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Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet

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February 09, 2011 - Study Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. Citation Text: Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. | PSNet

psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful

September 23, 2020 - Commentary Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. Citation Text: Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…

Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet

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November 20, 2019 - Study Comparing NICU teamwork and safety climate across two commonly used survey instruments. Citation Text: Profit J, Lee HC, Sharek PJ, et al. Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Qual Saf. 2016;25(12):954-961. doi:10.1136/bmjqs-20…

The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care

November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. | PSNet

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December 14, 2022 - Study Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. Citation Text: Henry Basil J, Premakumar CM, Mhd Ali A, et al. Nurses’ perception of medication administration errors and factors associated with …

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

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January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. | PSNet

psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida

January 24, 2024 - Book/Report Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Citation Text: Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. Washington, DC: Department of Veterans Affairs, Office of Inspect…

Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. | PSNet

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March 01, 2017 - Book/Report Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. Citation Text: Technical Evaluation, Testing, and Validation of the Usability …

Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration

November 17, 2021 - Study Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Citation Text: Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patie…

Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet

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June 23, 2021 - Study Root cause analysis of ICU adverse events in the Veterans Health Administration. Citation Text: Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.j…

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. | PSNet

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February 16, 2022 - Commentary Emerging Classic A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Citation Text: Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…

Measuring the rate of manual transcription error in outpatient point-of-care testing. | PSNet

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August 20, 2018 - Study Measuring the rate of manual transcription error in outpatient point-of-care testing. Citation Text: Mays JA, Mathias PC. Measuring the rate of manual transcription error in outpatient point-of-care testing. J Am Med Inform Assoc. 2019;26(3):269-272. doi:10.1093/jamia/ocy170. Cop…

Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? | PSNet

psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid-19-pandemic

July 07, 2021 - Commentary Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? Citation Text: Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for te…

Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review. | PSNet

psnet.ahrq.gov/issue/impact-remote-consultations-antibiotic-prescribing-primary-healthcare-systematic-review

November 30, 2022 - Review Emerging Classic Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review. Citation Text: Han SM, Greenfield G, Majeed A, et al. Impact of remote consultations on antibiotic prescribing in primary healthcare: syste…

Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet

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June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…

Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/undiagnosed-cancer-cases-us-during-first-10-months-covid-19-pandemic

September 01, 2016 - Study Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. Citation Text: Burus T, Lei F, Huang B, et al. Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic. JAMA Oncol. 2024;10(4):500-507. doi:10.1001/jamaoncol.2023.…

Identifying and reconciling patients' allergy information within the electronic health record. | PSNet

psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record

June 15, 2022 - Study Identifying and reconciling patients' allergy information within the electronic health record. Citation Text: Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…

The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. | PSNet

psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy

October 31, 2012 - Study The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Citation Text: Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…

Medication errors among adults and children with cancer in the outpatient setting. | PSNet

psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting

January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. | PSNet

psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review

May 05, 2021 - Review The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. Citation Text: Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1…

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