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Implementation of a "second victim" program in a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital

December 18, 2013 - Study Implementation of a "second victim" program in a pediatric hospital. Citation Text: Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650. Copy Citation Forma…

The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse

November 16, 2022 - Review Emerging Classic The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. Citation Text: Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and m…

The spectrum of harm associated with modern medicine. | PSNet

psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine

July 26, 2023 - Commentary The spectrum of harm associated with modern medicine. Citation Text: Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

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May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

Delayed medical emergency team calls and associated outcomes. | PSNet

psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes

October 13, 2018 - Study Delayed medical emergency team calls and associated outcomes. Citation Text: Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. Copy Citation Format: …

How informatics nurses use bar code technology to reduce medication errors. | PSNet

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August 04, 2021 - Commentary How informatics nurses use bar code technology to reduce medication errors. Citation Text: Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37. Copy Citation Format:…

Identification by families of pediatric adverse events and near misses overlooked by health care providers. | PSNet

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November 23, 2016 - Study Identification by families of pediatric adverse events and near misses overlooked by health care providers. Citation Text: Daniels JP, Hunc K, Cochrane D, et al. Identification by families of pediatric adverse events and near misses overlooked by health care providers. CMAJ. 2012…

Teamwork in the time of COVID-19. | PSNet

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November 16, 2022 - Commentary Teamwork in the time of COVID-19. Citation Text: Takizawa PA, Honan L, Brissette D, et al. Teamwork in the time of COVID‐19. FASEB Bioadv. 2020;3(3):175-181. doi:10.1096/fba.2020-00093. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

Blurring the boundaries: scenario-based simulation in a clinical setting. | PSNet

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September 23, 2020 - Study Blurring the boundaries: scenario-based simulation in a clinical setting. Citation Text: Kneebone RL, Kidd J, Nestel D, et al. Blurring the boundaries: scenario-based simulation in a clinical setting. Med Educ. 2005;39(6). doi:10.1111/j.1365-2929.2005.02110.x. Copy Citation …

Potentially avoidable hospitalizations among historically marginalized nursing home residents. | PSNet

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September 09, 2011 - Study Potentially avoidable hospitalizations among historically marginalized nursing home residents. Citation Text: Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312.…

Morbidity and mortality: delays in my patient’s cancer care. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care

July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

Medicaid, hospital financial stress, and the incidence of adverse medical events for children. | PSNet

psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children

December 21, 2022 - Study Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Citation Text: Smith RB, Dynan L, Fairbrother G, et al. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Health Serv Res. 2012;47(4):1621-4…

Time for a change in injury and trauma care delivery: a trauma death review analysis. | PSNet

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November 21, 2021 - Study Time for a change in injury and trauma care delivery: a trauma death review analysis. Citation Text: Sugrue M, Caldwell E, D'Amours S, et al. Time for a change in injury and trauma care delivery: a trauma death review analysis. ANZ J Surg. 2008;78(11):949-954. doi:10.1111/j.1445-…

Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. | PSNet

psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports

December 29, 2014 - Study Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. Citation Text: Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …

Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. | PSNet

psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident

March 26, 2014 - Study Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. Citation Text: Renkema E, Broekhuis MH, Ahaus K. Explaining the unexplainable - the impact of physicians' attitude towards litigation on their incident disclos…

Current pulse: can a production system reduce medical errors in health care? | PSNet

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September 09, 2011 - Commentary Current pulse: can a production system reduce medical errors in health care? Citation Text: Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238. Copy Citation Format: …

Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors

January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

A national physician survey of diagnostic error in paediatrics. | PSNet

psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics

August 04, 2021 - Study A national physician survey of diagnostic error in paediatrics. Citation Text: Perrem LM, Fanshawe TR, Sharif F, et al. A national physician survey of diagnostic error in paediatrics. Eur J Pediatr. 2016;175(10):1387-92. doi:10.1007/s00431-016-2772-0. Copy Citation Format: …

Insensible losses: when the medical community forgets the family. | PSNet

psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-family

January 17, 2024 - Commentary Insensible losses: when the medical community forgets the family. Citation Text: Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. Copy Citation Format: DOI Google …

The role of continuous quality improvement and psychological safety in predicting work-arounds. | PSNet

psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds

July 31, 2008 - Study The role of continuous quality improvement and psychological safety in predicting work-arounds. Citation Text: Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…

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