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Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet

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April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

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December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. | PSNet

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March 05, 2025 - Study Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study. Citation Text: Decormeille G, Maurer-Maouchi V, Mercier G, et al. Adverse events in intensive care and continuing care u…

Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? | PSNet

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June 16, 2021 - Study Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? Citation Text: Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet

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February 10, 2021 - Study Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Citation Text: Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis …

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet

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May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…

The incidence of adverse drug events in two large academic long-term care facilities. | PSNet

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February 11, 2009 - Study The incidence of adverse drug events in two large academic long-term care facilities. Citation Text: Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.…

Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. | PSNet

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May 19, 2021 - Study Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. Citation Text: Miller AC, Arakkal AT, Koeneman S, et al. Incidence, duration and risk factors associated with delayed and…

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. | PSNet

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July 29, 2015 - Study Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. Citation Text: Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff traini…

How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. | PSNet

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September 15, 2021 - Study How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. Citation Text: Seufert S, de Cruppé W, Assheuer M, et al. How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sect…

Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. | PSNet

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November 27, 2013 - Study Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. Citation Text: Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a …

High-risk medication in home care nursing: a Delphi study. | PSNet

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April 13, 2022 - Study High-risk medication in home care nursing: a Delphi study. Citation Text: Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023. Copy Citation Format: …

Preventable medication harm across health care settings: a systematic review and meta-analysis. | PSNet

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July 31, 2019 - Review Classic Preventable medication harm across health care settings: a systematic review and meta-analysis. Citation Text: Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis…

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 …

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

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February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

More than words: patients' views on apology and disclosure when things go wrong in cancer care. | PSNet

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May 29, 2012 - Study More than words: patients' views on apology and disclosure when things go wrong in cancer care. Citation Text: Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341…

Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. | PSNet

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July 10, 2019 - Study Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qualitative study. Citation Text: Jennings AA, Doherty AS, Clyne B, et al. Stakeholder perceptions of and attitudes towards problematic polypharmacy and prescribing cascades: a qu…

The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. | PSNet

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February 28, 2024 - Study The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. Citation Text: Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…

National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet

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September 12, 2016 - Study National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. Citation Text: Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. BMJ Open. 2013;3(6)…

Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. | PSNet

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June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…

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