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As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet

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December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

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July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

Opioid abuse in chronic pain—misconceptions and mitigation strategies. | PSNet

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November 18, 2016 - Review Opioid abuse in chronic pain—misconceptions and mitigation strategies. Citation Text: Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771. Copy Citation Format: …

Communicating uncertainty: a narrative review and framework for future research. | PSNet

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February 24, 2021 - Review Communicating uncertainty: a narrative review and framework for future research. Citation Text: Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. Cop…

Barcode medication administration software technology use in the emergency department and medication error rates. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication

November 04, 2015 - Study Barcode medication administration software technology use in the emergency department and medication error rates. Citation Text: Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…

Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. | PSNet

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February 04, 2015 - Study Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. Citation Text: Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …

Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. | PSNet

psnet.ahrq.gov/issue/health-services-under-pressure-scoping-review-and-development-taxonomy-adaptive-strategies

January 22, 2020 - Commentary Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. Citation Text: Page B, Irving D, Amalberti R, et al. Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. BMJ Qual Saf. 2023…

Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. | PSNet

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May 27, 2011 - Study Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. Citation Text: Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Pa…

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

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December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. | PSNet

psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit

January 04, 2010 - Study Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. Citation Text: McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…

Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. | PSNet

psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre

October 12, 2016 - Book/Report Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. Citation Text: Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Poo…

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff

December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

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October 13, 2021 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…

The effect of the fit between organizational culture and structure on medication errors in medical group practices. | PSNet

psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group

June 30, 2009 - Study The effect of the fit between organizational culture and structure on medication errors in medical group practices. Citation Text: Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. | PSNet

psnet.ahrq.gov/issue/use-safety-climate-questionnaire-uk-health-care-factor-structure-reliability-and-usability

June 15, 2011 - Study Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Citation Text: Hutchinson A, Cooper KL, Dean JE, et al. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care…

Allowing failure for educational purposes in postgraduate clinical training: a narrative review. | PSNet

psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review

February 08, 2023 - Review Allowing failure for educational purposes in postgraduate clinical training: a narrative review. Citation Text: Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…

Surgical site infection prevention: a review. | PSNet

psnet.ahrq.gov/issue/surgical-site-infection-prevention-review

February 15, 2023 - Review Surgical site infection prevention: a review. Citation Text: Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

Leadership: an effective human factor during COVID-19. | PSNet

psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19

March 31, 2021 - Commentary Leadership: an effective human factor during COVID-19. Citation Text: Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-205. doi:10.1136/leader-2020-000384. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

Implementation of a structured hospital-wide morbidity and mortality rounds model. | PSNet

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January 20, 2015 - Study Implementation of a structured hospital-wide morbidity and mortality rounds model. Citation Text: Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…

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