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The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

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March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. | PSNet

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February 13, 2019 - Review Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. Citation Text: Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: a systematic review of the literature. J Hosp …

"Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care. | PSNet

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January 29, 2020 - Study "Thank You for Listening": An exploratory study regarding the lived experience and perception of medical errors among those who receive care. Citation Text: Terry D, Kim J-ah, Gilbert J, et al. “Thank You for Listening”: An Exploratory Study Regarding the Lived Experience and Perce…

Clinical alerts to decrease high-risk medication use in older adults. | PSNet

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September 02, 2015 - Commentary Clinical alerts to decrease high-risk medication use in older adults. Citation Text: Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. Copy Citation Format: …

Perceptions of working conditions and safety concerns in community pharmacy. | PSNet

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September 01, 2015 - Study Perceptions of working conditions and safety concerns in community pharmacy. Citation Text: Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.0…

Wound-care teams for preventing and treating pressure ulcers. | PSNet

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June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. Citation Text: Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2. Copy Citation Format:…

Patient safety climate in US hospitals: variation by management level. | PSNet

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November 18, 2009 - Study Classic Patient safety climate in US hospitals: variation by management level. Citation Text: Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e…

Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. | PSNet

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March 02, 2011 - Review Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. Citation Text: Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the litera…

Analysis of overridden alerts in a drug–drug interaction detection system. | PSNet

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June 30, 2011 - Study Analysis of overridden alerts in a drug–drug interaction detection system. Citation Text: Mille F, Schwartz C, Brion F, et al. Analysis of overridden alerts in a drug-drug interaction detection system. Int J Qual Health Care. 2008;20(6):400-5. doi:10.1093/intqhc/mzn038. Copy Ci…

Human error and the problem of causality in analysis of accidents. | PSNet

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August 25, 2021 - Commentary Classic Human error and the problem of causality in analysis of accidents. Citation Text: Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462. Copy Citation …

An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. | PSNet

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June 26, 2019 - Study An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. Citation Text: Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…

The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. | PSNet

psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic

November 17, 2021 - Study The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. Citation Text: Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of gre…

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. | PSNet

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December 29, 2014 - Study Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Citation Text: Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…

Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. | PSNet

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January 30, 2019 - Study Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. Citation Text: Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psych…

Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. | PSNet

psnet.ahrq.gov/issue/challenges-nurses-efforts-retrieving-documenting-and-communicating-patient-care-information

November 18, 2016 - Study Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. Citation Text: Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 2013…

Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. | PSNet

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December 21, 2016 - Study Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses. Citation Text: Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.…

The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. | PSNet

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January 21, 2015 - Study The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. Citation Text: Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emerg…

Do calculation errors by nurses cause medication errors in clinical practice? A literature review. | PSNet

psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review

December 14, 2016 - Review Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Citation Text: Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2…

Implementation of diagnostic pauses in the ambulatory setting. | PSNet

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January 31, 2024 - Study Implementation of diagnostic pauses in the ambulatory setting. Citation Text: Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192. Copy Citation Format: D…

Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. | PSNet

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May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…

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