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Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. | PSNet

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August 24, 2022 - Study Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Citation Text: Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …

Findings of the first consensus conference on medical emergency teams. | PSNet

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August 04, 2021 - Commentary Findings of the first consensus conference on medical emergency teams. Citation Text: DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. Copy Ci…

Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink. | PSNet

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July 22, 2015 - Study Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink. Citation Text: Stocks J, Kontopantelis E, Akbarov A, et al. Examining variations in prescribing safety in UK general practice: cross sectional stu…

Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet

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November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. | PSNet

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August 20, 2018 - Study Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs. Citation Text: Joffe AR, Anton NR, Burkholder SC. Reduction in hospital mortality over time in a hospital without a pediatric medical e…

Rates of medication errors among depressed and burnt out residents: prospective cohort study. | PSNet

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April 11, 2011 - Study Rates of medication errors among depressed and burnt out residents: prospective cohort study. Citation Text: Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008;336(7642):488-91. doi:…

Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. | PSNet

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May 22, 2019 - Review Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review. Citation Text: Heneka N, Shaw T, Rowett D, et al. Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: A systematic…

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. | PSNet

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June 23, 2021 - Study Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. Citation Text: Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for …

Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. | PSNet

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January 12, 2022 - Study Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. Citation Text: Pado K, Fraus K, Mulhem E, et al. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. J Clin Psychol Me…

Nurses' attitudes to a medical emergency team service in a teaching hospital. | PSNet

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November 16, 2022 - Study Nurses' attitudes to a medical emergency team service in a teaching hospital. Citation Text: Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching hospital. Qual Saf Health Care. 2006;15(6):427-32. Copy Citation Format: …

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. | PSNet

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March 21, 2018 - Study Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. Citation Text: Melnyk BM, Tan A, Hsieh AP, et al. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care. 2021;30(3):176-184. do…

Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. | PSNet

psnet.ahrq.gov/issue/physician-burnout-well-being-and-work-unit-safety-grades-relationship-reported-medical-errors

June 01, 2022 - Study Classic Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. Citation Text: Tawfik DS, Profit J, Morgenthaler TI, et al. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reporte…

Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. | PSNet

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December 22, 2021 - Study Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. Citation Text: Schewe J-C, Kappler J, Dovermann K, et al. Diagnostic accuracy of physician-staffed emergency …

Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. | PSNet

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May 08, 2017 - Study Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. Citation Text: Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and Benzodiazepine Coprescribing in High…

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. | PSNet

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October 14, 2020 - Study Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. Citation Text: Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record wor…

Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet

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October 21, 2020 - Study Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. Citation Text: Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment…

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet

psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k

April 13, 2022 - Study Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. Citation Text: Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …

Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet

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July 12, 2023 - Study Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. Citation Text: Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…

Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. | PSNet

psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety

January 23, 2017 - Commentary Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. Citation Text: Alexander M, Jupp J, Chazan G, et al. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. J Oncol Pharm Pract. 2020;26(5):1225-1229. doi:10.11…

Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet

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April 06, 2012 - Study Physician attitudes toward family-activated medical emergency teams for hospitalized children. Citation Text: Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;…

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