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The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet

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January 19, 2011 - Study The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. Citation Text: Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents …

Optimizing transitions of care to reduce rehospitalizations. | PSNet

psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations

November 04, 2015 - Review Optimizing transitions of care to reduce rehospitalizations. Citation Text: Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. Copy Citation Format: DOI Google Schol…

Developing a patient measure of safety (PMOS). | PSNet

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June 25, 2014 - Study Developing a patient measure of safety (PMOS). Citation Text: Giles SJ, Lawton R, Din I, et al. Developing a patient measure of safety (PMOS). BMJ Qual Saf. 2013;22(7):554-62. doi:10.1136/bmjqs-2012-000843. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children. | PSNet

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July 16, 2015 - Study Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children. Citation Text: Basco WT, Garner SS, Ebeling M, et al. Evaluating the Potential Severity of Look-Alike, Sound-Alike Drug Substitution Errors in Children. Acad Pediatr. 2016;16(2):183-1…

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet

psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy

December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…

A review of best practices for intravenous push medication administration. | PSNet

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February 21, 2018 - Review A review of best practices for intravenous push medication administration. Citation Text: Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. Copy Cit…

Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

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June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

Mortality related to anaesthesia in France: analysis of deaths related to airway complications. | PSNet

psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications

June 20, 2011 - Study Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Citation Text: Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …

An engineered solution to the maladministration of spinal injections. | PSNet

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March 14, 2022 - Study An engineered solution to the maladministration of spinal injections. Citation Text: Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767. Copy Citation …

Deploying Six Sigma in a health care system as a work in progress. | PSNet

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March 04, 2011 - Study Deploying Six Sigma in a health care system as a work in progress. Citation Text: Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. Copy Citation Format: Goo…

Epidemiology, comparative methods of detection, and preventability of adverse drug events. | PSNet

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March 09, 2016 - Study Epidemiology, comparative methods of detection, and preventability of adverse drug events. Citation Text: Al-Tajir GK, Kelly WN. Epidemiology, comparative methods of detection, and preventability of adverse drug events. Ann Pharmacother. 2005;39(7-8):1169-74. Copy Citation …

Patient risk factors for medical injury: a case–control study. | PSNet

psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study

April 12, 2011 - Study Patient risk factors for medical injury: a case–control study. Citation Text: Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. Copy Citation Format: …

Case study research: the view from complexity science. | PSNet

psnet.ahrq.gov/issue/case-study-research-view-complexity-science

January 03, 2017 - Commentary Case study research: the view from complexity science. Citation Text: Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality

October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…

Sleep and errors in a group of Australian hospital nurses at work and during the commute. | PSNet

psnet.ahrq.gov/issue/sleep-and-errors-group-australian-hospital-nurses-work-and-during-commute

February 14, 2024 - Study Sleep and errors in a group of Australian hospital nurses at work and during the commute. Citation Text: Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…

Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. | PSNet

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March 26, 2015 - Study Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training. Citation Text: Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…

Opioid medication discontinuation and risk of adverse opioid-related health care events. | PSNet

psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events

November 16, 2022 - Study Classic Opioid medication discontinuation and risk of adverse opioid-related health care events. Citation Text: Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…

Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-can-be-regulated-using-current-patient-safety-procedures-and

March 06, 2019 - Commentary Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals. Citation Text: Fleisher LA, Economou-Zavlanos NJ. Artificial intelligence can be regulated using current patient safety procedures and infrastructure in hospitals.…

All CLEAR? Preparing for IT downtime. | PSNet

psnet.ahrq.gov/issue/all-clear-preparing-it-downtime

November 16, 2022 - Commentary All CLEAR? Preparing for IT downtime. Citation Text: Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. | PSNet

psnet.ahrq.gov/issue/psychological-safety-communication-openness-nurse-job-outcomes-and-patient-safety-hospital

August 19, 2020 - Study Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Citation Text: Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. Res Nurs Health. …

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