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Prevention of intravenous drug incompatibilities in an intensive care unit. | PSNet

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February 28, 2009 - Study Prevention of intravenous drug incompatibilities in an intensive care unit. Citation Text: Bertsche T, Mayer Y, Stahl R, et al. Prevention of intravenous drug incompatibilities in an intensive care unit. Am J Health Syst Pharm. 2008;65(19):1834-40. doi:10.2146/ajhp070633. Copy …

Global oximetry: an international anaesthesia quality improvement project. | PSNet

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November 12, 2014 - Study Global oximetry: an international anaesthesia quality improvement project. Citation Text: Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x. Co…

Work overload is related to increased risk of error during chemotherapy preparation. | PSNet

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June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation. Citation Text: Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…

Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

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March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet

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October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

Leveraging trainees to improve quality and safety at the point of care: three models for engagement. | PSNet

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September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…

OpenNotes and patient safety: a perilous voyage into uncharted waters. | PSNet

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March 10, 2021 - Commentary OpenNotes and patient safety: a perilous voyage into uncharted waters. Citation Text: Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2. Copy Citation …

Iatrogenesis in the context of residential dementia care: a concept analysis. | PSNet

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August 17, 2022 - Commentary Iatrogenesis in the context of residential dementia care: a concept analysis. Citation Text: Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. Copy Citati…

Patient safety features of clinical computer systems: questionnaire survey of GP views. | PSNet

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May 31, 2011 - Study Patient safety features of clinical computer systems: questionnaire survey of GP views. Citation Text: Morris CJ, Savelyich BSP, Avery A, et al. Patient safety features of clinical computer systems: questionnaire survey of GP views. Qual Saf Health Care. 2005;14(3):164-8. Copy …

Mental models: a basic concept for human factors design in infection prevention. | PSNet

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April 26, 2017 - Commentary Mental models: a basic concept for human factors design in infection prevention. Citation Text: Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008. Copy Citation …

Pain as the neglected patient safety concern: five years on. | PSNet

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July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

Filling the gap: simulation-based crisis resource management training for emergency medicine residents. | PSNet

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March 19, 2018 - Commentary Filling the gap: simulation-based crisis resource management training for emergency medicine residents. Citation Text: Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg…

Increased mortality associated with weekend hospital admission: a case for expanded seven day services? | PSNet

psnet.ahrq.gov/issue/increased-mortality-associated-weekend-hospital-admission-case-expanded-seven-day-services

March 02, 2012 - Study Increased mortality associated with weekend hospital admission: a case for expanded seven day services? Citation Text: Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596.…

Development of medical checklists for improved quality of patient care. | PSNet

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March 23, 2011 - Review Development of medical checklists for improved quality of patient care. Citation Text: Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc…

The effects of safety checklists in medicine: a systematic review. | PSNet

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December 07, 2011 - Review The effects of safety checklists in medicine: a systematic review. Citation Text: Thomassen Ø, Storesund A, Søfteland E, et al. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. doi:10.1111/aas.12207. Copy Citation …

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making

June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

Safe electronic health record use requires a comprehensive monitoring and evaluation framework. | PSNet

psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework

May 22, 2015 - Commentary Safe electronic health record use requires a comprehensive monitoring and evaluation framework. Citation Text: Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…

Errors as allies: error management training in health professions education. | PSNet

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January 22, 2016 - Commentary Errors as allies: error management training in health professions education. Citation Text: King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. Copy Citatio…

Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. | PSNet

psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross

February 04, 2015 - Study Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. Citation Text: Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from a cross sectional study. BMC Health Serv R…

Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? | PSNet

psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right

March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…

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