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psnet.ahrq.gov/issue/errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary
August 25, 2021 - Study
Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.
Citation Text:
Lammers RL, Willoughby-Byrwa M, Fales WD. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Simul Healthc. …
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psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
September 25, 2019 - Study
Unintended patient safety risks due to wireless smart infusion pump library update delays.
Citation Text:
Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097…
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psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
December 05, 2012 - Study
How to make medication error reporting systems work—factors associated with their successful development and implementation.
Citation Text:
Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…
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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - Study
Remote patient monitoring improves patient falls and reduces harm.
Citation Text:
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
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psnet.ahrq.gov/issue/iatrogenic-events-admitted-neonates-prospective-cohort-study
December 18, 2014 - Study
Iatrogenic events in admitted neonates: a prospective cohort study.
Citation Text:
Ligi I, Arnaud F, Jouve E, et al. Iatrogenic events in admitted neonates: a prospective cohort study. Lancet. 2008;371(9610):404-10. doi:10.1016/S0140-6736(08)60204-4.
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psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
June 14, 2023 - Study
Use of error management theory to quantify and characterize residents' error recovery strategies.
Citation Text:
Pugh CM, Law KE, Cohen ER, et al. Use of error management theory to quantify and characterize residents’ error recovery strategies. Am J Surg. 2020;219(2):214-220. doi:1…
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psnet.ahrq.gov/issue/effects-mid-day-nap-neurocognitive-performance-first-year-medical-residents-controlled
November 16, 2022 - Study
The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled interventional pilot study.
Citation Text:
Amin MM, Graber ML, Ahmad K, et al. The effects of a mid-day nap on the neurocognitive performance of first-year medical resident…
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psnet.ahrq.gov/issue/situ-interprofessional-perinatal-drills-impact-structured-debrief-maximizing-training-while
October 12, 2009 - Study
In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.
Citation Text:
Greer JA, Haischer-Rollo G, Delorey D, et al. In-situ Interprofessional Perinatal Drills: The Impact of a Structured Debrief on…
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psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
June 22, 2009 - Study
Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system.
Citation Text:
Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …
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psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
August 23, 2023 - Review
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review.
Citation Text:
Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…
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psnet.ahrq.gov/issue/making-health-care-safer-critical-review-modern-evidence-supporting-strategies-improve
June 08, 2011 - Special or Theme Issue
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.
Citation Text:
Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Shekelle PG, Pronovost…
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
January 24, 2018 - Study
Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice.
Citation Text:
Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual …
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psnet.ahrq.gov/issue/hospital-computerized-provider-order-entry-adoption-and-quality-examination-united-states
May 20, 2020 - Study
Hospital computerized provider order entry adoption and quality: an examination of the United States.
Citation Text:
Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94…
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psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
April 04, 2018 - Study
Exploring perinatal shift-to-shift handover communication and process: an observational study.
Citation Text:
Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…
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psnet.ahrq.gov/issue/sustained-improvement-quality-patient-handoffs-after-orthopaedic-surgery-i-pass-intervention
June 15, 2022 - Study
Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention.
Citation Text:
Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Gl…
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psnet.ahrq.gov/issue/preventable-harm-because-outpatient-medication-errors-among-children-leukemia-and-lymphoma
January 15, 2020 - Study
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment.
Citation Text:
Wong CI, Vannatta K, Gilleland Marchak J, et al. Preventable harm because of outpatient medication errors among children with leuk…
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - Study
Real-time automated paging and decision support for critical laboratory abnormalities.
Citation Text:
Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…
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psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
February 24, 2011 - Study
Classic
Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis.
Citation Text:
Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…
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psnet.ahrq.gov/issue/balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners
May 04, 2022 - Commentary
Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.
Citation Text:
Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners. Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-…
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - Study
Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities.
Citation Text:
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…