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Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. | PSNet

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October 13, 2021 - Commentary Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. Citation Text: van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…

Call to action: addressing pediatric fall safety in ambulatory environments. | PSNet

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June 30, 2021 - Study Call to action: addressing pediatric fall safety in ambulatory environments. Citation Text: Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. Copy Citat…

A review of significant events analysed in general practice: implications for the quality and safety of patient care. | PSNet

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October 29, 2008 - Study A review of significant events analysed in general practice: implications for the quality and safety of patient care. Citation Text: McKay J, Bradley N, Lough M, et al. A review of significant events analysed in general practice: implications for the quality and safety of patient…

Identifying modifiable barriers to medication error reporting in the nursing home setting. | PSNet

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March 10, 2011 - Study Identifying modifiable barriers to medication error reporting in the nursing home setting. Citation Text: Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74. C…

Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. | PSNet

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May 10, 2013 - Review Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. Citation Text: Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nur…

The impact of interruptions on medication errors in hospitals: an observational study of nurses. | PSNet

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November 15, 2017 - Study The impact of interruptions on medication errors in hospitals: an observational study of nurses. Citation Text: Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. | PSNet

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May 04, 2017 - Study Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. Citation Text: Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. BMJ Q…

Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

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June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? | PSNet

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July 26, 2023 - Commentary Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Citation Text: Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate…

Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. | PSNet

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February 19, 2020 - Study Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Citation Text: Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):…

Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. | PSNet

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December 29, 2014 - Study Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. Citation Text: Hansen KS, Uggen PE, Brattebø G, et al. Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. J Am Co…

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and

January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. | PSNet

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May 31, 2023 - Study Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. Citation Text: Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…

An analysis of near misses identified by anesthesia providers in the intensive care unit. | PSNet

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August 17, 2017 - Study An analysis of near misses identified by anesthesia providers in the intensive care unit. Citation Text: Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015;15:93. doi:10.11…

Surgical management and outcomes of 165 colonoscopic perforations from a single institution. | PSNet

psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution

November 16, 2022 - Study Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Citation Text: Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…

Deploying Six Sigma in a health care system as a work in progress. | PSNet

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March 04, 2011 - Study Deploying Six Sigma in a health care system as a work in progress. Citation Text: Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. Copy Citation Format: Goo…

Scale, nature, preventability and causes of adverse events in hospitalised older patients. | PSNet

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July 26, 2011 - Study Scale, nature, preventability and causes of adverse events in hospitalised older patients. Citation Text: Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/…

Examining the July Effect: a national survey of academic leaders in medicine. | PSNet

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July 05, 2016 - Study Examining the July Effect: a national survey of academic leaders in medicine. Citation Text: Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001. Copy Citati…

The value of 'gentle reminder' on safe medical behaviour. | PSNet

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August 26, 2011 - Study The value of 'gentle reminder' on safe medical behaviour. Citation Text: Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. Copy Citation Format: DOI Goog…

EHR safety: the way forward to safe and effective systems. | PSNet

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December 12, 2012 - Commentary EHR safety: the way forward to safe and effective systems. Citation Text: Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618. Copy Citation Format: …

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