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The role of AI in detecting and mitigating human errors in safety-critical industries: a review. | PSNet

psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review

January 15, 2025 - Review The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Citation Text: Gursel E, Madadi M, Coble JB, et al. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Reliability Eng System Saf. 2025;25…

Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet

psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement

January 18, 2013 - Review Emerging Classic Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. Citation Text: Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…

Opioid prescribing decreases after learning of a patient's fatal overdose. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-decreases-after-learning-patients-fatal-overdose

January 18, 2023 - Study Emerging Classic Opioid prescribing decreases after learning of a patient's fatal overdose. Citation Text: Doctor JN, Nguyen A, Lev R, et al. Opioid prescribing decreases after learning of a patient's fatal overdose. Science. 2018;361(6402):588-590. doi:10…

Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. | PSNet

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November 03, 2021 - Study Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. Citation Text: Dabekaussen KFAA, Scheepers RA, Heineman E, et al. Health care professionals’ perceptions of unprofessional behaviour in the clinical workplace. PLoS ONE. 2023;18(1):e028044…

Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet

psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017

June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. Citation Text: Scholl L, Seth P, Kariisa M, et al. Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. MMWR Morb Mortal Wkly Rep. 2018;67(5152):1419-1427. doi:10.15585/mmwr.mm675152e1. Copy Citat…

Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-dose-reductions-and-potential-adverse-events-multi-site-observational

March 04, 2020 - Study Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. Citation Text: Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational coho…

Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet

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October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…

Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. | PSNet

psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance

April 13, 2022 - Study Classic Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Citation Text: Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. | PSNet

psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient

October 01, 2014 - Study The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. Citation Text: Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness …

Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. | PSNet

psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home

August 11, 2021 - Study Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. Citation Text: de Dios JG, Lopez-Pineda A, Juan GM-P, et al. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC P…

Accident analysis of large-scale technological disasters applied to an anaesthetic complication. | PSNet

psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication

November 16, 2022 - Study Classic Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Citation Text: Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J An…

Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions

August 11, 2021 - Review Which adverse events and which drugs are implicated in drug-related hospital admissions? A systematic review and meta-analysis. Citation Text: Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in drug-related hospital admissions? A …

Improving safety in the operating room: medication icon labels increase visibility and discrimination. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination

April 03, 2019 - Study Improving safety in the operating room: medication icon labels increase visibility and discrimination. Citation Text: Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…

The care transitions intervention: results of a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial

July 10, 2008 - Study Classic The care transitions intervention: results of a randomized controlled trial. Citation Text: Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…

Patient safety concerns arising from test results that return after hospital discharge. | PSNet

psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge

January 17, 2012 - Study Classic Patient safety concerns arising from test results that return after hospital discharge. Citation Text: Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…

Initiatives to identify and mitigate medication errors in England. | PSNet

psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-medication-errors-england

July 22, 2020 - Commentary Initiatives to identify and mitigate medication errors in England. Citation Text: Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. Copy Citation Format…

Health care quality and safety in a correctional system: creating goals and performance measures for improvement. | PSNet

psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures

May 18, 2022 - Commentary Health care quality and safety in a correctional system: creating goals and performance measures for improvement. Citation Text: Neely J, Sampath R, Kirkbride G, et al. Health care quality and safety in a correctional system: creating goals and performance measures for improve…

Surgeon and surgical trainee experiences after adverse patient events. | PSNet

psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events

January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

The medication reconciliation process and classification of discrepancies: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-process-and-classification-discrepancies-systematic-review

May 03, 2023 - Review The medication reconciliation process and classification of discrepancies: a systematic review. Citation Text: Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…

The development and evaluation of an integrated electronic prescribing and drug management system for primary care. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system

March 10, 2011 - Study The development and evaluation of an integrated electronic prescribing and drug management system for primary care. Citation Text: Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …

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