Vincent CA, et al. Development and validation of a tool to assess emergency physicians' nontechnical skills. Ann Emerg Med. 2012;59(5):376-385.e4. doi:10…

Why simulation matters: a systematic review on medical errors occurring during simulated health care. | PSNet

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September 25, 2019 - Review Why simulation matters: a systematic review on medical errors occurring during simulated health care. Citation Text: Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-1…

Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. | PSNet

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August 04, 2021 - Organizational Policy/Guidelines Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. Citation Text: Anderson E, Bythell V, Gemmell L, et al. Checking Anaesthetic Equipment 2012. Anaesthesia. 2012;67(6). doi:10.1111/j.1365-2044.2012.07163.x. …

The role of documents and documentation in communication failure across the perioperative pathway. A literature review. | PSNet

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November 06, 2015 - Review The role of documents and documentation in communication failure across the perioperative pathway. A literature review. Citation Text: Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…

Creating a highly reliable neonatal intensive care unit through safer systems of care. | PSNet

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January 12, 2011 - Review Creating a highly reliable neonatal intensive care unit through safer systems of care. Citation Text: Panagos PG, Pearlman SA. Creating a Highly Reliable Neonatal Intensive Care Unit Through Safer Systems of Care. Clin Perinatol. 2017;44(3):645-662. doi:10.1016/j.clp.2017.05.006. …

Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. | PSNet

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September 20, 2011 - Commentary Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. Citation Text: Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257…

Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. | PSNet

psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel

July 16, 2019 - Study Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. Citation Text: Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-…

Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet

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August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …

Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. | PSNet

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July 08, 2020 - Study Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. Citation Text: Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493. Copy Citat…

Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. | PSNet

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January 14, 2011 - Review Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Citation Text: Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …

Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). | PSNet

psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure

January 13, 2010 - Study Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Citation Text: Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …

Reducing the risk of adverse drug events in older adults. | PSNet

psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults

November 21, 2021 - Commentary Reducing the risk of adverse drug events in older adults. Citation Text: Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am Fam Physician. 2013;87(5):331-6. Copy Citation Format: Google Scholar PubMed BibTeX…

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