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Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. | PSNet

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April 12, 2011 - Study Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. Citation Text: Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…

Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

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September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. | PSNet

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March 02, 2012 - Study Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Citation Text: Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…

A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet

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July 01, 2017 - Review A Department of Medicine infrastructure for patient safety and clinical quality improvement. Citation Text: Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. …

Payment innovations to improve diagnostic accuracy and reduce diagnostic error. | PSNet

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December 16, 2020 - Commentary Payment innovations to improve diagnostic accuracy and reduce diagnostic error. Citation Text: Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error. Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714. Co…

Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

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September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…

Falling through the cracks: the invisible hospital cleaning workforce. | PSNet

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June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. | PSNet

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September 19, 2016 - Study Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. Citation Text: Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during inter-hospital transpo…

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. | PSNet

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January 04, 2012 - Study Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. Citation Text: Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code …

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

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May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

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February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet

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September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. Citation Text: Imfeld K, Keith M, Stoyanoff L, et al. Diet order entry by registered dietitians results in a reduction in error rates and time …

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

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January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training. | PSNet

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October 19, 2022 - Study Emerging Classic Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training. Citation Text: Williford ML, Scarlet S, Meyers MO, et al. Multiple-Institution Comparison of Resident and Faculty Perce…

Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

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July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet

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October 07, 2020 - Commentary Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. Citation Text: Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …

Surgical never events and contributing human factors. | PSNet

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August 20, 2018 - Study Classic Surgical never events and contributing human factors. Citation Text: Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. Copy Citation Format:…

Racial and ethnic differences in the experience and treatment of noncancer pain. | PSNet

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June 01, 2022 - Review Emerging Classic Racial and ethnic differences in the experience and treatment of noncancer pain. Citation Text: Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):…

Accuracy of interpretation of preparticipation screening electrocardiograms. | PSNet

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May 18, 2022 - Study Accuracy of interpretation of preparticipation screening electrocardiograms. Citation Text: Hill AC, Miyake CY, Grady S, et al. Accuracy of interpretation of preparticipation screening electrocardiograms. J Pediatr. 2011;159(5):783-8. doi:10.1016/j.jpeds.2011.05.014. Copy Citat…

Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. | PSNet

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June 27, 2018 - Study Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. Citation Text: Tseng YW, Vedula S, Malpani A, et al. Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Se…

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