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From patients to politicians: a cognitive engineering view of patient safety. | PSNet

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January 29, 2020 - Commentary From patients to politicians: a cognitive engineering view of patient safety. Citation Text: Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. Copy Citation Format: Google Scholar P…

ASPEN Safe Practices for Enteral Nutrition Therapy. | PSNet

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June 12, 2018 - Organizational Policy/Guidelines ASPEN Safe Practices for Enteral Nutrition Therapy. Citation Text: Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. Copy Citation…

Patient safety teams recognised at BMJ awards. | PSNet

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October 19, 2022 - Press Release/Announcement Patient safety teams recognised at BMJ awards. Citation Text: Gulland A. Berwick Patient Safety Team: making the NHS a safer place. BMJ. 2014;348(mar28 1). doi:10.1136/bmj.g2404. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

Medical malpractice claims by members of the uniformed services. | PSNet

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November 14, 2011 - Regulation Medical malpractice claims by members of the uniformed services. Citation Text: Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. Copy Cit…

Common predictors of nurse-reported quality of care and patient safety. | PSNet

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March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…

Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet

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July 22, 2020 - Review Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. Citation Text: Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…

Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. | PSNet

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November 18, 2009 - Study Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Citation Text: Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. Copy Citation Form…

Maths anxiety and medication dosage calculation errors: a scoping review. | PSNet

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September 01, 2016 - Review Maths anxiety and medication dosage calculation errors: a scoping review. Citation Text: Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005. Copy Citation Format: …

The justification for strike action in healthcare: a systematic critical interpretive synthesis. | PSNet

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November 30, 2022 - Review The justification for strike action in healthcare: a systematic critical interpretive synthesis. Citation Text: Essex R, Weldon SM. The justification for strike action in healthcare: a systematic critical interpretive synthesis. Nurs Ethics. 2022;29(5):1152-1173. doi:10.1177/09697…

The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. | PSNet

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August 03, 2022 - Study The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Citation Text: Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Br J Neurosurg. 2019;33(5):4…

Adverse drug events in surgical patients: an observational multicentre study. | PSNet

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January 18, 2013 - Government Resource Adverse drug events in surgical patients: an observational multicentre study. Citation Text: de Boer M, Boeker EB, Ramrattan MA, et al. Adverse drug events in surgical patients: an observational multicentre study. Int J Clin Pharm. 2013;35(5):744-52. doi:10.1007/s110…

Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. | PSNet

psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and

September 23, 2020 - Commentary Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. Citation Text: Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …

Effect of outcome on physician judgments of appropriateness of care. | PSNet

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June 23, 2015 - Review Classic Effect of outcome on physician judgments of appropriateness of care. Citation Text: Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60. Copy Citation Format: …

Non–health care facility cardiovascular medication errors in the United States. | PSNet

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November 28, 2018 - Study Non–health care facility cardiovascular medication errors in the United States. Citation Text: Kamboj AK, Spiller HA, Casavant MJ, et al. Non-Health Care Facility Cardiovascular Medication Errors in the United States. Ann Pharmacother. 2017;51(10):825-833. doi:10.1177/1060028017714…

Algorithmic prediction of failure modes in healthcare. | PSNet

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September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…

A classification system for incidents and accidents in the health-care system. | PSNet

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September 28, 2010 - Study Classic A classification system for incidents and accidents in the health-care system. Citation Text: Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. …

Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet

psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team

March 11, 2013 - Study Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Citation Text: Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…

Identifying and reducing distractions and interruptions in a pharmacy department. | PSNet

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August 22, 2015 - Study Identifying and reducing distractions and interruptions in a pharmacy department. Citation Text: Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…

Disclosing errors and adverse events in the intensive care unit. | PSNet

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February 17, 2017 - Study Disclosing errors and adverse events in the intensive care unit. Citation Text: Boyle DJ, O'Connell D, Platt FW, et al. Disclosing errors and adverse events in the intensive care unit. Crit Care Med. 2006;34(5):1532-7. Copy Citation Format: Google Scholar PubMed Bib…

Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. | PSNet

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September 23, 2020 - Commentary Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. Citation Text: King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…

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