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Medication errors: the school nurse as second victim. | PSNet

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October 19, 2022 - Commentary Medication errors: the school nurse as second victim. Citation Text: Stillwater AR. Medication Errors: The School Nurse as Second Victim. NASN School Nurse. 2018;33(3):163-166. doi:10.1177/1942602x17747294. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

To catch a killer: electronic sepsis alert tools reaching a fever pitch? | PSNet

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November 15, 2023 - Commentary To catch a killer: electronic sepsis alert tools reaching a fever pitch? Citation Text: Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. Copy Citation Format: …

Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. | PSNet

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June 21, 2023 - Commentary Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Citation Text: Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. do…

Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors

June 19, 2024 - Study Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Citation Text: Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):3…

Error codes at autopsy to study potential biases in diagnostic error. | PSNet

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November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…

An appeal for evidence-based resident duty hours reform. | PSNet

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August 09, 2023 - Commentary An appeal for evidence-based resident duty hours reform. Citation Text: Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. Copy Citation Format: DOI Google S…

Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

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September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

Teamwork in obstetric critical care. | PSNet

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January 31, 2024 - Review Teamwork in obstetric critical care. Citation Text: Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

The diagnostic moment: a study in US primary care. | PSNet

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June 16, 2021 - Study The diagnostic moment: a study in US primary care. Citation Text: Heritage J. The diagnostic moment: a study in US primary care. Soc Sci Med. 2019;228:262-271. doi:10.1016/j.socscimed.2019.03.022. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

Building a learning organization. | PSNet

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June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. | PSNet

psnet.ahrq.gov/issue/what-influences-sustainment-and-nonsustainment-facilitation-activities-implementation

April 17, 2017 - Study What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. Citation Text: Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in…

Improving the safety of medication administration using an interactive CD-ROM program. | PSNet

psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program

February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…

In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. | PSNet

psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us-hospitals

April 13, 2017 - Study In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Citation Text: Edwards MT. In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. Int J Qual Health Care. 2018;30(8):602-607.…

Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. | PSNet

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September 02, 2009 - Study Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Citation Text: Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. Copy Citati…

Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet

psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va

July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…

Using the internet to deliver education on drug safety. | PSNet

psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety

March 23, 2011 - Study Using the internet to deliver education on drug safety. Citation Text: Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

The successful anesthesia patient safety officer. | PSNet

psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer

December 22, 2018 - Commentary The successful anesthesia patient safety officer. Citation Text: Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 …

Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. | PSNet

psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among

July 18, 2016 - Study Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. Citation Text: Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…

An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities

April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. | PSNet

psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted

August 17, 2016 - Study Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. Citation Text: Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful mul…

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