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Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. | PSNet

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March 02, 2022 - Study Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. Citation Text: Strandbygaard J, Dose N, Moeller KE, et al. Healthcare professionals’ perception of safety culture and th…

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. | PSNet

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August 25, 2021 - Study An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. Citation Text: Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…

Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. | PSNet

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April 12, 2011 - Study Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. Citation Text: Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication safety: lesson…

The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns | PSNet

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September 12, 2018 - Journal Article The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns Citation Text: Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation a…

Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet

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February 03, 2021 - Study Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. Citation Text: Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units. | PSNet

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March 15, 2017 - Study Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units. Citation Text: Hoonakker P, Carayon P, Brown RL, et al. Changes in end-user satisfaction with Computerized Provider Order Entry over time among nurs…

An intervention to decrease narcotic-related adverse drug events in children's hospitals. | PSNet

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April 11, 2011 - Study An intervention to decrease narcotic-related adverse drug events in children's hospitals. Citation Text: Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…

Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. | PSNet

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June 14, 2011 - Study Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Citation Text: Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. | PSNet

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March 15, 2017 - Study Classic Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…

Transitioning between electronic health records: effects on ambulatory prescribing safety. | PSNet

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June 03, 2013 - Study Transitioning between electronic health records: effects on ambulatory prescribing safety. Citation Text: Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:1…

Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. | PSNet

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November 16, 2022 - Study Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. Citation Text: Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Unde…

Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. | PSNet

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November 13, 2024 - Study Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities. Citation Text: Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …

Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. | PSNet

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June 17, 2020 - Study Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. Citation Text: Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing a…

A review of medication errors and the second victim in pediatric pharmacy. | PSNet

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January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. | PSNet

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November 16, 2022 - Study Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial. Citation Text: Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after software-assisted dischar…

Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study | PSNet

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January 08, 2020 - Journal Article Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study Citation Text: Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience feedback following a care transitio…

We will not compete on safety: how children's hospitals have come together to hasten harm reduction. | PSNet

psnet.ahrq.gov/issue/we-will-not-compete-safety-how-childrens-hospitals-have-come-together-hasten-harm-reduction

August 10, 2022 - Study We will not compete on safety: how children's hospitals have come together to hasten harm reduction. Citation Text: Lyren A, Coffey M, Shepherd M, et al. We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction. Jt Comm J Qual Patient Saf.…

Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet

psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology

October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

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June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

Surgical patient safety outcomes in critical access hospitals: how do they compare? | PSNet

psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare

June 05, 2019 - Study Surgical patient safety outcomes in critical access hospitals: how do they compare? Citation Text: Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. C…

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