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A case of mistaken identity: staff input on patient ID errors. | PSNet

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March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …

A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet

psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography

March 04, 2015 - Study A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. Citation Text: Tridandapani S, Ramamurthy S, Provenzale J, et al. A multiobserver study of the effects of including point-of-care p…

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making

June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

Leadership strategies of medical school deans to promote quality and safety. | PSNet

psnet.ahrq.gov/issue/leadership-strategies-medical-school-deans-promote-quality-and-safety

August 10, 2022 - Commentary Leadership strategies of medical school deans to promote quality and safety. Citation Text: Griner PF. Leadership strategies of medical school deans to promote quality and safety. Jt Comm J Qual Patient Saf. 2007;33(2):63-72. Copy Citation Format: Google Scholar…

White paper on recommendation for systems-based practice competency. | PSNet

psnet.ahrq.gov/issue/white-paper-recommendation-systems-based-practice-competency

December 18, 2017 - Commentary White paper on recommendation for systems-based practice competency. Citation Text: Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NC…

Elopement: evidence-based mitigation and management. | PSNet

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October 19, 2022 - Study Elopement: evidence-based mitigation and management. Citation Text: Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. Copy Citation Format: DOI Google Sc…

Sleep and errors in a group of Australian hospital nurses at work and during the commute. | PSNet

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February 14, 2024 - Study Sleep and errors in a group of Australian hospital nurses at work and during the commute. Citation Text: Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…

Computerized surveillance for adverse drug events in a pediatric hospital. | PSNet

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January 03, 2017 - Study Computerized surveillance for adverse drug events in a pediatric hospital. Citation Text: Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167. C…

Computer physician order entry: benefits, costs, and issues. | PSNet

psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues

May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Types, prevalence, and potential clinical significance of medication administration errors in assisted living. | PSNet

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October 11, 2023 - Study Types, prevalence, and potential clinical significance of medication administration errors in assisted living. Citation Text: Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine

November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. | PSNet

psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years

August 04, 2021 - Review Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. Citation Text: Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet

psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity

December 12, 2012 - Study Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Citation Text: Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. d…

Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet

psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals

June 06, 2018 - Review Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. Citation Text: Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0…

Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study

October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet

psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors

November 12, 2014 - Commentary Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. Citation Text: Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…

Role of computerized physician order entry usability in the reduction of prescribing errors. | PSNet

psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors

June 23, 2021 - Study Role of computerized physician order entry usability in the reduction of prescribing errors. Citation Text: Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…

Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. | PSNet

psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls

November 21, 2014 - Study Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors. Citation Text: Zecevic AA, Salmoni AW, Lewko JH, et al. Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of f…

Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric

September 28, 2010 - Study Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. Citation Text: Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…

A preliminary taxonomy of medical errors in family practice. | PSNet

psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice

April 08, 2011 - Study Classic A preliminary taxonomy of medical errors in family practice. Citation Text: Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. Copy Citation Format: …

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