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Cardiac surgery errors: results from the UK National Reporting and Learning System. | PSNet

psnet.ahrq.gov/issue/cardiac-surgery-errors-results-uk-national-reporting-and-learning-system

May 24, 2012 - Study Cardiac surgery errors: results from the UK National Reporting and Learning System. Citation Text: Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/i…

Medication errors among acutely ill and injured children treated in rural emergency departments. | PSNet

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December 13, 2013 - Study Medication errors among acutely ill and injured children treated in rural emergency departments. Citation Text: Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…

Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. | PSNet

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May 04, 2012 - Study Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Citation Text: Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10…

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. | PSNet

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November 25, 2009 - Study Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Citation Text: Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…

Crisis recovery in surgery: error management and problem solving in safety-critical situations. | PSNet

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November 30, 2022 - Study Crisis recovery in surgery: error management and problem solving in safety-critical situations. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …

Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. | PSNet

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October 19, 2022 - Study Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Citation Text: Findling MG, Zephyrin L, Bleich SN, et al. Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. Healthc (Amst). 2022;10(2):100630. doi:10.…

Pharmacy dispensing of electronically discontinued medications. | PSNet

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October 03, 2012 - Study Pharmacy dispensing of electronically discontinued medications. Citation Text: Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. Copy Citation Format: …

High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. | PSNet

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August 04, 2021 - Commentary High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Citation Text: Dufay É, Doerper S, Michel B, et al. High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation. Safety in Health. 2017;…

Pharmacy e-prescription dispensing before and after CancelRx implementation. | PSNet

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October 05, 2022 - Study Pharmacy e-prescription dispensing before and after CancelRx implementation. Citation Text: Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…

Results of a national neurosurgery resident survey on duty hour regulations. | PSNet

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September 29, 2017 - Study Results of a national neurosurgery resident survey on duty hour regulations. Citation Text: Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989. Co…

Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. | PSNet

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February 06, 2013 - Review Emerging Classic Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Citation Text: Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate…

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. | PSNet

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December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…

A human factors and survey methodology-based design of a web-based adverse event reporting system for families. | PSNet

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January 12, 2012 - Study A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Citation Text: Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Int…

Identification of patient safety threats in a post-intensive care clinic. | PSNet

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November 21, 2021 - Study Identification of patient safety threats in a post-intensive care clinic. Citation Text: Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118. Copy Cit…

Reaching the summit of discharge summaries: a quality improvement project. | PSNet

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March 17, 2021 - Study Reaching the summit of discharge summaries: a quality improvement project. Citation Text: Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. Copy C…

Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. | PSNet

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February 09, 2022 - Commentary Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. Citation Text: Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational le…

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. | PSNet

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January 23, 2020 - Study Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. Citation Text: Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. | PSNet

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July 15, 2020 - Study Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Citation Text: Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci…

Impact of a comprehensive safety initiative on patient-controlled analgesia errors. | PSNet

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April 02, 2014 - Study Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Citation Text: Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3…

Maintaining maternal-newborn safety during the COVID-19 pandemic. | PSNet

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November 16, 2022 - Commentary Maintaining maternal-newborn safety during the COVID-19 pandemic. Citation Text: Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003. Copy Citation Format: …

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