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The coronavirus and the risks to the elderly in long-term care. | PSNet

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July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet

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May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet

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May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

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March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

The patient died: what about involvement in the investigation process? | PSNet

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June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…

Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet

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January 02, 2017 - Study Reconciling medications at admission: safe practice recommendations and implementation strategies. Citation Text: Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2…

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. | PSNet

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April 19, 2023 - Study Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. Citation Text: Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…

Artificial intelligence in health care: accountability and safety. | PSNet

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December 20, 2023 - Commentary Classic Artificial intelligence in health care: accountability and safety. Citation Text: Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…

An invisible disability: communication, patient safety and dual sensory impairment in older persons. | PSNet

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July 01, 2019 - Commentary An invisible disability: communication, patient safety and dual sensory impairment in older persons. Citation Text: Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub …

Team training for safer birth. | PSNet

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July 16, 2013 - Review Team training for safer birth. Citation Text: Cornthwaite K, Alvarez M, Siassakos D. Team training for safer birth. Best Pract Res Clin Obstet Gynaecol. 2015;29(8):1044-1057. doi:10.1016/j.bpobgyn.2015.03.020. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Influence of perioperative handoffs on complications and outcomes. | PSNet

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October 14, 2020 - Commentary Influence of perioperative handoffs on complications and outcomes. Citation Text: Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. Copy Citation Format: …

Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. | PSNet

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July 07, 2021 - Commentary Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. Citation Text: Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf R…

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training

January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

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March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

The elephant of patient safety: what you see depends on how you look. | PSNet

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June 22, 2022 - Commentary Classic The elephant of patient safety: what you see depends on how you look. Citation Text: Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401. Copy Citation Format:…

Public perceptions and preferences for patient notification after an unsafe injection. | PSNet

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July 14, 2010 - Study Public perceptions and preferences for patient notification after an unsafe injection. Citation Text: Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:…

Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. | PSNet

psnet.ahrq.gov/issue/standardized-handoff-report-form-clinical-nursing-education-educational-tool-patient-safety

August 20, 2014 - Commentary Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. Citation Text: Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality…

Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts

November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet

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April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. | PSNet

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November 30, 2022 - Commentary A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. Citation Text: Roberts TJ, Sellars MC, Sands JM, et al. A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. JCO Oncol…

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