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Parents' medication administration errors: role of dosing instruments and health literacy. | PSNet

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May 31, 2017 - Study Parents' medication administration errors: role of dosing instruments and health literacy. Citation Text: Yin S, Mendelsohn A, Wolf MS, et al. Parents' medication administration errors: role of dosing instruments and health literacy. Arch Pediatr Adolesc Med. 2010;164(2):181-6. doi…

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. | PSNet

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September 27, 2023 - Study Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. Citation Text: Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…

Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. | PSNet

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December 23, 2020 - Study Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. Citation Text: Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.…

Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. | PSNet

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September 22, 2010 - Study Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. Citation Text: Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident …

Relationship of the nursing practice environment with the quality of care and patients' safety in primary health care. | PSNet

psnet.ahrq.gov/issue/relationship-nursing-practice-environment-quality-care-and-patients-safety-primary-health

March 09, 2022 - Study Relationship of the nursing practice environment with the quality of care and patients' safety in primary health care. Citation Text: Lucas P, Jesus É, Almeida S, et al. Relationship of the nursing practice environment with the quality of care and patients’ safety in primary health…

Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? | PSNet

psnet.ahrq.gov/issue/failure-administer-recommended-chemotherapy-acceptable-variation-or-cancer-care-quality-blind

September 02, 2020 - Study Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? Citation Text: Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 20…

Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. | PSNet

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August 04, 2015 - Study Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. Citation Text: Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…

Association between cancer-specific adverse event triggers and mortality: a validation study. | PSNet

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January 29, 2020 - Study Association between cancer-specific adverse event triggers and mortality: a validation study. Citation Text: Weingart SN, Nelson J, Koethe B, et al. Association between cancer‐specific adverse event triggers and mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:1…

Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet

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November 19, 2018 - Study Gaps in ambulatory patient safety for immunosuppressive specialty medications. Citation Text: Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2…

Adverse Events in Anesthesia: An Integrative Review. | PSNet

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October 16, 2024 - Review Adverse Events in Anesthesia: An Integrative Review. Citation Text: Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005. Copy Citation Format: DOI Google Scholar Pub…

Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. | PSNet

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March 25, 2020 - Study Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. Citation Text: Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans H…

Establishing a global learning community for incident-reporting systems. | PSNet

psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems

May 24, 2012 - Commentary Establishing a global learning community for incident-reporting systems. Citation Text: Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. Copy…

Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster

July 13, 2010 - Study Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. Citation Text: Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-…

Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. | PSNet

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September 27, 2017 - Study Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. Citation Text: Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementi…

Improving shared situation awareness for high-risk therapies in hospitalized children. | PSNet

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October 20, 2021 - Study Improving shared situation awareness for high-risk therapies in hospitalized children. Citation Text: Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…

Creating a safer health care system: finding the constraint. | PSNet

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February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. | PSNet

psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning

February 02, 2022 - Commentary Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Citation Text: Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…

Transformational improvement in quality care and health systems: the next decade. | PSNet

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October 14, 2020 - Commentary Transformational improvement in quality care and health systems: the next decade. Citation Text: Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-02…

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet

psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19

May 08, 2019 - Commentary Classic Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers Citation Text: Rangachari P, L. Woods J. Preserving organizational re…

Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. | PSNet

psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient

February 17, 2021 - Review Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. Citation Text: Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…

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