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An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. | PSNet

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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…

Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic

June 08, 2022 - Review Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. Citation Text: Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. J Patient Sa…

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. | PSNet

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…

Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet

psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice

May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

Medication-related emergency department visits in pediatrics: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study

October 16, 2013 - Study Medication-related emergency department visits in pediatrics: a prospective observational study. Citation Text: Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…

A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet

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…

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. | PSNet

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September 29, 2021 - Study The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. Citation Text: Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative inter…

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet

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June 02, 2021 - Study Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. Citation Text: Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised

May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology

April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet

psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and

February 03, 2021 - Study Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. Citation Text: Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…

Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet

psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations

November 16, 2016 - Review Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. Citation Text: Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping …

Comparing VA and Non-VA quality of care: a systematic review. | PSNet

psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review

May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. | PSNet

psnet.ahrq.gov/issue/do-patients-and-relatives-have-different-dispositions-when-challenging-healthcare

March 31, 2021 - Study Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. Citation Text: Rodrigo-Rincon I, Irigoyen-Aristorena I, Tirapu-Leon B, et al. Do patients and relatives have differ…

Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. | PSNet

psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or

April 05, 2017 - Study Classic Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. Citation Text: Oliva EM, Bowe T, Manhapra A, et al. Associations between stopping prescrip…

Healthcare professionals experience of psychological safety, voice, and silence. | PSNet

psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence

March 18, 2020 - Study Healthcare professionals experience of psychological safety, voice, and silence. Citation Text: O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. Copy…

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/critical-care-clinicians-experiences-patient-safety-during-covid-19-pandemic

February 22, 2023 - Study Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. Citation Text: Rosen A, Carter D, Applebaum JR, et al. Critical care clinicians' experiences of patient safety during the COVID-19 pandemic. J Patient Saf. 2022;18(8):e1219-e1225. doi:10.1097/pts.…

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial

February 14, 2017 - Study Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Citation Text: Haines TP, Hill A-M, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516…

Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study. | PSNet

psnet.ahrq.gov/issue/risk-covid-19-related-bullying-harassment-and-stigma-among-healthcare-workers-analytical

April 25, 2016 - Study Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study. Citation Text: Dye TD, Alcantara L, Siddiqi S, et al. Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cros…

Implementation and evaluation of a prototype consumer reporting system for patient safety events. | PSNet

psnet.ahrq.gov/issue/implementation-and-evaluation-prototype-consumer-reporting-system-patient-safety-events

February 12, 2020 - Study Implementation and evaluation of a prototype consumer reporting system for patient safety events. Citation Text: Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 201…

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