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Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital

November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital. Citation Text: Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…

Interdisciplinary team training identifies discrepancies in institutional policies and practices. | PSNet

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November 26, 2012 - Study Interdisciplinary team training identifies discrepancies in institutional policies and practices. Citation Text: Andreatta P, Frankel J, Smith SB, et al. Interdisciplinary team training identifies discrepancies in institutional policies and practices. Am J Obstet Gynecol. 2011;20…

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. | PSNet

psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey

September 01, 2018 - Study Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. Citation Text: Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…

Taking a closer look at medication errors that involve oxytocin. | PSNet

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July 18, 2018 - Newspaper/Magazine Article Taking a closer look at medication errors that involve oxytocin. Citation Text: Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6. Copy Citation Save …

Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. | PSNet

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June 08, 2010 - Review Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. Citation Text: Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…

Unintended doses in radiotherapy—over, under and outside? | PSNet

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August 27, 2009 - Commentary Unintended doses in radiotherapy—over, under and outside? Citation Text: Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863. Copy Citation Format: DOI Goo…

Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet

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January 18, 2013 - Study Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. Citation Text: Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…

Operating room fires. | PSNet

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March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet

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March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…

Patient reports of preventable problems and harms in primary health care. | PSNet

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February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. Citation Text: Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40. Copy Citation Format: Google Sc…

The association between culture, climate and quality of care in primary health care teams. | PSNet

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May 30, 2011 - Commentary The association between culture, climate and quality of care in primary health care teams. Citation Text: Hann M, Bower P, Campbell S, et al. The association between culture, climate and quality of care in primary health care teams. Fam Pract. 2007;24(4):323-9. Copy Citati…

Situational awareness—what it means for clinicians, its recognition and importance in patient safety. | PSNet

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July 10, 2017 - Review Situational awareness—what it means for clinicians, its recognition and importance in patient safety. Citation Text: Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721…

Technology, governance and patient safety: systems issues in technology and patient safety. | PSNet

psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety

September 14, 2016 - Review Technology, governance and patient safety: systems issues in technology and patient safety. Citation Text: Balka E, Doyle-Waters M, Lecznarowicz D, et al. Technology, governance and patient safety: systems issues in technology and patient safety. Int J Med Inform. 2007;76 Suppl …

Disruptive behaviors among physicians. | PSNet

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August 14, 2014 - Commentary Disruptive behaviors among physicians. Citation Text: Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal. | PSNet

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March 09, 2022 - Commentary Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal. Citation Text: Franco AC, Maxwell P, Green K, et al. Anticoagulation Patient Safety Goal Compliance at a University Health System: Methods for Achieving the Goal. Hosp…

Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. | PSNet

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October 13, 2010 - Commentary Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. Citation Text: Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…

Patient safety: Part II. Opportunities for improvement in patient safety. | PSNet

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August 19, 2009 - Review Patient safety: Part II. Opportunities for improvement in patient safety. Citation Text: Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.ja…

Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. | PSNet

psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety

September 01, 2016 - Study Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Citation Text: Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310…

Fatigue, performance and the work environment: a survey of registered nurses. | PSNet

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November 18, 2020 - Study Fatigue, performance and the work environment: a survey of registered nurses. Citation Text: Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. Copy Citation…

An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet

psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition

April 24, 2018 - Study An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. Citation Text: Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with pot…

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