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Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet

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April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. | PSNet

psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data

January 06, 2017 - Study Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. Citation Text: Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. Copy Citati…

Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory

October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

Medication safety in community pharmacy: a qualitative study of the sociotechnical context. | PSNet

psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context

February 06, 2019 - Study Medication safety in community pharmacy: a qualitative study of the sociotechnical context. Citation Text: Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186…

Good Catch Campaign: improving the perioperative culture of safety. | PSNet

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April 24, 2018 - Study Good Catch Campaign: improving the perioperative culture of safety. Citation Text: Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148. Copy Citation Format: …

COVID-19 and patient safety- lessons from 2 efforts to keep people safe. | PSNet

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March 02, 2011 - Commentary COVID-19 and patient safety- lessons from 2 efforts to keep people safe. Citation Text: Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. Copy Citation Format: …

The investigation and analysis of critical incidents and adverse events in healthcare. | PSNet

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March 05, 2014 - Study Classic The investigation and analysis of critical incidents and adverse events in healthcare. Citation Text: Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health …

The unmeasured quality metric: burn out and the second victim syndrome in healthcare. | PSNet

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September 25, 2024 - Commentary The unmeasured quality metric: burn out and the second victim syndrome in healthcare. Citation Text: Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…

Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet

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February 04, 2015 - Commentary Using morbidity and mortality conferences to drive quality improvement and reduce errors. Citation Text: Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. Copy Cit…

Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. | PSNet

psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link

May 28, 2014 - Study Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. Citation Text: Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…

Factors impacting physician use of information charted by others. | PSNet

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September 18, 2019 - Study Factors impacting physician use of information charted by others. Citation Text: Factors impacting physician use of information charted by others. Zozus MN, Penning M, Hammond WE. JAMIA Open. 2019;2:107-114. Copy Citation Save Save to your library Prin…

Retractions in the medical literature: how many patients are put at risk by flawed research? | PSNet

psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research

August 31, 2011 - Study Retractions in the medical literature: how many patients are put at risk by flawed research? Citation Text: Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. Copy …

Researchers' roles in patient safety improvement. | PSNet

psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement

December 01, 2010 - Commentary Researchers' roles in patient safety improvement. Citation Text: Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096. Copy Citation Format: DOI Google Scho…

Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. | PSNet

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October 20, 2021 - Special or Theme Issue Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different Organizational Settings. Citation Text: Safety and Quality of Parenteral Nutrition: Translating Guidelines into Clinical Practice Considering Different O…

Using the ABCs of situational awareness for patient safety. | PSNet

psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety

November 16, 2022 - Commentary Using the ABCs of situational awareness for patient safety. Citation Text: Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. Copy Citation Format: DOI Google Scholar…

Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. | PSNet

psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies

May 18, 2022 - Study Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. Citation Text: Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…

Health care serial murder: a patient safety orphan. | PSNet

psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan

July 28, 2014 - Commentary Health care serial murder: a patient safety orphan. Citation Text: Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Medication errors in pediatric inpatients: prevalence and results of a prevention program. | PSNet

psnet.ahrq.gov/issue/medication-errors-pediatric-inpatients-prevalence-and-results-prevention-program

May 22, 2019 - Study Medication errors in pediatric inpatients: prevalence and results of a prevention program. Citation Text: Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/…

Drug related admissions to a cardiology department; frequency and avoidability. | PSNet

psnet.ahrq.gov/issue/drug-related-admissions-cardiology-department-frequency-and-avoidability

August 20, 2018 - Study Drug related admissions to a cardiology department; frequency and avoidability. Citation Text: Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. Copy Citation Format: …

Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. | PSNet

psnet.ahrq.gov/issue/clinical-decision-making-heuristics-and-cognitive-biases-ophthalmologist

November 01, 2023 - Review Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Citation Text: Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist. Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007…

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