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5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. | PSNet

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November 12, 2014 - Study 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data. Citation Text: Pandit JJ, Andrade J, Bogod DG, et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, metho…

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. | PSNet

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July 10, 2024 - Commentary The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. Citation Text: Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…

Adverse drug events in ambulatory care. | PSNet

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February 24, 2011 - Study Classic Adverse drug events in ambulatory care. Citation Text: Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. | PSNet

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October 16, 2024 - Review Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. Citation Text: Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…

A comprehensive obstetrics patient safety program improves safety climate and culture. | PSNet

psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture

October 20, 2014 - Study A comprehensive obstetrics patient safety program improves safety climate and culture. Citation Text: Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. | PSNet

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August 02, 2023 - Commentary A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Citation Text: Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. | PSNet

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March 10, 2011 - Study Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. Citation Text: Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…

Culture, language, and patient safety: making the link. | PSNet

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June 22, 2009 - Commentary Culture, language, and patient safety: making the link. Citation Text: Johnstone M-J, Kanitsaki O. Culture, language, and patient safety: Making the link. Int J Qual Health Care. 2006;18(5):383-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet

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July 30, 2014 - Commentary Understanding psychological safety in health care and education organizations: a comparative perspective. Citation Text: Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…

Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). | PSNet

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August 25, 2011 - Review Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). Citation Text: Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transition…

Targeting the fear of safety reporting on a unit level. | PSNet

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December 13, 2023 - Commentary Targeting the fear of safety reporting on a unit level. Citation Text: Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. | PSNet

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September 02, 2020 - Study Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. Citation Text: Wolfe H, Zebuhr C, Topjian AA, et al. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes*. Crit Care Med. 2014;42(7):1688-95. doi:10.1097/CCM.0000000000000327. Copy …

'Even now it makes me angry': health care students' professionalism dilemma narratives. | PSNet

psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives

June 12, 2019 - Study 'Even now it makes me angry': health care students' professionalism dilemma narratives. Citation Text: Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…

Operating room briefings and wrong-site surgery. | PSNet

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November 26, 2008 - Study Classic Operating room briefings and wrong-site surgery. Citation Text: Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. Copy Citation Format: Google Scholar PubMe…

Americans' Experiences With Medical Errors and Views on Patient Safety. | PSNet

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January 06, 2015 - Book/Report Classic Americans' Experiences With Medical Errors and Views on Patient Safety. Citation Text: Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…

Capturing essential information to achieve safe interoperability. | PSNet

psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability

February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

How will state medical boards handle cases involving disclosure and apology for medical errors? | PSNet

psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors

September 07, 2022 - Study How will state medical boards handle cases involving disclosure and apology for medical errors? Citation Text: Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160…

The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature. | PSNet

psnet.ahrq.gov/issue/relationship-between-resident-physician-burnout-and-its-effects-patient-care-professionalism

December 21, 2017 - Review The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature. Citation Text: McTaggart LS, Walker JP. The relationship between resident physician burnout and its’ effects on patient care…

Feeling unsafe in the healthcare setting: patients' perspectives. | PSNet

psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-perspectives

June 11, 2014 - Review Feeling unsafe in the healthcare setting: patients' perspectives. Citation Text: Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. Copy Citation Format: DO…

Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review

September 28, 2022 - Review Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. Citation Text: Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic re…

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