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Comprehensive analysis of a medication dosing error related to CPOE. | PSNet

psnet.ahrq.gov/issue/comprehensive-analysis-medication-dosing-error-related-cpoe

June 01, 2005 - Commentary Comprehensive analysis of a medication dosing error related to CPOE. Citation Text: Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. Copy Citation Fo…

Impact of the World Health Organization surgical safety checklist on patient safety. | PSNet

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November 03, 2015 - Review Impact of the World Health Organization surgical safety checklist on patient safety. Citation Text: Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000…

Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

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July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. | PSNet

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April 12, 2011 - Study Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. Citation Text: Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…

Medication errors involving nursing students: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review

March 09, 2022 - Review Medication errors involving nursing students: a systematic review. Citation Text: Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. Copy Citation …

Relationship of adverse events and support to RN burnout. | PSNet

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February 08, 2023 - Study Relationship of adverse events and support to RN burnout. Citation Text: Lewis EJ, Baernholdt MB, Yan G, et al. Relationship of adverse events and support to RN burnout. J Nurs Care Qual. 2015;30(2):144-52. doi:10.1097/NCQ.0000000000000084. Copy Citation Format: DOI G…

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. | PSNet

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January 04, 2012 - Study Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. Citation Text: Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code …

Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet

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January 22, 2017 - Study Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. Citation Text: Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and A…

Selecting indicators for patient safety at the health system level in OECD countries. | PSNet

psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries

June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…

Defining attributes of patient safety through a concept analysis. | PSNet

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May 08, 2013 - Review Defining attributes of patient safety through a concept analysis. Citation Text: Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715. Copy Citation Format: …

Strategies for sustaining a quality improvement collaborative and its patient safety gains. | PSNet

psnet.ahrq.gov/issue/strategies-sustaining-quality-improvement-collaborative-and-its-patient-safety-gains

February 01, 2011 - Study Strategies for sustaining a quality improvement collaborative and its patient safety gains. Citation Text: Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:…

Liability associated with obstetric anesthesia: a closed claims analysis. | PSNet

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July 13, 2010 - Study Liability associated with obstetric anesthesia: a closed claims analysis. Citation Text: Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. Copy Cita…

Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. | PSNet

psnet.ahrq.gov/issue/leaving-patients-their-own-devices-smart-technology-safety-and-therapeutic-relationships

December 04, 2024 - Commentary Emerging Classic Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. Citation Text: Ho A, Quick O. Leaving patients to their own devices? Smart technology, safety and therapeutic relationships. BMC Med Ethics…

Causes of use errors in ventilation devices--systematic review. | PSNet

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October 12, 2022 - Review Causes of use errors in ventilation devices--systematic review. Citation Text: Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. Copy Citation Format: D…

Checking the lists: a systematic review of electronic checklist use in health care. | PSNet

psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care

August 08, 2018 - Review Checking the lists: a systematic review of electronic checklist use in health care. Citation Text: Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. Copy Citat…

Syndromic surveillance for health information system failures: a feasibility study. | PSNet

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November 03, 2015 - Study Syndromic surveillance for health information system failures: a feasibility study. Citation Text: Ong M-S, Magrabi F, Coiera E. Syndromic surveillance for health information system failures: a feasibility study. J Am Med Inform Assoc. 2013;20(3):506-12. doi:10.1136/amiajnl-2012-00…

Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. | PSNet

psnet.ahrq.gov/issue/improving-code-team-performance-and-survival-outcomes-implementation-pediatric-resuscitation

February 03, 2011 - Study Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. Citation Text: Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. C…

Building collaborative teams in neonatal intensive care. | PSNet

psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care

August 14, 2019 - Study Building collaborative teams in neonatal intensive care. Citation Text: Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. Copy Citation Format: DOI Google Scho…

Insufficient communication about medication use at the interface between hospital and primary care. | PSNet

psnet.ahrq.gov/issue/insufficient-communication-about-medication-use-interface-between-hospital-and-primary-care

February 03, 2021 - Study Insufficient communication about medication use at the interface between hospital and primary care. Citation Text: Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…

Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. | PSNet

psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes

February 04, 2015 - Study Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. Citation Text: Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …

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