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A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. | PSNet

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September 07, 2022 - Study A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. Citation Text: Adamson HK, Foster B, Clarke R, et al. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. J Patient Saf. 2022;18(7):e109…

Systems errors versus physicians' errors: finding the balance in medical education. | PSNet

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October 12, 2012 - Commentary Systems errors versus physicians' errors: finding the balance in medical education. Citation Text: Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22. Copy Citation Format: Google …

Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

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October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

Effect of clinical decision-support systems: a systematic review. | PSNet

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September 23, 2020 - Review Effect of clinical decision-support systems: a systematic review. Citation Text: Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. Copy Citatio…

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. | PSNet

psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states

June 30, 2021 - Study Classic Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. Citation Text: Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…

Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. | PSNet

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April 25, 2018 - Review Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. Citation Text: Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient safety in primary care: a systematic review of ava…

Inequities in inpatient pediatric patient safety events by category. | PSNet

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April 01, 2009 - Study Inequities in inpatient pediatric patient safety events by category. Citation Text: Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129. Copy Citation F…

Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet

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August 31, 2022 - Review Classic Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Citation Text: Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a s…

A decade of preventing harm. | PSNet

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July 10, 2008 - Commentary A decade of preventing harm. Citation Text: Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. | PSNet

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October 18, 2023 - Study Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Citation Text: Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Rad…

Exploration of factors associated with reported medication administration errors in North Carolina public school districts. | PSNet

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September 20, 2012 - Study Exploration of factors associated with reported medication administration errors in North Carolina public school districts. Citation Text: Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand

December 02, 2020 - Study Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Citation Text: Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…

Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. | PSNet

psnet.ahrq.gov/issue/changes-adverse-event-rates-hospitals-over-time-longitudinal-retrospective-patient-record

November 03, 2015 - Study Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review s…

Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. | PSNet

psnet.ahrq.gov/issue/association-hospital-markup-preventable-adverse-events-following-pancreatic-surgery-united

March 14, 2022 - Study Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. Citation Text: Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. C…

Reduction in opioid prescribing through evidence-based prescribing guidelines. | PSNet

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January 27, 2019 - Study Reduction in opioid prescribing through evidence-based prescribing guidelines. Citation Text: Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436. Co…

Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health

April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

The economic consequences of medical injuries: implications for a no-fault insurance plan. | PSNet

psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan

February 18, 2011 - Study Classic The economic consequences of medical injuries: implications for a no-fault insurance plan. Citation Text: Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA.…

Systems thinking and incivility in nursing practice: an integrative review. | PSNet

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December 18, 2017 - Review Classic Systems thinking and incivility in nursing practice: an integrative review. Citation Text: Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298.…

The effect of work hours on adverse events and errors in health care. | PSNet

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August 20, 2014 - Study The effect of work hours on adverse events and errors in health care. Citation Text: Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002. Copy Citation Format: DOI Go…

Spreading a medication administration intervention organizationwide in six hospitals. | PSNet

psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals

January 03, 2017 - Study Spreading a medication administration intervention organizationwide in six hospitals. Citation Text: Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. Copy C…

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