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Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. | PSNet

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August 12, 2020 - Study Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. Citation Text: Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…

Clinical decision support for drug related events: moving towards better prevention. | PSNet

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December 16, 2020 - Commentary Clinical decision support for drug related events: moving towards better prevention. Citation Text: Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. Copy …

Workarounds in the workplace: a second look. | PSNet

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December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet

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October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…

Unintended adverse consequences of a clinical decision support system: two cases. | PSNet

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October 23, 2018 - Commentary Unintended adverse consequences of a clinical decision support system: two cases. Citation Text: Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096. Copy Citation …

Using data to enhance performance and improve quality and safety in surgery. | PSNet

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March 15, 2023 - Commentary Using data to enhance performance and improve quality and safety in surgery. Citation Text: Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. Co…

Strategies to reduce errors associated with 2-component vaccines. | PSNet

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December 16, 2020 - Study Strategies to reduce errors associated with 2-component vaccines. Citation Text: Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines. Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9. Copy Citation Format: …

A nursing home’s 64-day Covid siege: ‘They’re all going to die’. | PSNet

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September 15, 2021 - Newspaper/Magazine Article A nursing home’s 64-day Covid siege: ‘They’re all going to die’. Citation Text: Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences. | PSNet

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November 20, 2024 - Study Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences. Citation Text: White AA, Sage WM, Osinska PH, et al. Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences. BMJ Qual Saf. 2…

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. | PSNet

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November 21, 2018 - Review Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. Citation Text: van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…

How many hospital pharmacy medication dispensing errors go undetected? | PSNet

psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected

October 25, 2010 - Study How many hospital pharmacy medication dispensing errors go undetected? Citation Text: Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80. Copy Citation Format: G…

Leading article: how can I optimise my role as a leader within the surgical team? | PSNet

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October 29, 2017 - Review Leading article: how can I optimise my role as a leader within the surgical team? Citation Text: Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j…

From guideline to order set to patient harm. | PSNet

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October 10, 2017 - Commentary From guideline to order set to patient harm. Citation Text: Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. | PSNet

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August 28, 2024 - Review Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. Citation Text: Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated…

Scoping review of studies evaluating frailty and its association with medication harm. | PSNet

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May 25, 2022 - Review Scoping review of studies evaluating frailty and its association with medication harm. Citation Text: Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-…

Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

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November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

Use of personal electronic devices by nurse anesthetists and the effects on patient safety. | PSNet

psnet.ahrq.gov/issue/use-personal-electronic-devices-nurse-anesthetists-and-effects-patient-safety

June 16, 2021 - Study Use of personal electronic devices by nurse anesthetists and the effects on patient safety. Citation Text: Snoots LR, Wands BA. Use of Personal Electronic Devices by Nurse Anesthetists and the Effects on Patient Safety. AANA J. 2016;84(2):114-119. Copy Citation Format: …

Patient preferences in cases of Inter-system Medical Error Discovery (IMED). | PSNet

psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed

November 02, 2018 - Study Patient preferences in cases of Inter-system Medical Error Discovery (IMED). Citation Text: Antunez AG, Saari A, Miller J, et al. Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). Ann Surg. 2021;273(3):516-522. doi:10.1097/SLA.0000000000003507. Copy Cit…

Passing the "Yo' Mama" test. | PSNet

psnet.ahrq.gov/issue/passing-yo-mama-test

February 15, 2023 - Commentary Passing the "Yo' Mama" test. Citation Text: Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. Copy Citation Format: …

Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. | PSNet

psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping-12-hour-shifts

February 01, 2012 - Commentary Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. Citation Text: Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies if keeping 12-hour shifts. J Nurs Adm. 201…

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