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Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. | PSNet

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February 20, 2019 - Book/Report Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. Citation Text: Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Res…

The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. | PSNet

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April 20, 2022 - Review The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Citation Text: Blatter C, Osińska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs…

Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review. | PSNet

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October 25, 2023 - Review Managers' perceptions of the factors affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic review. Citation Text: Kiljunen O, Savela R‐M, Välimäki T, et al. Managers' perceptions of the factors affecting resident and patient…

The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. | PSNet

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August 24, 2016 - Study The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. Citation Text: Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clin…

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…

A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. | PSNet

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December 04, 2016 - Review A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. Citation Text: Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. Copy Cita…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

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December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. | PSNet

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December 15, 2021 - Study "Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. Citation Text: Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety checklist, patient safety, and the eve…

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…

Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. | PSNet

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March 04, 2015 - Review Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. Citation Text: Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.…

Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

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May 05, 2021 - Commentary Why and how to approach user experience in safety-critical domains: the example of health care. Citation Text: Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. | PSNet

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June 13, 2018 - Study Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data. Citation Text: Collins S, Couture B, Dykes PC, et al. Implementation, evaluation, and recommendations for extension of AHRQ Common Formats…

Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. | PSNet

psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1

September 26, 2016 - Study Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. Citation Text: Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for emergency …

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

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October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

Systems errors versus physicians' errors: finding the balance in medical education. | PSNet

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October 12, 2012 - Commentary Systems errors versus physicians' errors: finding the balance in medical education. Citation Text: Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22. Copy Citation Format: Google …

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. | PSNet

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August 12, 2020 - Commentary Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Citation Text: Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patie…

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. | PSNet

psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach

March 29, 2023 - Study Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Citation Text: Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …

Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet

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June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. | PSNet

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August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…

Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. | PSNet

psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study

August 04, 2021 - Study Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Citation Text: Charpiat B, Goutelle S, Schoeffler M, et al. Prescriptions analysis by clinical pharmacists in the post-operative period: a 4-year prospective study. Acta Anaes…

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