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Evaluation of outpatient computerized physician medication order entry systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review

February 14, 2024 - Review Evaluation of outpatient computerized physician medication order entry systems: a systematic review. Citation Text: Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. J Am Med Inform Assoc. 20…

Factors predictive of intravenous fluid administration errors in Australian surgical care wards. | PSNet

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September 23, 2020 - Study Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Citation Text: Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. …

Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? | PSNet

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January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…

Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. | PSNet

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January 08, 2016 - Study Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Citation Text: Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…

Healthcare professionals' views of smart glasses in intensive care: a qualitative study. | PSNet

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October 23, 2024 - Study Healthcare professionals' views of smart glasses in intensive care: a qualitative study. Citation Text: Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.201…

From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

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April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? | PSNet

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March 12, 2025 - Study Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? Citation Text: Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …

What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. | PSNet

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January 23, 2017 - Commentary What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. Citation Text: Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. J Health Life Sci Law. 2020;13(2):71-88. Copy Citati…

The exaggerated benefits of failure. | PSNet

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November 09, 2022 - Study The exaggerated benefits of failure. Citation Text: Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet

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August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

Patient safety education to change medical students' attitudes and sense of responsibility. | PSNet

psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility

January 20, 2021 - Study Patient safety education to change medical students' attitudes and sense of responsibility. Citation Text: Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…

On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. | PSNet

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January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…

Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. | PSNet

psnet.ahrq.gov/issue/adequacy-information-transferred-resident-sign-out-hospital-handover-care-prospective-survey

April 30, 2008 - Study Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. Citation Text: Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective …

Managing safety in perioperative settings: strategies of meso-level nurse leaders. | PSNet

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April 06, 2011 - Study Managing safety in perioperative settings: strategies of meso-level nurse leaders. Citation Text: Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…

A case of adverse drug reaction induced by dispensing error. | PSNet

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August 17, 2022 - Commentary A case of adverse drug reaction induced by dispensing error. Citation Text: Gallelli L, Staltari O, Palleria C, et al. A case of adverse drug reaction induced by dispensing error. J Forensic Leg Med. 2012;19(8):497-8. doi:10.1016/j.jflm.2012.04.026. Copy Citation Format…

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and

August 04, 2021 - Study Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Citation Text: Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 201…

Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study. | PSNet

psnet.ahrq.gov/issue/behavioral-integrity-safety-priority-safety-psychological-safety-and-patient-safety-team

April 21, 2010 - Study Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study. Citation Text: Leroy H, Dierynck B, Anseel F, et al. Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: A team-level study…

Sensemaking, safety, and cooperative work in the intensive care unit. | PSNet

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September 29, 2010 - Study Sensemaking, safety, and cooperative work in the intensive care unit. Citation Text: Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. Copy Citation Format:…

Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. | PSNet

psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data

October 04, 2011 - Study Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Citation Text: Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. …

A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. | PSNet

psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational

December 20, 2017 - Study A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. Citation Text: Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient …

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