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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):…

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

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December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. | PSNet

psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients

March 13, 2019 - Study Classic A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Citation Text: Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …

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…

Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. | PSNet

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September 23, 2020 - Study Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. Citation Text: Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

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January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

Research to improve diagnosis: time to study the real world. | PSNet

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February 12, 2020 - Commentary Research to improve diagnosis: time to study the real world. Citation Text: Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. Copy Citation Format: DOI Google Scholar…

A hospitalization from hell: a patient's perspective on quality. | PSNet

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July 19, 2023 - Commentary Classic A hospitalization from hell: a patient's perspective on quality. Citation Text: Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39. Copy Citation Format: Google Scholar…

Literacy and misunderstanding prescription drug labels. | PSNet

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September 17, 2010 - Study Classic Literacy and misunderstanding prescription drug labels. Citation Text: Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. Copy Citation Format: Google Scho…

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…

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. …

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…

The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. | PSNet

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May 26, 2021 - Commentary The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Citation Text: The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. Moyal-Smith R, Margo J, Maloney FL, et al. J Patient Saf. 2023;19(4):243-248. Copy…

Computerised provider order entry and residency education in an academic medical centre. | PSNet

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June 09, 2015 - Study Computerised provider order entry and residency education in an academic medical centre. Citation Text: Wong BM, Kuper A, Robinson N, et al. Computerised provider order entry and residency education in an academic medical centre. Med Educ. 2012;46(8):795-806. doi:10.1111/j.1365-2…

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…

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. | PSNet

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December 14, 2022 - Study Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Citation Text: Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet

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October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. Citation Text: Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…

The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. | PSNet

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December 21, 2018 - Review The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review. Citation Text: Gill FJ, Leslie GD, Marshall AP. The Impact of Implementation of Family-Initiated Escalation of Care for the Deteriorating Patient in …

What practices will most improve safety? Evidence-based medicine meets patient safety. | PSNet

psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evidence-based-medicine-meets-patient-safety

March 18, 2019 - Commentary Classic What practices will most improve safety? Evidence-based medicine meets patient safety. Citation Text: Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA. 2002;288(4):501-7…

What is safety leadership? A systematic review of definitions. | PSNet

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October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

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