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Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

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July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet

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October 19, 2022 - Study Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. Citation Text: Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet

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July 07, 2021 - Review Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. Citation Text: Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. Copy Ci…

Prescribing decision making by medical residents on night shifts: a qualitative study. | PSNet

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April 14, 2021 - Study Prescribing decision making by medical residents on night shifts: a qualitative study. Citation Text: Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14…

Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. | PSNet

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December 21, 2014 - Study Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. Citation Text: Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…

Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. | PSNet

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May 26, 2016 - Review Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. Citation Text: Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qua…

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. | PSNet

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October 23, 2024 - Study Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. Citation Text: Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pha…

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. | PSNet

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August 17, 2017 - Study Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. Citation Text: Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2)…

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet

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April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

Safety culture: an integration of existing models and a framework for understanding its development. | PSNet

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December 21, 2017 - Review Classic Safety culture: an integration of existing models and a framework for understanding its development. Citation Text: Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a framework for understanding its …

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

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March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Applying HFMEA to prevent chemotherapy errors. | PSNet

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September 27, 2017 - Study Applying HFMEA to prevent chemotherapy errors. Citation Text: Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. | PSNet

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October 19, 2022 - Study The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. Citation Text: Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic…

Emergency department checklist: an innovation to improve safety in emergency care. | PSNet

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December 20, 2023 - Commentary Emergency department checklist: an innovation to improve safety in emergency care. Citation Text: Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. | PSNet

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September 28, 2010 - Study Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Citation Text: Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …

Inappropriate drug use in the elderly: a nationwide register-based study. | PSNet

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July 09, 2008 - Study Inappropriate drug use in the elderly: a nationwide register-based study. Citation Text: Johnell K, Fastbom J, Rosén M, et al. Inappropriate drug use in the elderly: a nationwide register-based study. Ann Pharmacother. 2007;41(7):1243-8. Copy Citation Format: Google…

Evaluation of a nurse-led safety program in a critical care unit. | PSNet

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June 03, 2013 - Study Evaluation of a nurse-led safety program in a critical care unit. Citation Text: Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. Copy Citation F…

The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. | PSNet

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July 06, 2011 - Commentary The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. Citation Text: Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the N…

FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. | PSNet

psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental

August 05, 2020 - Press Release/Announcement FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. Citation Text: FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that…

Infections associated with reprocessed flexible bronchoscopes. | PSNet

psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes

March 11, 2015 - Press Release/Announcement Infections associated with reprocessed flexible bronchoscopes. Citation Text: Infections associated with reprocessed flexible bronchoscopes. FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. Copy Citation …

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