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Patient safety: examining the adequacy of the 5 rights of medication administration. | PSNet

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March 02, 2016 - Commentary Patient safety: examining the adequacy of the 5 rights of medication administration. Citation Text: Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f. Copy…

Speaking up about the dangers of the hidden curriculum. | PSNet

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September 30, 2020 - Commentary Speaking up about the dangers of the hidden curriculum. Citation Text: Liao JM, Thomas EJ, Bell SK. Speaking up about the dangers of the hidden curriculum. Health Aff (Millwood). 2014;33(1):168-171. doi:10.1377/hlthaff.2013.1073. Copy Citation Format: DOI Google…

Using a computerized sign-out system to improve physician–nurse communication. | PSNet

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September 28, 2016 - Study Using a computerized sign-out system to improve physician–nurse communication. Citation Text: Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. Copy Citation Format: …

Intensive care unit alarms—how many do we need? | PSNet

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March 01, 2011 - Study Intensive care unit alarms—how many do we need? Citation Text: Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. Copy Citation Format: DOI Google Scholar PubMed BibT…

A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. | PSNet

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February 15, 2011 - Study A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. Citation Text: Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding Allergy Warnings in a Computerized Prescrib…

Passing the "Yo' Mama" test. | PSNet

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February 15, 2023 - Commentary Passing the "Yo' Mama" test. Citation Text: Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. Copy Citation Format: …

Online medication error graphic reports: a pilot in North Carolina nursing homes. | PSNet

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March 24, 2011 - Study Online medication error graphic reports: a pilot in North Carolina nursing homes. Citation Text: Greene SB, Williams CE, Pierson S, et al. Online medication error graphic reports: a pilot in North Carolina nursing homes. J Patient Saf. 2011;7(2):92-8. doi:10.1097/PTS.0b013e31821b4…

Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

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September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. | PSNet

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July 13, 2010 - Study Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Citation Text: McKinney JS, Deng Y, Kasner SE, et al. Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality. Stroke. 2011;42(9)…

Safety culture: an integration of existing models and a framework for understanding its development. | PSNet

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December 21, 2017 - Review Classic Safety culture: an integration of existing models and a framework for understanding its development. Citation Text: Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a framework for understanding its …

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions

March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

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October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

Pharmacist work stress and learning from quality related events. | PSNet

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January 07, 2016 - Study Pharmacist work stress and learning from quality related events. Citation Text: Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003. Copy Citation Fo…

Effects of CPOE on provider cognitive workload: a randomized crossover trial. | PSNet

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March 14, 2022 - Study Effects of CPOE on provider cognitive workload: a randomized crossover trial. Citation Text: Avansino J, Leu MG. Effects of CPOE on provider cognitive workload: a randomized crossover trial. Pediatrics. 2012;130(3):e547-52. doi:10.1542/peds.2011-3408. Copy Citation Format: …

An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. | PSNet

psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and

March 23, 2022 - Study An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Citation Text: Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…

Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. | PSNet

psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims

July 05, 2017 - Study Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Citation Text: Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet

psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent

April 22, 2011 - Study Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Citation Text: van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…

Risk of adverse drug events by patient destination after hospital discharge. | PSNet

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March 04, 2020 - Study Risk of adverse drug events by patient destination after hospital discharge. Citation Text: Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. Copy Citation Format: …

Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

psnet.ahrq.gov/issue/infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-safety

August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. | PSNet

psnet.ahrq.gov/issue/medication-errors-important-component-nonadherence-medication-outpatient-population-lung

June 23, 2021 - Study Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. Citation Text: Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication in an outpatient population …

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