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Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. | PSNet

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March 16, 2022 - Review Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. Citation Text: Kruse CS, Mileski M, Syal R, et al. Evaluating the relationship between health information technology and safer-prescribing in…

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized

November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

Resident fatigue: is there a patient safety issue? | PSNet

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February 03, 2010 - Study Resident fatigue: is there a patient safety issue? Citation Text: Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. Copy Citation Format: DOI Google Scholar PubM…

ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. | PSNet

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October 19, 2022 - Organizational Policy/Guidelines ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. Citation Text: Iredell B, Mourad H, Nickman NA, et al. ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Prepar…

Creating champions for health care quality and safety. | PSNet

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August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

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September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. | PSNet

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August 03, 2017 - Review Classic Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. Citation Text: Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…

40 years behind the mask: safety revisited. | PSNet

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January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. | PSNet

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July 02, 2014 - Study US internal medicine program director perceptions of alignment of graduate medical education and institutional resources for engaging residents in quality and safety. Citation Text: Chacko KM, Halvorsen AJ, Swenson SL, et al. US Internal Medicine Program Director Perceptions of Ali…

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

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July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

Information handoff and outcomes of critically ill patients transferred between hospitals. | PSNet

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July 18, 2016 - Study Information handoff and outcomes of critically ill patients transferred between hospitals. Citation Text: Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…

Why studying human behavior is a critical component of patient safety. | PSNet

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January 15, 2020 - Commentary Why studying human behavior is a critical component of patient safety. Citation Text: Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. Copy Citation F…

Principles of automation for patient safety in intensive care: learning from aviation. | PSNet

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April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. | PSNet

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November 25, 2020 - Study Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. Citation Text: O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality …

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. | PSNet

psnet.ahrq.gov/issue/multicompartment-compliance-aids-community-prevalence-potentially-inappropriate-medications

January 30, 2013 - Study Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. Citation Text: Counter D, Stewart D, MacLeod J, et al. Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. Br J Clin P…

Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. | PSNet

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March 11, 2013 - Study Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. Citation Text: Huckels-Baumgart S, Baumgart A, Buschmann U, et al. Separate Medication Preparation Rooms Reduce Interruptions and Medication …

How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. | PSNet

psnet.ahrq.gov/issue/how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and

November 11, 2020 - Study How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. Citation Text: Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout ana…

Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. | PSNet

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August 25, 2021 - Study Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. Citation Text: Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …

Five reasons for optimism on World Patient Safety Day. | PSNet

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March 30, 2022 - Commentary Five reasons for optimism on World Patient Safety Day. Citation Text: Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8. Copy Citation Format: DOI …

Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet

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September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. Citation Text: Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 20…

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