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Repeat medication errors in nursing homes: contributing factors and their association with patient harm. | PSNet

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August 07, 2013 - Study Repeat medication errors in nursing homes: contributing factors and their association with patient harm. Citation Text: Crespin DJ, Modi A, Wei D, et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmaco…

Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet

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June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…

A 38-year-old woman with fetal loss and hysterectomy. | PSNet

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January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

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March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

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September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Variations in surgical safety according to affiliation status with a top-ranked cancer hospital. | PSNet

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April 24, 2019 - Study Variations in surgical safety according to affiliation status with a top-ranked cancer hospital. Citation Text: Resio BJ, Hoag JR, Chiu AS, et al. Variations in Surgical Safety According to Affiliation Status With a Top-Ranked Cancer Hospital. JAMA Oncol. 2019;5(9):1359-1362. doi:1…

The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. | PSNet

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December 16, 2009 - Study The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. Citation Text: Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Car…

Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. | PSNet

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September 23, 2020 - Study Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. Citation Text: Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…

Human factors and ergonomics as a patient safety practice. | PSNet

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March 25, 2015 - Review Human factors and ergonomics as a patient safety practice. Citation Text: Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812. Copy Citation Format: DOI Google Schol…

Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

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June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable

March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery

July 19, 2023 - Study Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. Citation Text: Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasur…

Five topics health care simulation can address to improve patient safety: results from a consensus process. | PSNet

psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus

June 28, 2023 - Study Five topics health care simulation can address to improve patient safety: results from a consensus process. Citation Text: Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Sa…

Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care

December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet

psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during

September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. | PSNet

psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new

December 30, 2014 - Commentary Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. Citation Text: Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…

Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation

March 06, 2019 - Review Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Impact of interactions between drugs and laboratory test results on diagnostic test …

Principles of automation for patient safety in intensive care: learning from aviation. | PSNet

psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation

April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

Patient safety and satisfaction with fully remote management of radiation oncology care. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-satisfaction-fully-remote-management-radiation-oncology-care

October 19, 2022 - Study Patient safety and satisfaction with fully remote management of radiation oncology care. Citation Text: Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570. doi:10.1001/jam…

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