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The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. | PSNet

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September 22, 2021 - Study The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Citation Text: D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of surgeon coping with intraoperative errors. Surgery. …

Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. | PSNet

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November 20, 2013 - Review Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. Citation Text: Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and adverse health outcomes …

Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. | PSNet

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July 13, 2022 - Study Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. Citation Text: Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision‐making and judgement. Int J Mental Health Nurs. 2022;31(4)…

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. | PSNet

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July 29, 2020 - Study Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Citation Text: Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…

Errors in drug computations during newborn intensive care. | PSNet

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December 15, 2021 - Study Errors in drug computations during newborn intensive care. Citation Text: Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. Copy Citation …

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. | PSNet

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August 24, 2016 - Study The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. Citation Text: Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…

Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

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February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

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November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

Partners in our care: patient safety from a patient perspective. | PSNet

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December 04, 2016 - Study Partners in our care: patient safety from a patient perspective. Citation Text: Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. Copy Citation Format: …

Hospital at Home: setting a regulatory course to ensure safe, high-quality care. | PSNet

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June 30, 2021 - Commentary Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Citation Text: DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/…

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. | PSNet

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October 21, 2020 - Study Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. Citation Text: Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

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April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

Vulnerability of the medical product supply chain: the wake-up call of COVID-19. | PSNet

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December 02, 2020 - Commentary Emerging Classic Vulnerability of the medical product supply chain: the wake-up call of COVID-19. Citation Text: Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…

Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. | PSNet

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July 01, 2020 - Review Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. Citation Text: Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital s…

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

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October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. | PSNet

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March 12, 2025 - Study Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. Citation Text: Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by…

African American COVID-19 mortality: a sentinel event. | PSNet

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November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

Transfusion safety: the nature and outcomes of errors in patient registration. | PSNet

psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration

December 16, 2020 - Review Transfusion safety: the nature and outcomes of errors in patient registration. Citation Text: Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004. Copy …

Efficiency and safety of speech recognition for documentation in the electronic health record. | PSNet

psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record

February 14, 2024 - Study Efficiency and safety of speech recognition for documentation in the electronic health record. Citation Text: Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …

Racism in pain medicine: we can and should do more. | PSNet

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December 15, 2008 - Commentary Racism in pain medicine: we can and should do more. Citation Text: Strand NH, Mariano ER, Goree JH, et al. Racism in pain medicine: we can and should do more. Mayo Clin Proc. 2021;96(6):1394-1400. doi:10.1016/j.mayocp.2021.02.030. Copy Citation Format: DOI Google…

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