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Analysis and prioritization of near-miss adverse events in a radiology department. | PSNet

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June 15, 2016 - Study Analysis and prioritization of near-miss adverse events in a radiology department. Citation Text: Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…

The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. | PSNet

psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices

November 14, 2011 - Book/Report The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. Citation Text: The Feasibility of Dete…

A novel process audit for standardized perioperative handoff protocols. | PSNet

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June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. | PSNet

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November 14, 2011 - Review A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. Citation Text: Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for opera…

Assessment of a simulated case-based measurement of physician diagnostic performance. | PSNet

psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance

May 20, 2019 - Study Assessment of a simulated case-based measurement of physician diagnostic performance. Citation Text: Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…

Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice. | PSNet

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March 14, 2022 - Study Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice. Citation Text: Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-…

Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. | PSNet

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December 11, 2024 - Commentary Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Citation Text: Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…

Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

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July 13, 2016 - Study Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. Citation Text: Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medica…

Beyond the medical record: other modes of error acknowledgment. | PSNet

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August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. Citation Text: Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. Copy Citation Format: Google Scholar PubMe…

Parent preferences for medical error disclosure: a qualitative study. | PSNet

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January 25, 2017 - Study Parent preferences for medical error disclosure: a qualitative study. Citation Text: Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. Copy Citation Format: …

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. | PSNet

psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and

May 27, 2011 - Study Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. Citation Text: Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…

The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. | PSNet

psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning

September 11, 2024 - Study The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. Citation Text: Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…

Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. | PSNet

psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice

July 14, 2010 - Commentary Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Citation Text: Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…

Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet

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May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

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April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

Sensemaking, safety, and cooperative work in the intensive care unit. | PSNet

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September 29, 2010 - Study Sensemaking, safety, and cooperative work in the intensive care unit. Citation Text: Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. Copy Citation Format:…

Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. | PSNet

psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative

August 17, 2018 - Review Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Citation Text: Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Inter…

The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). | PSNet

psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative-review-2008-2014

June 03, 2020 - Review The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). Citation Text: Dellefield ME, Castle NG, McGilton KS, et al. The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014). Nurs Econ. 2…

S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. | PSNet

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November 30, 2022 - Commentary S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. Citation Text: Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…

A protocol for the safe use of hazardous drugs in the OR. | PSNet

psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or

May 13, 2015 - Study A protocol for the safe use of hazardous drugs in the OR. Citation Text: Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960. Copy Citation Format: DOI Google Scholar BibTeX End…

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