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Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet

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February 14, 2024 - Study Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. Citation Text: Wubben I, van Manen JG, van den Akker BJ, et al. Equipment-related incidents in the operating room: an analysis of occurrence,…

Flow disruptions in trauma care handoffs. | PSNet

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August 02, 2015 - Study Flow disruptions in trauma care handoffs. Citation Text: Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Prescribing errors in a pediatric emergency department. | PSNet

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December 04, 2016 - Study Prescribing errors in a pediatric emergency department. Citation Text: Rinke ML, Moon M, Clark J, et al. Prescribing errors in a pediatric emergency department. Pediatr Emerg Care. 2008;24(1):1-8. doi:10.1097/pec.0b013e31815f6f6c. Copy Citation Format: DOI Google Sc…

Medication errors in injured patients. | PSNet

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April 03, 2019 - Study Medication errors in injured patients. Citation Text: Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. | PSNet

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August 12, 2020 - Study Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Citation Text: Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6. Copy Cita…

Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

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August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? | PSNet

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October 14, 2020 - Commentary Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? Citation Text: Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JA…

Hospital readmission after noncardiac surgery: the role of major complications. | PSNet

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July 20, 2016 - Study Hospital readmission after noncardiac surgery: the role of major complications. Citation Text: Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45. Copy Citation Format: …

Diffusing aviation innovations in a hospital in the Netherlands. | PSNet

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August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…

Quality measures of clinical pharmacy services during transitions of care. | PSNet

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December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…

Using Medical Emergency Teams to detect preventable adverse events. | PSNet

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December 06, 2017 - Study Using Medical Emergency Teams to detect preventable adverse events. Citation Text: Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events. Crit Care. 2009;13(4):R126. doi:10.1186/cc7983. Copy Citation Format: DOI Google S…

Inaccuracies in assignment of clinical stage for localized prostate cancer. | PSNet

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April 06, 2022 - Study Inaccuracies in assignment of clinical stage for localized prostate cancer. Citation Text: Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596. Copy Citation Fo…

Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. | PSNet

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August 23, 2023 - Study Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. Citation Text: Awan S, Abid S, Tariq M, et al. Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. Postgrad Med J. 2016;92(1094):721-725. doi:10…

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation. | PSNet

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December 16, 2011 - Study Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation. Citation Text: Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress and barriers to hospital implementation. J Hosp Med.…

Telenursing in incidents and disasters: a systematic review of the literature. | PSNet

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January 07, 2015 - Review Telenursing in incidents and disasters: a systematic review of the literature. Citation Text: Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005. Copy …

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. | PSNet

psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband

April 14, 2011 - Study Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. Citation Text: Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidan…

ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. | PSNet

psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems

April 24, 2018 - Commentary ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. Citation Text: Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality

August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

Resident duty hours and medical education policy—raising the evidence bar. | PSNet

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August 20, 2018 - Commentary Resident duty hours and medical education policy—raising the evidence bar. Citation Text: Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690. Copy Citatio…

Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

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March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

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