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psnet.ahrq.gov/issue/patient-safety-and-legal-regulations-total-scale-analysis-scientific-literature
November 16, 2022 - Review
Patient safety and legal regulations: a total-scale analysis of the scientific literature.
Citation Text:
Yeung AWK, Kletecka-Pulker M, Klager E, et al. Patient safety and legal regulations: a total-scale analysis of the scientific literature. J Patient Saf. 2022;18(7):e1116-e1123…
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psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
August 04, 2021 - Commentary
Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution.
Citation Text:
Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…
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psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
January 27, 2019 - Review
A review of medication errors and the second victim in pediatric pharmacy.
Citation Text:
Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100.
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psnet.ahrq.gov/issue/systems-level-factors-affecting-registered-nurses-during-care-women-labor-experiencing
November 10, 2021 - Study
Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.
Citation Text:
Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical de…
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psnet.ahrq.gov/issue/nurses-second-victims-their-patients-suicidal-attempts-mixed-method-study
October 20, 2021 - Study
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study.
Citation Text:
Amit Aharon A, Fariba M, Shoshana F, et al. Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed‐method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.111…
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psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit
August 02, 2011 - Study
A new safety event reporting system improves physician reporting in the surgical intensive care unit.
Citation Text:
Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…
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psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
August 02, 2015 - Commentary
Emerging Classic
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.
Citation Text:
Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…
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psnet.ahrq.gov/issue/integrative-systematic-review-promoting-patient-safety-within-prehospital-emergency-medical
June 10, 2020 - Review
An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective.
Citation Text:
Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within p…
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psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
February 01, 2023 - Study
Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis.
Citation Text:
Vanneman MW, Balakrishna A, Lang AL, et al. Impro…
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psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems
August 25, 2021 - Study
An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.
Citation Text:
Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…
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psnet.ahrq.gov/issue/prevalence-adverse-events-pediatric-intensive-care-units-united-states
April 11, 2011 - Study
Prevalence of adverse events in pediatric intensive care units in the United States.
Citation Text:
Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/P…
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psnet.ahrq.gov/issue/does-clinical-supervision-health-professionals-improve-patient-safety-systematic-review-and
August 04, 2021 - Review
Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis.
Citation Text:
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient safety? A systematic review and meta-analysis. Int…
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psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
March 16, 2022 - Study
Reported clinical incidents of children with intellectual disability: a qualitative analysis.
Citation Text:
Ong N, Mimmo L, Barnett D, et al. Reported clinical incidents of children with intellectual disability: a qualitative analysis. Dev Med Child Neurol. 2022;64(11):1359-1365. …
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psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
September 24, 2017 - Study
Classic
Mortality trends after a voluntary checklist-based surgical safety collaborative.
Citation Text:
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
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psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
February 07, 2018 - Study
Scaling safety: the South Carolina Surgical Safety Checklist experience.
Citation Text:
Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717.
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psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
April 04, 2011 - Study
Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.
Citation Text:
Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…
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psnet.ahrq.gov/issue/vulnerabilities-computerized-physician-order-entry-systems-qualitative-study
July 02, 2019 - Study
The vulnerabilities of computerized physician order entry systems: a qualitative study.
Citation Text:
Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. d…
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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.
Citation Text:
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
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psnet.ahrq.gov/issue/safer-prescribing-trial-education-informatics-and-financial-incentives
July 06, 2011 - Study
Classic
Safer prescribing—a trial of education, informatics, and financial incentives.
Citation Text:
Dreischulte T, Donnan P, Grant A, et al. Safer Prescribing--A Trial of Education, Informatics, and Financial Incentives. N Engl J Med. 2016;374(11):1053-6…
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psnet.ahrq.gov/issue/what-evidence-supports-use-computerized-alerts-and-prompts-improve-clinicians-prescribing
August 04, 2021 - Review
What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?
Citation Text:
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior…