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Medication errors in community pharmacies: the need for commitment, transparency, and research. | PSNet

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June 17, 2020 - Commentary Medication errors in community pharmacies: the need for commitment, transparency, and research. Citation Text: Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. d…

Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. | PSNet

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March 30, 2016 - Study Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. Citation Text: Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…

Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet

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September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

Compliance with central line maintenance bundle and infection rates. | PSNet

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August 16, 2023 - Study Compliance with central line maintenance bundle and infection rates. Citation Text: Tripathi S, McGarvey J, Lee K, et al. Compliance with central line maintenance bundle and infection rates. Pediatrics. 2023;152(3):e2022059688. doi:10.1542/peds.2022-059688. Copy Citation Form…

Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. | PSNet

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October 20, 2021 - Study Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Citation Text: Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…

A framework for patient safety: a defense nuclear industry-based high-reliability model. | PSNet

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June 14, 2017 - Commentary A framework for patient safety: a defense nuclear industry-based high-reliability model. Citation Text: Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…

Measuring preventable harm: helping science keep pace with policy. | PSNet

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December 29, 2014 - Commentary Measuring preventable harm: helping science keep pace with policy. Citation Text: Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA. 2009;301(12):1273-5. doi:10.1001/jama.2009.388. Copy Citation Format: DOI Goo…

IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. | PSNet

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January 31, 2024 - Journal Article IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. Citation Text: Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. Copy Citation Format: …

Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? | PSNet

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March 09, 2022 - Review Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? Citation Text: Brindley PG, Jones DB, Grantcharov T, et al. Canadian Association of University Surgeons' Annual Symposium. Surgical simulat…

Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. | PSNet

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March 09, 2016 - Commentary Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Citation Text: Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):9…

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

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December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

Relationship of safety climate and safety performance in hospitals. | PSNet

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February 04, 2009 - Study Relationship of safety climate and safety performance in hospitals. Citation Text: Singer SJ, Lin S, Falwell A, et al. Relationship of safety climate and safety performance in hospitals. Health Serv Res. 2009;44(2 Pt 1):399-421. doi:10.1111/j.1475-6773.2008.00918.x. Copy Citati…

Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. | PSNet

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July 14, 2010 - Commentary Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. Citation Text: Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.…

How to mitigate the effects of cognitive biases during patient safety incident investigations. | PSNet

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June 29, 2022 - Commentary How to mitigate the effects of cognitive biases during patient safety incident investigations. Citation Text: Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…

The problem with…using stories as a source of evidence and learning. | PSNet

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June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. Citation Text: Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. Copy Citation Format: DOI Google …

Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. | PSNet

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June 28, 2011 - Study Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study. Citation Text: Kristensen S, Christensen KB, Jaquet A, et al. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sect…

A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries. | PSNet

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June 16, 2021 - Study A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries. Citation Text: Aveling E-L, McCulloch P, Dixon-Woods M. A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-…

Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. | PSNet

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September 23, 2020 - Review Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. Citation Text: Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…

A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? | PSNet

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January 23, 2019 - Review A systematic review of behavioural marker systems in healthcare: what do we know about their attributes, validity and application? Citation Text: Dietz AS, Pronovost P, Benson KN, et al. A systematic review of behavioural marker systems in healthcare: what do we know about their a…

Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

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June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

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