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How do community pharmacies recover from e-prescription errors? | PSNet

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November 04, 2014 - Study How do community pharmacies recover from e-prescription errors? Citation Text: Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009. Copy Citation Format: …

Balancing innovation and safety when integrating digital tools into health care. | PSNet

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July 01, 2011 - Commentary Balancing innovation and safety when integrating digital tools into health care. Citation Text: Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. Co…

Learning from defects to enhance morbidity and mortality conferences. | PSNet

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May 20, 2009 - Commentary Learning from defects to enhance morbidity and mortality conferences. Citation Text: Berenholtz SM, Hartsell TL, Pronovost P. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009;24(3):192-5. doi:10.1177/1062860609332370. Copy Citation …

Triggers for emergency team activation: a multicenter assessment. | PSNet

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March 05, 2010 - Study Triggers for emergency team activation: a multicenter assessment. Citation Text: Chen J, Bellomo R, Hillman K, et al. Triggers for emergency team activation: a multicenter assessment. J Crit Care. 2010;25(2):359.e1-7. doi:10.1016/j.jcrc.2009.12.011. Copy Citation Format: …

Formalizing the hidden curriculum of performance enhancing errors. | PSNet

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February 17, 2021 - Review Formalizing the hidden curriculum of performance enhancing errors. Citation Text: Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. Copy Citation Format: …

An examination of technical efficiency, quality, and patient safety in acute care nursing units. | PSNet

psnet.ahrq.gov/issue/examination-technical-efficiency-quality-and-patient-safety-acute-care-nursing-units

December 21, 2017 - Study An examination of technical efficiency, quality, and patient safety in acute care nursing units. Citation Text: Mark BA, Jones CB, Lindley L, et al. An examination of technical efficiency, quality, and patient safety in acute care nursing units. Policy Polit Nurs Pract. 2009;10(3…

Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. | PSNet

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September 01, 2016 - Commentary Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Citation Text: Bismark MM, Morris JM, Clarke C. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Intern Med J. 2014;44(12a…

Second victims and mindfulness: a systematic review. | PSNet

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July 22, 2020 - Review Second victims and mindfulness: a systematic review. Citation Text: S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. Copy Citation Format: DOI Google Scholar…

Factors associated with disclosure of medical errors by housestaff. | PSNet

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January 27, 2019 - Study Factors associated with disclosure of medical errors by housestaff. Citation Text: Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084. Copy Citation Format: …

Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. | PSNet

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February 15, 2017 - Study Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Citation Text: Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician …

Matt's story: learning from heartbreak. | PSNet

psnet.ahrq.gov/issue/matts-story-learning-heartbreak

August 07, 2024 - Commentary Matt's story: learning from heartbreak. Citation Text: Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

Interruption handling strategies during paediatric medication administration. | PSNet

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July 27, 2018 - Study Interruption handling strategies during paediatric medication administration. Citation Text: Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. Copy Citation Format…

The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. | PSNet

psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking

July 22, 2020 - Book/Report The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Citation Text: The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Thompson WC Jr. New York, NY: Off…

Use of simulation to test systems and prepare staff for a new hospital transition. | PSNet

psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition

May 31, 2017 - Study Use of simulation to test systems and prepare staff for a new hospital transition. Citation Text: Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.000000000000…

Effective physician–nurse communication: a patient safety essential for labor and delivery. | PSNet

psnet.ahrq.gov/issue/effective-physician-nurse-communication-patient-safety-essential-labor-and-delivery

May 21, 2019 - Study Effective physician–nurse communication: a patient safety essential for labor and delivery. Citation Text: Lyndon A, Zlatnik MG, Wachter R. Effective physician-nurse communication: a patient safety essential for labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-6. doi:10.10…

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. | PSNet

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March 21, 2017 - Study Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-455. Copy Citation…

Use of board certification and recertification of pediatricians in health plan credentialing policies. | PSNet

psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies

February 02, 2011 - Study Use of board certification and recertification of pediatricians in health plan credentialing policies. Citation Text: Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…

Increasing physician reporting of diagnostic learning opportunities. | PSNet

psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities

March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. | PSNet

psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes

September 24, 2010 - Study Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. Citation Text: Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …

Association of resident fatigue and distress with perceived medical errors. | PSNet

psnet.ahrq.gov/issue/association-resident-fatigue-and-distress-perceived-medical-errors

February 02, 2011 - Study Association of resident fatigue and distress with perceived medical errors. Citation Text: West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. Copy Citation …

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