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Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design

January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. | PSNet

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August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…

Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. | PSNet

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January 29, 2014 - Study Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Citation Text: Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-7…

Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. | PSNet

psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient

February 23, 2011 - Study Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. Citation Text: Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…

Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. | PSNet

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January 18, 2023 - Study Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. Citation Text: Sutton E, Ibrahim M, Plath W, et al. Understanding the enablers and barriers to implementing a patient-led escalation system: a qualitative study. BMJ Qual S…

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet

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December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…

Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services | PSNet

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January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…

Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. | PSNet

psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes

June 21, 2016 - Study Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Citation Text: Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…

Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk. | PSNet

psnet.ahrq.gov/issue/systematic-review-impact-physician-work-schedules-patient-safety-meta-analyses-mortality-risk

November 29, 2023 - Review Systematic review of the impact of physician work schedules on patient safety with meta-analyses of mortality risk. Citation Text: Weaver MD, Sullivan JP, Landrigan CP, et al. Systematic review of the impact of physician work schedules on patient safety with meta-analyses of morta…

Prevalence and characteristics of physicians prone to malpractice claims. | PSNet

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April 03, 2019 - Study Classic Prevalence and characteristics of physicians prone to malpractice claims. Citation Text: Studdert DM, Bismark M, Mello MM, et al. Prevalence and Characteristics of Physicians Prone to Malpractice Claims. New Engl J Med. 2016;374(4):354-362. doi:10.…

Inadequate hand-off communication. | PSNet

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April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet

psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain

June 09, 2010 - Review Classic Human factor in cardiac surgery: errors and near misses in a high technology medical domain. Citation Text: Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Tho…

'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. | PSNet

psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-and-unprofessional-behaviour-among-residents

December 21, 2017 - Study 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. Citation Text: Martinez W, Etchegaray J, Thomas EJ, et al. 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two…

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. | PSNet

psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge

December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…

Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. | PSNet

psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication

August 26, 2020 - Study Classic Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. Citation Text: Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not …

An analysis of incident reports related to electronic medication management: how they change over time. | PSNet

psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time

March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality

September 08, 2021 - Study Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. Citation Text: Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…

Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet

psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human

October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet

psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate

December 21, 2014 - Study Classic Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. Citation Text: Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determin…

Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. | PSNet

psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among

January 23, 2019 - Review Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Citation Text: Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provid…

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