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Laboratory testing in general practice: a patient safety blind spot. | PSNet

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July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…

Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. | PSNet

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April 13, 2022 - Study Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. Citation Text: Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high‐income countries. BJ…

Promising roles for pharmacists in addressing the U.S. opioid crisis. | PSNet

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May 19, 2021 - Commentary Promising roles for pharmacists in addressing the U.S. opioid crisis. Citation Text: Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. Copy…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

Updating Eindhoven: clarifying the features of a patient safety near miss. | PSNet

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March 13, 2024 - Study Updating Eindhoven: clarifying the features of a patient safety near miss. Citation Text: Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096. …

Ensuring access to medications in the US during the COVID-19 pandemic. | PSNet

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May 08, 2017 - Commentary Ensuring access to medications in the US during the COVID-19 pandemic. Citation Text: Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic. JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016. Copy Citation Format: DOI Goog…

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. | PSNet

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September 09, 2020 - Study Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers. Citation Text: Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS) Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;…

Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

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June 10, 2020 - Study Vital signs: changes in opioid prescribing in the United States, 2006-2015. Citation Text: Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4. Copy…

Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet

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December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. Citation Text: Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…

Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

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October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. | PSNet

psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000

February 22, 2019 - Review Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Citation Text: Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…

Outcomes with overlapping surgery at a large academic medical center. | PSNet

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May 03, 2023 - Study Outcomes with overlapping surgery at a large academic medical center. Citation Text: Ponce BA, Wills BW, Hudson PW, et al. Outcomes With Overlapping Surgery at a Large Academic Medical Center. Ann Surg. 2019;269(3):465-470. doi:10.1097/SLA.0000000000002701. Copy Citation Form…

Differences in medication errors between central and remote site telepharmacies. | PSNet

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September 21, 2011 - Study Differences in medication errors between central and remote site telepharmacies. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Differences in medication errors between central and remote site telepharmacies. J Am Pharm Assoc (2003). 2012;52(5):e97-e104. Copy Citation …

Inadequate health literacy among paid caregivers of seniors. | PSNet

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May 04, 2010 - Study Inadequate health literacy among paid caregivers of seniors. Citation Text: Lindquist LA, Jain N, Tam K, et al. Inadequate health literacy among paid caregivers of seniors. J Gen Intern Med. 2011;26(5):474-9. doi:10.1007/s11606-010-1596-2. Copy Citation Format: DOI …

Implementing online medication reconciliation at a large academic medical center. | PSNet

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January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. | PSNet

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November 16, 2022 - Study Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. Citation Text: Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):1…

Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and

August 28, 2013 - Study Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Citation Text: Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…

Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms

September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

Medication errors related to computerized order entry for children. | PSNet

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May 26, 2011 - Study Medication errors related to computerized order entry for children. Citation Text: Walsh KE, Adams WG, Bauchner H, et al. Medication errors related to computerized order entry for children. Pediatrics. 2006;118(5):1872-1879. Copy Citation Format: Google Scholar PubM…

SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post

November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…

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