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Medication safety in neonatal care: a review of medication errors among neonates. | PSNet

psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates

August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet

psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall

December 08, 2021 - Commentary Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. Citation Text: Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …

A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. | PSNet

psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care

December 02, 2020 - Review A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Citation Text: Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…

The role of theory in research to develop and evaluate the implementation of patient safety practices. | PSNet

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September 20, 2011 - Commentary The role of theory in research to develop and evaluate the implementation of patient safety practices. Citation Text: Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. | PSNet

psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety

July 12, 2016 - Book/Report Classic Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Citation Text: Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours…

Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. | PSNet

psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary

September 01, 2018 - Study Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. Citation Text: Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…

Cost–benefit analysis of a support program for nursing staff. | PSNet

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October 26, 2016 - Study Classic Cost–benefit analysis of a support program for nursing staff. Citation Text: Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376. Co…

Biased language in simulated handoffs and clinician recall and attitudes. | PSNet

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June 29, 2022 - Study Biased language in simulated handoffs and clinician recall and attitudes. Citation Text: Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. …

Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes

March 12, 2025 - Study Developing and evaluating large language model-generated emergency medicine handoff notes. Citation Text: Hartman V, Zhang X, Poddar R, et al. Developing and evaluating large language model-generated emergency medicine handoff notes. JAMA Netw Open. 2024;7(12):e2448723. doi:10.1001…

Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet

psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics

August 20, 2018 - Study Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Citation Text: Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…

The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet

psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors

December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…

Engaging patients as vigilant partners in safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review

February 06, 2019 - Review Classic Engaging patients as vigilant partners in safety: a systematic review. Citation Text: Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254. Co…

Making the business case for patient safety. | PSNet

psnet.ahrq.gov/issue/making-business-case-patient-safety

March 04, 2011 - Commentary Making the business case for patient safety. Citation Text: Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. | PSNet

psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations

September 02, 2020 - Study Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Citation Text: Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Int J Healthc Manage. 2020;13(sup1)…

Communication failures contributing to patient injury in anaesthesia malpractice claims. | PSNet

psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims

August 04, 2021 - Study Communication failures contributing to patient injury in anaesthesia malpractice claims. Citation Text: Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…

Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. | PSNet

psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system

July 14, 2018 - Study Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. Citation Text: Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a…

Association between cancer-specific adverse event triggers and mortality: a validation study. | PSNet

psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study

January 29, 2020 - Study Association between cancer-specific adverse event triggers and mortality: a validation study. Citation Text: Weingart SN, Nelson J, Koethe B, et al. Association between cancer‐specific adverse event triggers and mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:1…

The effect of provider characteristics on the responses to medication-related decision support alerts. | PSNet

psnet.ahrq.gov/issue/effect-provider-characteristics-responses-medication-related-decision-support-alerts

July 16, 2019 - Study The effect of provider characteristics on the responses to medication-related decision support alerts. Citation Text: Cho IS, Slight SP, Nanji KC, et al. The effect of provider characteristics on the responses to medication-related decision support alerts. Int J Med Inform. 2015;84…

Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. | PSNet

psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics

May 18, 2022 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. Citation Text: Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bia…

Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. | PSNet

psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource

October 29, 2012 - Study Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. Citation Text: Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. …

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