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Learning not to take it seriously: junior doctors' accounts of error. | PSNet

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December 16, 2015 - Study Learning not to take it seriously: junior doctors' accounts of error. Citation Text: Kroll L, Singleton A, Collier J, et al. Learning not to take it seriously: junior doctors' accounts of error. Med Educ. 2008;42(10):982-90. doi:10.1111/j.1365-2923.2008.03151.x. Copy Citation…

Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. | PSNet

psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative

November 21, 2018 - Review Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. Citation Text: van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…

Nurses' perceived causes of medication administration errors: a qualitative systematic review. | PSNet

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September 16, 2020 - Review Nurses' perceived causes of medication administration errors: a qualitative systematic review. Citation Text: Schroers G, Ross JG, Moriarty H. Nurses' perceived causes of medication administration errors: a qualitative systematic review. Jt Comm J Qual Patient Saf. 2021;47(1):38-5…

Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet

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September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure injury policy. Citation Text: Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…

The untold toll — the pandemic’s effects on patients without Covid-19. | PSNet

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August 02, 2015 - Commentary Classic The untold toll — the pandemic’s effects on patients without Covid-19. Citation Text: Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984. Copy…

Medication reconciliation in a community pharmacy setting. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-community-pharmacy-setting

November 16, 2022 - Study Medication reconciliation in a community pharmacy setting. Citation Text: Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. Copy Citation Format: …

Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. | PSNet

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October 19, 2022 - Study Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. Citation Text: Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and …

Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet

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October 19, 2022 - Study Clinical clerkship students' perceptions of (un)safe transitions for every patient. Citation Text: Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…

Putting the patient in patient safety investigations: barriers and strategies for involvement. | PSNet

psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement

June 23, 2021 - Review Putting the patient in patient safety investigations: barriers and strategies for involvement. Citation Text: Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pt…

Performance of large language models on medical oncology examination questions. | PSNet

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January 12, 2022 - Study Performance of large language models on medical oncology examination questions. Citation Text: Longwell JB, Hirsch I, Binder F, et al. Performance of large language models on medical oncology examination questions. JAMA Netw Open. 2024;7(6):e2417641. doi:10.1001/jamanetworkopen.202…

Cognitive error in an academic emergency department. | PSNet

psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department

July 29, 2020 - Study Cognitive error in an academic emergency department. Citation Text: Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. Copy Citation Format: DOI Google Scholar PubMed B…

Bridging the communication gap in the operating room with medical team training. | PSNet

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March 05, 2025 - Study Bridging the communication gap in the operating room with medical team training. Citation Text: Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. Copy Citation Format: …

How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet

psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review

August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical errors: a review. Citation Text: Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…

Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet

psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic

January 12, 2022 - Review Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. Citation Text: Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…

Reducing diagnostic errors—why now? | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now

July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

Resident work hour limits and patient safety. | PSNet

psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety

July 03, 2014 - Study Classic Resident work hour limits and patient safety. Citation Text: Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. Copy Citation Format: Google Scholar…

Defining attributes of patient safety through a concept analysis. | PSNet

psnet.ahrq.gov/issue/defining-attributes-patient-safety-through-concept-analysis

May 08, 2013 - Review Defining attributes of patient safety through a concept analysis. Citation Text: Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715. Copy Citation Format: …

Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital

March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

With money at risk, hospitals push staff to wash hands. | PSNet

psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands

May 18, 2022 - Newspaper/Magazine Article With money at risk, hospitals push staff to wash hands. Citation Text: Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Health…

Monitoring adverse drug reactions in children using community pharmacies: a pilot study. | PSNet

psnet.ahrq.gov/issue/monitoring-adverse-drug-reactions-children-using-community-pharmacies-pilot-study

July 01, 2017 - Study Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Citation Text: Stewart D, Helms P, McCaig D, et al. Monitoring adverse drug reactions in children using community pharmacies: a pilot study. Br J Clin Pharmacol. 2005;59(6):677-83. Copy Cit…

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