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The nature and occurrence of registration errors in the emergency department. | PSNet

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September 28, 2016 - Study The nature and occurrence of registration errors in the emergency department. Citation Text: Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011. …

Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. | PSNet

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November 19, 2018 - Commentary Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. Citation Text: Franklin GM, Neurology AA of. Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. Neurology. 2014;83(14):1277-84. doi:10.1212/WNL.00…

Safety through redundancy: a case study of in-hospital patient transfers. | PSNet

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November 03, 2015 - Study Safety through redundancy: a case study of in-hospital patient transfers. Citation Text: Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. Copy Citation Format: …

Common patterns in 558 diagnostic radiology errors. | PSNet

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July 19, 2023 - Study Common patterns in 558 diagnostic radiology errors. Citation Text: Donald JJ, Barnard SA. Common patterns in 558 diagnostic radiology errors. J Med Imaging Radiat Oncol. 2012;56(2):173-178. doi:10.1111/j.1754-9485.2012.02348.x. Copy Citation Format: DOI Google Schol…

Unrecognized cardiovascular emergencies among Medicare patients. | PSNet

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November 16, 2022 - Study Unrecognized cardiovascular emergencies among Medicare patients. Citation Text: Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628. Copy Citation Forma…

Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet

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September 09, 2015 - Review Applying fault tree analysis to the prevention of wrong-site surgery. Citation Text: Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. Copy Citation F…

Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. | PSNet

psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required

June 08, 2022 - Study Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Citation Text: Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6. Co…

Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. | PSNet

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March 01, 2011 - Study Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. Citation Text: Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Pati…

The effect of blue-enriched lighting on medical error rate in a university hospital ICU. | PSNet

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March 10, 2021 - Study The effect of blue-enriched lighting on medical error rate in a university hospital ICU. Citation Text: Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…

Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. | PSNet

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October 05, 2022 - Review Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. Citation Text: Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical er…

Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. | PSNet

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August 04, 2021 - Study Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. Citation Text: Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and t…

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…

Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. | PSNet

psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric

June 27, 2011 - Study Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Citation Text: Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital di…

Patient access to electronic health records during hospitalization. | PSNet

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October 19, 2022 - Study Patient access to electronic health records during hospitalization. Citation Text: Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. Copy Citation F…

A system safety approach to assessing risks in the sepsis treatment process. | PSNet

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February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…

Novel approach to cardiac alarm management on telemetry units. | PSNet

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October 27, 2021 - Study Novel approach to cardiac alarm management on telemetry units. Citation Text: Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. Copy Citation For…

Feedback from incident reporting: information and action to improve patient safety. | PSNet

psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety

August 26, 2009 - Study Feedback from incident reporting: information and action to improve patient safety. Citation Text: Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…

Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and

June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

A systematic review of adult admissions to ICUs related to adverse drug events. | PSNet

psnet.ahrq.gov/issue/systematic-review-adult-admissions-icus-related-adverse-drug-events

March 16, 2016 - Review A systematic review of adult admissions to ICUs related to adverse drug events. Citation Text: Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. Co…

What can apologies in the electronic health record tell us about health care quality, processes, and safety? | PSNet

psnet.ahrq.gov/issue/what-can-apologies-electronic-health-record-tell-us-about-health-care-quality-processes-and

November 18, 2016 - Study What can apologies in the electronic health record tell us about health care quality, processes, and safety? Citation Text: Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e1…

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