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Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet

psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses

March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet

psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model

November 24, 2021 - Study Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. Citation Text: Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. | PSNet

psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency

April 15, 2014 - Study National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. Citation Text: Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency d…

Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. | PSNet

psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process

August 26, 2011 - Study Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. Citation Text: Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…

Wide variation and overprescription of opioids after elective surgery. | PSNet

psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery

April 24, 2018 - Study Classic Wide variation and overprescription of opioids after elective surgery. Citation Text: Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.00000…

Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet

psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus

March 24, 2012 - Study Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. Citation Text: Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…

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…

Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes

June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross

June 03, 2020 - Study Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. Citation Text: Viftrup A, Laustsen S, Pahle ML, et al. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-…

A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. | PSNet

psnet.ahrq.gov/issue/quality-initiative-decrease-pathology-specimen-labeling-errors-using-radiofrequency

August 28, 2017 - Study A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. Citation Text: Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…

Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm

January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…

How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? | PSNet

psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and

May 08, 2019 - Study How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? Citation Text: Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…

Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national

November 29, 2023 - Study Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, Galvin I. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patie…

Medication accuracy in electronic health records for microbial keratitis. | PSNet

psnet.ahrq.gov/issue/medication-accuracy-electronic-health-records-microbial-keratitis

September 29, 2021 - Study Medication accuracy in electronic health records for microbial keratitis. Citation Text: Ashfaq HA, Lester CA, Ballouz D, et al. Medication Accuracy in Electronic Health Records for Microbial Keratitis. JAMA Ophthalmal. 2019;137(8):929-931. doi:10.1001/jamaophthalmol.2019.1444. C…

Responding to health information technology reported safety events: insights from patient safety event reports. | PSNet

psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event

June 30, 2019 - Study Responding to health information technology reported safety events: insights from patient safety event reports. Citation Text: Responding to health information technology reported safety events: insights from patient safety event reports. Adams KT, Kim TC, Fong A, et al. J Patient …

Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. | PSNet

psnet.ahrq.gov/issue/safety-work-and-risk-management-burdens-treatment-primary-care-insights-focused-ethnographic

January 24, 2018 - Study Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity. Citation Text: Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in primary care: ins…

The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. | PSNet

psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven

June 07, 2023 - Study The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Citation Text: Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Q…

Parents' medication administration errors: role of dosing instruments and health literacy. | PSNet

psnet.ahrq.gov/issue/parents-medication-administration-errors-role-dosing-instruments-and-health-literacy

May 31, 2017 - Study Parents' medication administration errors: role of dosing instruments and health literacy. Citation Text: Yin S, Mendelsohn A, Wolf MS, et al. Parents' medication administration errors: role of dosing instruments and health literacy. Arch Pediatr Adolesc Med. 2010;164(2):181-6. doi…

Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

psnet.ahrq.gov/issue/shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care

February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

Errors in adult trauma resuscitation: a systematic review. | PSNet

psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review

December 01, 2021 - Review Errors in adult trauma resuscitation: a systematic review. Citation Text: Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. Copy Citation Format: DOI Google Schola…

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