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Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. | PSNet

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July 18, 2012 - Commentary Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. Citation Text: Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic a…

Family safety reporting in medically complex children: parent, staff, and leader perspectives. | PSNet

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July 20, 2022 - Study Family safety reporting in medically complex children: parent, staff, and leader perspectives. Citation Text: Khan A, Baird JD, Kelly MM, et al. Family safety reporting in medically complex children: parent, staff, and leader perspectives. Pediatrics. 2022;149(6):e2021053913. doi:1…

Error, stress, and teamwork in medicine and aviation: cross sectional surveys. | PSNet

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June 16, 2011 - Study Classic Error, stress, and teamwork in medicine and aviation: cross sectional surveys. Citation Text: Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745. C…

A case for safety leadership team training of hospital managers. | PSNet

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August 31, 2011 - Study A case for safety leadership team training of hospital managers. Citation Text: Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d. Copy Citation F…

Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. | PSNet

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June 12, 2013 - Review Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. Citation Text: Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education interventio…

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

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July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. | PSNet

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November 25, 2020 - Study Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. Citation Text: Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety improvement: a longitudinal qual…

Drug-related problems among older people with dementia: a systematic review. | PSNet

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January 12, 2022 - Review Drug-related problems among older people with dementia: a systematic review. Citation Text: Xue Qin QN, Ming LC, Abd Wahab MS, et al. Drug-related problems among older people with dementia: a systematic review. Res Social Adm Pharm. 2023;19(6):873-881. doi:10.1016/j.sapharm.2023.0…

Accident analysis of large-scale technological disasters applied to an anaesthetic complication. | PSNet

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November 16, 2022 - Study Classic Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Citation Text: Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J An…

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. | PSNet

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March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. | PSNet

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March 04, 2015 - Review Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. Citation Text: Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situat…

The second victim phenomenon in health care: a literature review. | PSNet

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June 23, 2021 - Review The second victim phenomenon in health care: a literature review. Citation Text: Nydoo P, Pillay BJ, Naicker T, et al. The second victim phenomenon in health care: a literature review. Scand J Public Health. 2020;48(6):629-637. doi:10.1177/1403494819855506. Copy Citation For…

The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. | PSNet

psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality

April 22, 2011 - Study The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Citation Text: Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…

Work-hour restrictions as an ethical dilemma for residents. | PSNet

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April 24, 2018 - Study Work-hour restrictions as an ethical dilemma for residents. Citation Text: Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am J Surg. 2006;191(4):527-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

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October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. | PSNet

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May 16, 2012 - Study Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Citation Text: Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…

What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. | PSNet

psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing

March 11, 2020 - Study What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. Citation Text: Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …

Performance of a trigger tool for identifying adverse events in oncology. | PSNet

psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology

May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet

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September 25, 2019 - Study A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Citation Text: Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet

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November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…

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