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Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. | PSNet

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November 16, 2022 - Review Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Citation Text: Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…

Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. | PSNet

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April 01, 2020 - Study Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. Citation Text: Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…

Patient-specific electronic decision support reduces prescription of excessive doses. | PSNet

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November 02, 2010 - Study Patient-specific electronic decision support reduces prescription of excessive doses. Citation Text: Seidling HM, Schmitt SPW, Bruckner T, et al. Patient-specific electronic decision support reduces prescription of excessive doses. Qual Saf Health Care. 2010;19(5):e15. doi:10.113…

Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. | PSNet

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June 30, 2021 - Study Emerging Classic Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. Citation Text: Williams R, Jenkins DA, Ashcroft DM, et al. Diagnosis of physical and mental health conditions in…

Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. | PSNet

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July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…

Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. | PSNet

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December 21, 2022 - Study Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. Citation Text: Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…

Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. | PSNet

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June 14, 2017 - Study Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. Citation Text: Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of pre…

Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. | PSNet

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February 03, 2011 - Review Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Citation Text: Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health record implementation in acute care: a …

"Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. | PSNet

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August 04, 2015 - Study "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. Citation Text: Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety. J Gen Intern …

A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. | PSNet

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November 17, 2021 - Study A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. Citation Text: Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a multiyear implementation strategy and asso…

Connie's Story: A Nurse's Personal Experience with MRSA | PSNet

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June 29, 2023 - Connie's Story: A Nurse's Personal Experience with MRSA April 1, 2008 View more articles from the same authors. Citation Text: Lehfeldt C. Connie's Story: A Nurse's Personal Experience with MRSA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and…

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. | PSNet

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September 23, 2020 - Study Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. Citation Text: Bose S, Groat D, Dinglas VD, et al. Association between unmet nonmedication needs after …

Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. | PSNet

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June 07, 2023 - Study Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. Citation Text: Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/…

Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. | PSNet

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March 10, 2021 - Study Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. Citation Text: Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…

Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. | PSNet

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March 24, 2021 - Study Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. Citation Text: Harper A, Kukielka E, Jones RM. Process failures that increase the risk of infection through respiratory dro…

A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. | PSNet

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December 20, 2023 - Study A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital. Citation Text: Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Car…

Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. | PSNet

psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and

December 21, 2017 - Study Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. Citation Text: Meddings J, Reichert H, Greene T, et al. Evaluation of the association between Hospital Survey…

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. | PSNet

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May 20, 2020 - Study Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project. Citation Text: Tamblyn R, Winslade N, Lee TC, et…

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet

psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors

December 18, 2019 - Study Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. Citation Text: Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare…

A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet

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September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis Citation Text: Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar…

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