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Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. | PSNet

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May 19, 2018 - Study Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. Citation Text: Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and po…

Surgeon and surgical trainee experiences after adverse patient events. | PSNet

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January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. | PSNet

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November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. Citation Text: Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to siz…

Decisions about critical events in device-related scenarios as a function of expertise. | PSNet

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January 02, 2017 - Study Decisions about critical events in device-related scenarios as a function of expertise. Citation Text: Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. Copy Citat…

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

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July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. | PSNet

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January 12, 2022 - Study Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. Citation Text: Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and health care-associated infections in critical c…

Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet

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January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

EHR-related medication errors in two ICUs. | PSNet

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March 15, 2017 - Study EHR-related medication errors in two ICUs. Citation Text: Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. | PSNet

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April 27, 2010 - Study Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. Citation Text: Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online …

Patient safety near misses – still missing opportunities to learn. | PSNet

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July 10, 2024 - Study Patient safety near misses – still missing opportunities to learn. Citation Text: Woodier N, Burnett C, Sampson P, et al. Patient safety near misses – still missing opportunities to learn. J Patient Saf Risk Manag. 2023;29(1):47-53. doi:10.1177/25160435231220430. Copy Citation …

Preventing medical injury. | PSNet

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February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

Social disparities in patient safety in primary care: a systematic review. | PSNet

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January 08, 2025 - Review Emerging Classic Social disparities in patient safety in primary care: a systematic review. Citation Text: Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…

Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. | PSNet

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October 14, 2020 - Study Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Citation Text: M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth …

Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. | PSNet

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December 14, 2022 - Study Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial. Citation Text: Bladh L, Ottosson E, Karlsson J, et al. Effects of a clinical pharmacist service on health-related quality of life and prescribing of…

Role of computerized physician order entry systems in facilitating medication errors. | PSNet

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February 18, 2011 - Study Classic Role of computerized physician order entry systems in facilitating medication errors. Citation Text: Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):119…

Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. | PSNet

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May 27, 2011 - Study Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. Citation Text: Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…

Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. | PSNet

psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national

October 12, 2016 - Book/Report Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. Citation Text: Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adv…

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet

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January 24, 2024 - Study Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. Citation Text: Goldman J, Rotteau L, Flintoft V, et al. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a C…

Long-term impacts faced by patients and families after harmful healthcare events. | PSNet

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December 01, 2021 - Study Long-term impacts faced by patients and families after harmful healthcare events. Citation Text: Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. | PSNet

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August 03, 2022 - Review Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. Citation Text: Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…

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