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Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. | PSNet

psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication

March 02, 2012 - Study Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Citation Text: Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

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May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. | PSNet

psnet.ahrq.gov/issue/design-endoscopic-retrograde-cholangiopancreatography-ercp-duodenoscopes-may-impede-effective

March 11, 2015 - Government Resource Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. Citation Text: Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. FDA Safety Communication. Silver Sp…

Bringing the clinical laboratory into the strategy to advance diagnostic excellence. | PSNet

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September 08, 2021 - Commentary Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Citation Text: Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/…

Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. | PSNet

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December 04, 2024 - Commentary Emerging Classic Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. Citation Text: Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…

The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. | PSNet

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October 11, 2017 - Study The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. Citation Text: Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and …

Workarounds in the workplace: a second look. | PSNet

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December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Unintended adverse consequences of a clinical decision support system: two cases. | PSNet

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October 23, 2018 - Commentary Unintended adverse consequences of a clinical decision support system: two cases. Citation Text: Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096. Copy Citation …

Using data to enhance performance and improve quality and safety in surgery. | PSNet

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March 15, 2023 - Commentary Using data to enhance performance and improve quality and safety in surgery. Citation Text: Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. Co…

Leading article: how can I optimise my role as a leader within the surgical team? | PSNet

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October 29, 2017 - Review Leading article: how can I optimise my role as a leader within the surgical team? Citation Text: Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j…

'Trust but verify'—five approaches to ensure safe medical apps. | PSNet

psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps

September 27, 2023 - Commentary 'Trust but verify'—five approaches to ensure safe medical apps. Citation Text: Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z. Copy Citation Format: DOI Google Scholar PubM…

The gap in electronic drug information resources: a systematic review. | PSNet

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January 24, 2024 - Review The gap in electronic drug information resources: a systematic review. Citation Text: Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860. Copy Citation Format: …

Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/pharmaceutical-interventions-improve-safety-chemotherapy-treated-cancer-patients-cross

March 10, 2011 - Study Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. Citation Text: Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: A cross-sectional s…

Computerized surveillance for adverse drug events in a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-pediatric-hospital

January 03, 2017 - Study Computerized surveillance for adverse drug events in a pediatric hospital. Citation Text: Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167. C…

Implementing patient safety practices in small ambulatory care settings. | PSNet

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April 19, 2013 - Study Implementing patient safety practices in small ambulatory care settings. Citation Text: Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. Copy Citation Format: Google Sc…

A safe practice standard for barcode technology. | PSNet

psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology

September 21, 2022 - Review A safe practice standard for barcode technology. Citation Text: Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf. 2015;11(2):89-99. doi:10.1097/PTS.0000000000000049. Copy Citation Format: DOI Google Scholar PubMed …

Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. | PSNet

psnet.ahrq.gov/issue/improving-cancer-patient-care-combined-medication-error-reviews-and-morbidity-and-mortality

February 01, 2012 - Study Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. Citation Text: Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy…

Nursing interruptions in a trauma intensive care unit: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study

November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…

Patient preferences in cases of Inter-system Medical Error Discovery (IMED). | PSNet

psnet.ahrq.gov/issue/patient-preferences-cases-inter-system-medical-error-discovery-imed

November 02, 2018 - Study Patient preferences in cases of Inter-system Medical Error Discovery (IMED). Citation Text: Antunez AG, Saari A, Miller J, et al. Patient Preferences in Cases of Inter-system Medical Error Discovery (IMED). Ann Surg. 2021;273(3):516-522. doi:10.1097/SLA.0000000000003507. Copy Cit…

Medical students raising concerns. | PSNet

psnet.ahrq.gov/issue/medical-students-raising-concerns

September 23, 2020 - Study Medical students raising concerns. Citation Text: Druce MR, Hickey A, Warrens AN, et al. Medical Students Raising Concerns. J Patient Saf. 2021;17(5):e367-e372. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

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