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The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study. | PSNet

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January 23, 2019 - Study The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study. Citation Text: Schimmel AM, Becker ML, van den Bout T, et al. The impact of type of manual medication cart filling method on the f…

Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. | PSNet

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June 10, 2020 - Study Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. Citation Text: Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1…

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. | PSNet

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March 03, 2011 - Study The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Citation Text: Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…

An observational study of changes to long-term medication after admission to an intensive care unit. | PSNet

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January 06, 2018 - Study An observational study of changes to long-term medication after admission to an intensive care unit. Citation Text: Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1…

Correlation between hospital rating agencies' data: an analysis and recommendation. | PSNet

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April 05, 2023 - Study Correlation between hospital rating agencies' data: an analysis and recommendation. Citation Text: Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…

Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. | PSNet

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December 04, 2013 - Study Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. Citation Text: Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns abo…

Medication prescribing errors in a teaching hospital. | PSNet

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December 23, 2008 - Study Classic Medication prescribing errors in a teaching hospital. Citation Text: Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. Copy Citation Format: Google Scholar P…

An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. | PSNet

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May 15, 2024 - Study An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Citation Text: Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…

Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet

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May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? | PSNet

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November 25, 2020 - Commentary Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? Citation Text: Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improveme…

Common predictors of nurse-reported quality of care and patient safety. | PSNet

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March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…

Analysis of Australian newspaper coverage of medication errors. | PSNet

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February 15, 2012 - Study Analysis of Australian newspaper coverage of medication errors. Citation Text: Hinchcliff R, Westbrook JI, Greenfield D, et al. Analysis of Australian newspaper coverage of medication errors. Int J Qual Health Care. 2012;24(1):1-8. doi:10.1093/intqhc/mzr067. Copy Citation For…

Reducing errors resulting from commonly missed chest radiography findings. | PSNet

psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings

August 20, 2018 - Commentary Reducing errors resulting from commonly missed chest radiography findings. Citation Text: Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. Copy Citation Format: …

Language discordance and patient care-Babel. | PSNet

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October 30, 2024 - Commentary Language discordance and patient care-Babel. Citation Text: Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet

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January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…

Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? | PSNet

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August 03, 2022 - Review Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Citation Text: Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…

Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet

psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning

January 22, 2017 - Study Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Citation Text: Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…

Gaps in the continuity of care and progress on patient safety. | PSNet

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January 16, 2017 - Commentary Classic Gaps in the continuity of care and progress on patient safety. Citation Text: Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. Copy Citation Format: Google Sch…

Identification of poor performance in a national medical workforce over 11 years: an observational study. | PSNet

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August 12, 2014 - Study Identification of poor performance in a national medical workforce over 11 years: an observational study. Citation Text: Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…

Why do nurses miss nursing care? A qualitative meta-synthesis. | PSNet

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January 23, 2017 - Review Why do nurses miss nursing care? A qualitative meta-synthesis. Citation Text: Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta‐synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. Copy Citation Format: DOI Google Scho…

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