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National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. | PSNet

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November 17, 2010 - Study National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Citation Text: Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. Copy Citation Format: …

Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. | PSNet

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October 18, 2018 - Study Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. Citation Text: Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. App Ergon. 2018;67(Feb):104-114. doi:…

Emotional impact of patient safety incidents on family physicians and their office staff. | PSNet

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December 11, 2013 - Study Emotional impact of patient safety incidents on family physicians and their office staff. Citation Text: O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2)…

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. | PSNet

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February 06, 2019 - Study Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. Citation Text: Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…

Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. | PSNet

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August 04, 2021 - Study Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. Citation Text: Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…

Effect of a weight-based prescribing method within an electronic health record on prescribing errors. | PSNet

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September 11, 2013 - Study Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Citation Text: Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm.…

Running a hospital patient safety campaign: a qualitative study. | PSNet

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May 01, 2015 - Study Running a hospital patient safety campaign: a qualitative study. Citation Text: Ozieranski P, Robins V, Minion J, et al. Running a hospital patient safety campaign: a qualitative study. J Health Organ Manag. 2014;28(4):562-75. Copy Citation Format: Google Scholar PubM…

Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. | PSNet

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February 04, 2016 - Study Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Citation Text: McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. | PSNet

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April 14, 2021 - Study An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. Citation Text: Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national…

Medication dosing errors for patients with renal insufficiency in ambulatory care. | PSNet

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July 31, 2008 - Study Medication dosing errors for patients with renal insufficiency in ambulatory care. Citation Text: Yap C, Dunham D, Thompson JA, et al. Medication Dosing Errors for Patients with Renal Insufficiency in Ambulatory Care. The Joint Commission Journal on Quality and Patient Safety. 2016…

Quality gaps identified through mortality review. | PSNet

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November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. | PSNet

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December 22, 2010 - Study Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. Citation Text: Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. | PSNet

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March 28, 2011 - Commentary Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. Citation Text: Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary ca…

Hospital workload and adverse events. | PSNet

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August 31, 2011 - Study Classic Hospital workload and adverse events. Citation Text: Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

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January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…

Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. | PSNet

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October 19, 2022 - Study Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center. Citation Text: McCullough JS, McKenna D, Kadidlo D, et al. Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation cente…

The impact of a tele-ICU on provider attitudes about teamwork and safety climate. | PSNet

psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate

May 25, 2016 - Study The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Citation Text: Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.…

Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

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February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

Making patient safety the centerpiece of medical liability reform. | PSNet

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December 01, 2019 - Commentary Making patient safety the centerpiece of medical liability reform. Citation Text: Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. Copy Citation Format: …

Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. | PSNet

psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals

March 12, 2025 - Study Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. Citation Text: Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…

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