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VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

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October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? | PSNet

psnet.ahrq.gov/issue/do-drug-interaction-alerts-between-chemotherapy-order-entry-system-and-electronic-medical

March 21, 2017 - Study Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical record affect clinician behavior? Citation Text: Weingart SN, Zhu J, Young-Hong J, et al. Do drug interaction alerts between a chemotherapy order-entry system and an electronic medical re…

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review

October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

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August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

Patients' identification and reporting of unsafe events at six hospitals in Japan. | PSNet

psnet.ahrq.gov/issue/patients-identification-and-reporting-unsafe-events-six-hospitals-japan

January 11, 2023 - Study Patients' identification and reporting of unsafe events at six hospitals in Japan. Citation Text: Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508. Copy Citati…

Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. | PSNet

psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary

September 23, 2020 - Study Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey. Citation Text: Wang J, Patel MH, Schueth AJ, et al. Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care…

Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet

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September 30, 2020 - Book/Report Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Citation Text: Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…

Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. | PSNet

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September 18, 2024 - Organizational Policy/Guidelines Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Citation Text: Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…

Attitudes toward patient safety standards in US dental schools: a pilot study. | PSNet

psnet.ahrq.gov/issue/attitudes-toward-patient-safety-standards-us-dental-schools-pilot-study

September 23, 2020 - Study Attitudes toward patient safety standards in US dental schools: a pilot study. Citation Text: Leong P, Afrow J, Weber HP, et al. Attitudes toward patient safety standards in U.S. dental schools: a pilot study. J Dent Edu. 2008;72(4):431-437. Copy Citation Format: Go…

Classifying adverse events in the dental office. | PSNet

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July 09, 2014 - Study Classifying adverse events in the dental office. Citation Text: Kalenderian E, Obadan-Udoh E, Maramaldi P, et al. Classifying Adverse Events in the Dental Office. J Patient Saf. 2021;17(6):e540-e356. doi:10.1097/PTS.0000000000000407. Copy Citation Format: DOI Google S…

Infection control assessment of ambulatory surgical centers. | PSNet

psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers

October 19, 2012 - Study Infection control assessment of ambulatory surgical centers. Citation Text: Schaefer MK, Jhung M, Dahl M, et al. Infection control assessment of ambulatory surgical centers. JAMA. 2010;303(22):2273-9. doi:10.1001/jama.2010.744. Copy Citation Format: DOI Google Schol…

Aviation and healthcare: a comparative review with implications for patient safety. | PSNet

psnet.ahrq.gov/issue/aviation-and-healthcare-comparative-review-implications-patient-safety

February 14, 2018 - Review Aviation and healthcare: a comparative review with implications for patient safety. Citation Text: Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…

Identifying the latent failures underpinning medication administration errors: an exploratory study. | PSNet

psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study

December 21, 2016 - Study Identifying the latent failures underpinning medication administration errors: an exploratory study. Citation Text: Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…

Professionalism: a necessary ingredient in a culture of safety. | PSNet

psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety

November 01, 2011 - Study Professionalism: a necessary ingredient in a culture of safety. 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):447-55. Copy Citation Format: Google Scholar …

Analysis of staff safety concerns. | PSNet

psnet.ahrq.gov/issue/analysis-staff-safety-concerns

July 19, 2023 - Study Analysis of staff safety concerns. Citation Text: Davidson J, Lamontagne G, Burnell L, et al. Analysis of Staff Safety Concerns. J Nurs Care Qual. 2012;28(2). doi:10.1097/ncq.0b013e318277e874. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

Designing safety interventions for specific contexts: results from a literature review. | PSNet

psnet.ahrq.gov/issue/designing-safety-interventions-specific-contexts-results-literature-review

June 22, 2022 - Review Designing safety interventions for specific contexts: results from a literature review. Citation Text: Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.20…

Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. | PSNet

psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs

May 04, 2012 - Study Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. Citation Text: Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…

Surgical checklists: the human factor. | PSNet

psnet.ahrq.gov/issue/surgical-checklists-human-factor

December 10, 2014 - Study Surgical checklists: the human factor. Citation Text: O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

Managing and mitigating conflict in healthcare teams: an integrative review. | PSNet

psnet.ahrq.gov/issue/managing-and-mitigating-conflict-healthcare-teams-integrative-review

July 19, 2023 - Review Managing and mitigating conflict in healthcare teams: an integrative review. Citation Text: Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. Copy Citati…

The successful anesthesia patient safety officer. | PSNet

psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer

December 22, 2018 - Commentary The successful anesthesia patient safety officer. Citation Text: Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 …

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