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Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet

psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge

November 03, 2015 - Study Last orders: follow-up of tests ordered on the day of hospital discharge. Citation Text: Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. Copy C…

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

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August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

Bedside shift report improves patient safety and nurse accountability. | PSNet

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April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. | PSNet

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February 22, 2019 - Study Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. Citation Text: Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions and Distractions Recorde…

Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. | PSNet

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October 06, 2011 - Study Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Citation Text: Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in ped…

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet

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December 22, 2018 - Study Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Citation Text: Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …

Nursing interruptions in a trauma intensive care unit: a prospective observational study. | PSNet

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November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…

Developing expert medical teams: toward an evidence-based approach. | PSNet

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September 29, 2017 - Review Developing expert medical teams: toward an evidence-based approach. Citation Text: Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. Copy …

Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. | PSNet

psnet.ahrq.gov/issue/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events

March 23, 2011 - Study Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. Citation Text: Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of prevent…

Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. | PSNet

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February 21, 2024 - Review Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. Citation Text: Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration t…

Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. | PSNet

psnet.ahrq.gov/issue/surgical-patient-safety-officers-united-states-negotiating-contradictions-between-compliance

December 31, 2018 - Commentary Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. Citation Text: van de Ruit C, Bosk CL. Surgical patient safety officers in the United States: negotiating contradictions between compliance and wo…

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors

July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. | PSNet

psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis

June 15, 2011 - Study Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Citation Text: Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based o…

Risk of adverse drug events by patient destination after hospital discharge. | PSNet

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March 04, 2020 - Study Risk of adverse drug events by patient destination after hospital discharge. Citation Text: Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. Copy Citation Format: …

Therapeutic errors among children in the community setting: nature, causes and outcomes. | PSNet

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September 09, 2009 - Study Therapeutic errors among children in the community setting: nature, causes and outcomes. Citation Text: Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors among children in the community setting: nature, causes and outcomes. J Paediatr Child Health. 2009;45(5):304-9. doi:…

Relationship between patient complaints and surgical complications. | PSNet

psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications

January 05, 2011 - Study Relationship between patient complaints and surgical complications. Citation Text: Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. Copy Citation Format: Google Schola…

Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. | PSNet

psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records

June 21, 2023 - Commentary Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Citation Text: Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl). 2014;1(4):283-287. do…

Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? | PSNet

psnet.ahrq.gov/issue/inappropriate-opioid-dosing-and-prescribing-children-unintended-consequence-clinical-pain

October 14, 2020 - Commentary Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? Citation Text: Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JA…

Double checking medicines: defence against error or contributory factor? | PSNet

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January 31, 2024 - Study Double checking medicines: defence against error or contributory factor? Citation Text: Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Building an ambulatory safety program at an academic health system. | PSNet

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April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

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