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Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. | PSNet

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March 15, 2023 - Study Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. Citation Text: Domen R, Connelly CD, Spence D. Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse …

Prescription opioid exposures among children and adolescents in the United States: 2000–2015. | PSNet

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December 21, 2017 - Study Prescription opioid exposures among children and adolescents in the United States: 2000–2015. Citation Text: Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/…

Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

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September 29, 2017 - Review Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…

Impact of preoperative briefings on operating room delays. | PSNet

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July 28, 2010 - Study Impact of preoperative briefings on operating room delays. Citation Text: Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. Copy Citation …

Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

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January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …

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…

Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. | PSNet

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February 24, 2011 - Study Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Citation Text: Truitt E, Thompson R, Blazey-Martin D, et al. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration …

Creating a just culture in the perioperative setting. | PSNet

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July 13, 2009 - Commentary Creating a just culture in the perioperative setting. Citation Text: Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. | PSNet

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October 02, 2013 - Study Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration. Citation Text: Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ transplant patients through barcode-as…

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

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December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

A literature review of the individual and systems factors that contribute to medication errors in nursing practice. | PSNet

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April 22, 2011 - Review A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Citation Text: Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…

Safety of using a computerized rounding and sign-out system to reduce resident duty hours. | PSNet

psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours

June 23, 2009 - Study Safety of using a computerized rounding and sign-out system to reduce resident duty hours. Citation Text: Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…

A typology of electronic health record workarounds in small-to-medium size primary care practices. | PSNet

psnet.ahrq.gov/issue/typology-electronic-health-record-workarounds-small-medium-size-primary-care-practices

November 30, 2016 - Study A typology of electronic health record workarounds in small-to-medium size primary care practices. Citation Text: Friedman A, Crosson JC, Howard J, et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc. 2014;…

Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. | PSNet

psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior

September 29, 2017 - Study Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. Citation Text: Halbesleben JRB, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(…

Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet

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June 19, 2024 - Commentary Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. Citation Text: Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…

Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

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September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/ethnography-parents-perceptions-patient-safety-neonatal-intensive-care-unit

September 01, 2018 - Study An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. Citation Text: Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…

A step toward high reliability: implementation of a daily safety brief in a children's hospital. | PSNet

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August 23, 2023 - Study A step toward high reliability: implementation of a daily safety brief in a children's hospital. Citation Text: Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet

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March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…

How teams work—or don’t—in primary care: a field study on internal medicine practices. | PSNet

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November 28, 2012 - Study How teams work—or don’t—in primary care: a field study on internal medicine practices. Citation Text: Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…

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