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Managing the patient identification crisis in healthcare and laboratory medicine. | PSNet

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April 22, 2009 - Review Managing the patient identification crisis in healthcare and laboratory medicine. Citation Text: Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2…

Predictive combinations of monitor alarms preceding in-hospital code blue events. | PSNet

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March 18, 2020 - Study Predictive combinations of monitor alarms preceding in-hospital code blue events. Citation Text: Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001. Copy…

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-…

The application of Aronson's taxonomy to medication errors in nursing. | PSNet

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January 15, 2009 - Study The application of Aronson's taxonomy to medication errors in nursing. Citation Text: Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14. Copy Citation Format: …

Balancing innovation and safety when integrating digital tools into health care. | PSNet

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July 01, 2011 - Commentary Balancing innovation and safety when integrating digital tools into health care. Citation Text: Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. Co…

Safety analysis over time: seven major changes to adverse event investigation. | PSNet

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September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…

Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era. | PSNet

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July 14, 2021 - Commentary Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era. Citation Text: Ramnath VR, McSharry DG, Malhotra A. Do No Harm. Chest. 2020;158(3):873-876. doi:10.1016/j.chest.2020.05.548. Copy Citation Format: DOI…

Limits on opioid prescribing leave patients with chronic pain vulnerable. | PSNet

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March 27, 2019 - Commentary Limits on opioid prescribing leave patients with chronic pain vulnerable. Citation Text: Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188. Copy Citation Format: DOI Google …

'Between the flags': implementing a rapid response system at scale. | PSNet

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June 08, 2011 - Commentary 'Between the flags': implementing a rapid response system at scale. Citation Text: Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845. Copy Citation For…

Reducing interruptions to improve medication safety. | PSNet

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January 04, 2015 - Study Reducing interruptions to improve medication safety. Citation Text: Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e. Copy Citation Format: DOI Google Sc…

Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. | PSNet

psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse

September 28, 2022 - Study Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. Citation Text: DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…

A systematic review of factors that enable psychological safety in healthcare teams. | PSNet

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October 28, 2020 - Review Classic A systematic review of factors that enable psychological safety in healthcare teams. Citation Text: O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare teams. Int J Qual Health Care. 2020;32(4):2…

Speaking up—when doctors navigate medical hierarchy. | PSNet

psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy

August 19, 2020 - Commentary Speaking up—when doctors navigate medical hierarchy. Citation Text: Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

Relationship between systems-level factors and hand hygiene adherence. | PSNet

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September 28, 2011 - Study Relationship between systems-level factors and hand hygiene adherence. Citation Text: Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71. Copy Ci…

Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic

July 08, 2008 - Study Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. Citation Text: Jani Y, Ghaleb M, Marks SD, et al. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. J Pediatr. 2008;152(2):214-8. doi:10.1016/j.jpeds.…

Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet

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August 02, 2015 - Study Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Citation Text: Bisset GS, Crowe J. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Pediatr Radiol. 2014;44(5):552-7. doi:10.1007…

Diagnostic errors with inserted tubes, lines and catheters in children. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes-lines-and-catheters-children

September 11, 2019 - Study Diagnostic errors with inserted tubes, lines and catheters in children. Citation Text: Fuentealba I, Taylor GA. Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol. 2012;42(11):1305-15. doi:10.1007/s00247-012-2462-7. Copy Citation Format: …

Rapid response teams—walk, don't run. | PSNet

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March 21, 2012 - Commentary Classic Rapid response teams—walk, don't run. Citation Text: Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645. Copy Citation Format: DOI Google Scholar BibTeX End…

Minimizing inappropriate medications in older populations: a ten-step conceptual framework. | PSNet

psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual-framework

June 23, 2021 - Commentary Minimizing inappropriate medications in older populations: a ten-step conceptual framework. Citation Text: Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1…

Using the opportunity estimator tool to improve engagement in a quality and safety intervention. | PSNet

psnet.ahrq.gov/issue/using-opportunity-estimator-tool-improve-engagement-quality-and-safety-intervention

August 25, 2010 - Commentary Using the opportunity estimator tool to improve engagement in a quality and safety intervention. Citation Text: Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patien…

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