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Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

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October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. | PSNet

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April 02, 2008 - Study Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. Citation Text: Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to traditi…

How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? | PSNet

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July 02, 2008 - Study How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? Citation Text: Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. | PSNet

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July 06, 2022 - Study Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. Citation Text: Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1…

The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. | PSNet

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December 29, 2014 - Study The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. Citation Text: D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sec…

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. | PSNet

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July 10, 2019 - Study Emerging Classic Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. Citation Text: Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenou…

Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. | PSNet

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February 28, 2024 - Study Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. Citation Text: King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and responding to patient de…

Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. | PSNet

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August 17, 2022 - Review Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. Citation Text: Wang X, Rihari‐Thomas J, Bail K, et al. Care quality and safety in long‐term aged care settings: a systematic review and narrative analys…

Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. | PSNet

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December 09, 2020 - Commentary Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. Citation Text: Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…

Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. | PSNet

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April 24, 2018 - Study Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. Citation Text: Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…

The impact of rationing nursing care on patient safety: a systematic review. | PSNet

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December 06, 2023 - Review The impact of rationing nursing care on patient safety: a systematic review. Citation Text: Uchmanowicz I, Lisiak M, Wleklik M, et al. The impact of rationing nursing care on patient safety: a systematic review. Med Sci Monit. 2024;30:e942031. doi:10.12659/msm.942031. Copy Citat…

The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet

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January 18, 2023 - Study The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. Citation Text: Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …

Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. | PSNet

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March 04, 2009 - Study Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. Citation Text: Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital …

Drug administration errors in hospital inpatients: a systematic review. | PSNet

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September 01, 2016 - Review Drug administration errors in hospital inpatients: a systematic review. Citation Text: Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. Copy Citation …

Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. | PSNet

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February 11, 2009 - Study Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. Citation Text: Thomson MS, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. J …

Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

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September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet

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July 12, 2010 - Study Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. Citation Text: Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. …

Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet

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September 10, 2014 - Book/Report Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. Citation Text: Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…

An electronic trigger to detect telemedicine-related diagnostic errors. | PSNet

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June 21, 2023 - Study An electronic trigger to detect telemedicine-related diagnostic errors. Citation Text: Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors. J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570. Copy Citation …

National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet

psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric

March 07, 2018 - Study National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. Citation Text: Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…

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