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Identification of common themes from never events data published by NHS England. | PSNet

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April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. | PSNet

psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items

March 20, 2019 - Study A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Citation Text: Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient…

Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet

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March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. | PSNet

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October 08, 2008 - Review Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Citation Text: Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature…

The relationships among work stress, strain and self-reported errors in UK community pharmacy. | PSNet

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October 19, 2022 - Study The relationships among work stress, strain and self-reported errors in UK community pharmacy. Citation Text: Johnson SJ, O'Connor EM, Jacobs S, et al. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Res Social Adm Pharm. 2014;10(6):88…

Patient error: a preliminary taxonomy. | PSNet

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June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. | PSNet

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November 16, 2022 - Study Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Citation Text: Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvemen…

Parents' perspective on safety in neonatal intensive care: a mixed-methods study. | PSNet

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November 08, 2017 - Study Parents' perspective on safety in neonatal intensive care: a mixed-methods study. Citation Text: Lyndon A, Jacobson CH, Fagan KM, et al. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. doi:10.1136/bmjqs-2014-003009…

The trigger tool as a method to measure harmful medication errors in children. | PSNet

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August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

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November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

How different countries respond to adverse events whilst patients' rights are protected. | PSNet

psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected

December 11, 2024 - Study How different countries respond to adverse events whilst patients' rights are protected. Citation Text: Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1…

Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. | PSNet

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June 02, 2021 - Study Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. Citation Text: Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…

Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

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September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

The benefits of health information technology: a review of the recent literature shows predominantly positive results. | PSNet

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December 21, 2018 - Review Classic The benefits of health information technology: a review of the recent literature shows predominantly positive results. Citation Text: Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Lit…

Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

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September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. | PSNet

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March 30, 2022 - Review Classic Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Citation Text: Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic-review

July 07, 2021 - Review Classic Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. Citation Text: Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic re…

Medication errors in community pharmacies: evaluation of a standardized safety program. | PSNet

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June 29, 2022 - Study Medication errors in community pharmacies: evaluation of a standardized safety program. Citation Text: Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet

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August 26, 2020 - Study Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. Citation Text: Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…

A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet

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February 14, 2024 - Study A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. Citation Text: Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…

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