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Errors in laboratory medicine: practical lessons to improve patient safety. | PSNet

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February 14, 2024 - Commentary Classic Errors in laboratory medicine: practical lessons to improve patient safety. Citation Text: Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. Copy Citation …

Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. | PSNet

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March 13, 2024 - Study Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review. Citation Text: Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…

Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. | PSNet

psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency

December 21, 2014 - Study Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Citation Text: Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann S…

Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. | PSNet

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February 15, 2023 - Commentary Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Citation Text: Pan D, Rajwani K. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. Simul Healthc. 2020;16(1):46-51. doi:10.1097…

Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. | PSNet

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August 03, 2017 - Review Classic Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. Citation Text: Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…

Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. | PSNet

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October 19, 2022 - Review Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. Citation Text: Ünal A, Seren Intepeler Ş. Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 20…

A systematic review of clinical outcomes associated with intrahospital transitions | PSNet

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October 02, 2019 - Review A systematic review of clinical outcomes associated with intrahospital transitions Citation Text: Bristol AA, Schneider CE, Lin S-Y, et al. A Systematic Review of Clinical Outcomes Associated With Intrahospital Transitions. J Healthc Qual. 2019. doi:10.1097/JHQ.0000000000000232. …

Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. | PSNet

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February 03, 2010 - Study Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Citation Text: Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global cert…

Huddling for high reliability and situation awareness. | PSNet

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January 29, 2014 - Study Huddling for high reliability and situation awareness. Citation Text: Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. Copy Citation Format: DOI Google …

Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. | PSNet

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August 25, 2021 - Study Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Citation Text: Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval …

Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. | PSNet

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May 31, 2023 - Study Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. Citation Text: Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2…

Implementation of crew resource management: a qualitative study in 3 intensive care units. | PSNet

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July 10, 2013 - Study Implementation of crew resource management: a qualitative study in 3 intensive care units. Citation Text: Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.109…

A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage. | PSNet

psnet.ahrq.gov/issue/systematic-review-primary-care-safety-climate-survey-instruments-their-origins-psychometric

June 14, 2017 - Review A systematic review of primary care safety climate survey instruments: their origins, psychometric properties, quality, and usage. Citation Text: Curran C, Lydon S, Kelly M, et al. A Systematic Review of Primary Care Safety Climate Survey Instruments: Their Origins, Psychometric P…

Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients

October 03, 2017 - Study Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Citation Text: Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…

Drug dosing error with drops – severe clinical course of codeine intoxication in twins. | PSNet

psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins

September 29, 2021 - Study Drug dosing error with drops – severe clinical course of codeine intoxication in twins. Citation Text: Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…

Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet

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October 04, 2023 - Study Diagnostic discrepancies in the emergency department: a retrospective study. Citation Text: Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252. Co…

Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/medication-errors-caregivers-home-neonates-discharged-neonatal-intensive-care-unit

June 07, 2023 - Study Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Citation Text: Solanki R, Mondal N, Mahalakshmy T, et al. Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Arch Dis Child. 2017…

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/improving-ambulatory-prescribing-safety-handheld-decision-support-system-randomized

July 30, 2014 - Study Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. Citation Text: Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…

Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. | PSNet

psnet.ahrq.gov/issue/patient-safety-factors-children-dying-paediatric-intensive-care-unit-picu-case-notes-review

December 03, 2014 - Study Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. Citation Text: Monroe K, Wang D, Vincent CA, et al. Patient safety factors in children dying in a paediatric intensive care unit (PICU): a case notes review study. BMJ …

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order

March 06, 2013 - Study Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Citation Text: Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and computerised physician order …

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