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The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety

November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/underlying-risk-factors-prescribing-errors-long-term-aged-care-qualitative-study

August 26, 2020 - Study Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. Citation Text: Tariq A, Georgiou A, Raban MZ, et al. Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. BMJ Qual Saf. 2016;25(9):704-15. doi:10.1136/…

Examining the relationship between nurse fatigue, alertness, and medication errors. | PSNet

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October 10, 2015 - Study Examining the relationship between nurse fatigue, alertness, and medication errors. Citation Text: Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631. …

Residency schedule, burnout and patient care among first-year residents. | PSNet

psnet.ahrq.gov/issue/residency-schedule-burnout-and-patient-care-among-first-year-residents

December 21, 2014 - Study Residency schedule, burnout and patient care among first-year residents. Citation Text: Block L, Wu AW, Feldman LS, et al. Residency schedule, burnout and patient care among first-year residents. Postgrad Med J. 2013;89(1055):495-500. doi:10.1136/postgradmedj-2012-131743. Copy …

Whistleblowing over patient safety and care quality: a review of the literature. | PSNet

psnet.ahrq.gov/issue/whistleblowing-over-patient-safety-and-care-quality-review-literature

April 08, 2019 - Review Emerging Classic Whistleblowing over patient safety and care quality: a review of the literature. Citation Text: Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review of the literature. J Health Org Mana…

A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/data-driven-approach-evaluate-barcode-assisted-medication-preparation-alerts-large-academic

October 19, 2022 - Study A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Citation Text: Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic me…

Antidepressant and antipsychotic medication errors reported to United States poison control centers. | PSNet

psnet.ahrq.gov/issue/antidepressant-and-antipsychotic-medication-errors-reported-united-states-poison-control

March 24, 2021 - Study Antidepressant and antipsychotic medication errors reported to United States poison control centers. Citation Text: Kamboj A, Spiller HA, Casavant MJ, et al. Antidepressant and antipsychotic medication errors reported to United States poison control centers. Pharmacoepidemiol Drug …

National survey on the effect of oncology drug shortages on cancer care. | PSNet

psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care

April 22, 2015 - Study National survey on the effect of oncology drug shortages on cancer care. Citation Text: McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563. Copy Citat…

Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review

October 19, 2022 - Review Emerging Classic Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. Citation Text: Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient outcomes: a syste…

'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature. | PSNet

psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review

May 01, 2024 - Review 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature. Citation Text: Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - a review of the l…

Relationship between preventable hospital deaths and other measures of safety: an exploratory study. | PSNet

psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study

November 12, 2014 - Study Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Citation Text: Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Int J Qual Health Care. 2014;2…

An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications

November 08, 2012 - Study An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety. Citation Text: McComb SA, Lemaster M, Henneman EA, et al. An Evaluation of Shared Mental Models and Mutual Trust on General Medical Units: …

Interventions and measurements of highly reliable/resilient organization implementations: a literature review. | PSNet

psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations

July 21, 2021 - Review Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Citation Text: Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…

Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review

February 23, 2011 - Review Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. Citation Text: Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …

Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. | PSNet

psnet.ahrq.gov/issue/evidence-based-interventions-reduce-adverse-events-hospitals-systematic-review-systematic

December 04, 2015 - Review Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. Citation Text: Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in hospitals: a systematic review of systematic reviews. BMJ …

Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. | PSNet

psnet.ahrq.gov/issue/swimming-against-tide-primary-care-physicians-views-deprescribing-everyday-practice

March 15, 2023 - Study Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. Citation Text: Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:1…

Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet

psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment-perpetuate-mistreatment

September 04, 2019 - Commentary Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. Citation Text: Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…

Errors in medication history at hospital admission: prevalence and predicting factors. | PSNet

psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors

October 14, 2020 - Study Errors in medication history at hospital admission: prevalence and predicting factors. Citation Text: Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…

Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet

psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged

February 04, 2009 - Study Medication report reduces number of medication errors when elderly patients are discharged from hospital. Citation Text: Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…

Association between state medical malpractice environment and postoperative outcomes in the United States. | PSNet

psnet.ahrq.gov/issue/association-between-state-medical-malpractice-environment-and-postoperative-outcomes-united

February 14, 2017 - Study Association between state medical malpractice environment and postoperative outcomes in the United States. Citation Text: Minami CA, Sheils CR, Pavey E, et al. Association Between State Medical Malpractice Environment and Postoperative Outcomes in the United States. J Am Coll Surg.…

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