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The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. | PSNet

psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory

November 26, 2014 - Study The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. Citation Text: Miller N, Bhowmik S, Ezinwa M, et al. The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. J P…

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. | PSNet

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February 15, 2017 - Study High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. Citation Text: Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…

Automated detection of look-alike/sound-alike medication errors. | PSNet

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August 28, 2019 - Study Automated detection of look-alike/sound-alike medication errors. Citation Text: Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication errors. Am J Health Syst Pharm. 2017;74(7):521-527. doi:10.2146/ajhp150690. Copy Citation Forma…

Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016. | PSNet

psnet.ahrq.gov/issue/mobilising-or-standing-still-narrative-review-surgical-safety-checklist-knowledge-developed

August 21, 2019 - Review Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016. Citation Text: Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety Checklist …

The impact of nontechnical skills on technical performance in surgery: a systematic review. | PSNet

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February 10, 2010 - Review The impact of nontechnical skills on technical performance in surgery: a systematic review. Citation Text: Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.…

Association of hospital public quality reporting with electronic health record medication safety performance. | PSNet

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October 21, 2020 - Study Association of hospital public quality reporting with electronic health record medication safety performance. Citation Text: Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…

How providers can optimize effective and safe scribe use: a qualitative study. | PSNet

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November 18, 2020 - Study How providers can optimize effective and safe scribe use: a qualitative study. Citation Text: Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. …

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

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October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. | PSNet

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August 17, 2022 - Study Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. Citation Text: Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medic…

A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. | PSNet

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May 26, 2021 - Study A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality. Citation Text: Hofer IS, Cheng D, Grogan T. A retrospective analysis demonstrates that a failure …

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. | PSNet

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December 18, 2019 - Commentary Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. Citation Text: Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…

The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet

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October 06, 2021 - Study The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. Citation Text: Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…

Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet

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August 31, 2022 - Review Classic Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Citation Text: Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a s…

Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. | PSNet

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July 19, 2023 - Review Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Citation Text: Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database…

A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. | PSNet

psnet.ahrq.gov/issue/new-patient-safety-smartphone-application-prevention-forgotten-ureteral-stents-results

July 01, 2015 - Study A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. Citation Text: Molina WR, Pessoa R, da Silva RD, et al. A new patient safety smartphone application for prevention of "forgotten" ureteral…

Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness. | PSNet

psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient

October 19, 2022 - Study Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness. Citation Text: Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…

Root cause analysis for hospital-acquired pressure injury. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury

July 07, 2021 - Review Root cause analysis for hospital-acquired pressure injury. Citation Text: Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. Copy Citation Format: DOI Google Schol…

Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. | PSNet

psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric-inpatients

March 04, 2015 - Study Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Citation Text: Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;…

'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. | PSNet

psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee

November 24, 2021 - Study 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. Citation Text: Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing t…

A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet

psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors

April 24, 2019 - Study A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." Citation Text: Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …

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