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  1. The things we carry: the scope and impact of second victim syndrome. | PSNet

    psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
    November 12, 2014 - Commentary The things we carry: the scope and impact of second victim syndrome. Citation Text: Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. Copy Citation …

  2. STAMP: a 5-year project to reduce paediatric prescribing errors. | PSNet

    psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
    June 26, 2019 - Study STAMP: a 5-year project to reduce paediatric prescribing errors. Citation Text: Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. Copy Citation …

  3. Unconscious bias among health professionals: a scoping review. | PSNet

    psnet.ahrq.gov/issue/unconscious-bias-among-health-professionals-scoping-review
    December 10, 2008 - Review Unconscious bias among health professionals: a scoping review. Citation Text: Meidert U, Dönnges G, Bucher T, et al. Unconscious bias among health professionals: a scoping review. Int J Environ Res Public Health. 2023;20(16):6569. doi:10.3390/ijerph20166569. Copy Citation Fo…

  4. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet

    psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
    June 14, 2023 - Study Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. Citation Text: Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…

  5. E-prescribing, efficiency, quality: lessons from the computerization of UK family practice. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-efficiency-quality-lessons-computerization-uk-family-practice
    October 01, 2014 - Study E-prescribing, efficiency, quality: lessons from the computerization of UK family practice. Citation Text: Schade CP, Sullivan FM, de Lusignan S, et al. e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice. J Am Med Inform Assoc. 2006;13(5):4…

  6. A patient safety toolkit for family practices. | PSNet

    psnet.ahrq.gov/issue/patient-safety-toolkit-family-practices
    August 22, 2018 - Study A patient safety toolkit for family practices. Citation Text: Campbell SM, Bell BG, Marsden K, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020;16(3):e182-e186. doi:10.1097/pts.0000000000000471. Copy Citation Format: DOI Google Scholar BibTeX …

  7. Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. | PSNet

    psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
    September 04, 2013 - Study Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Citation Text: Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…

  8. Making residents part of the safety culture: improving error reporting and reducing harms. | PSNet

    psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
    April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…

  9. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. | PSNet

    psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards
    September 23, 2020 - Study Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Citation Text: Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. …

  10. Nursing surveillance: a concept analysis | PSNet

    psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
    May 26, 2021 - Review Nursing surveillance: a concept analysis Citation Text: Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  11. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2019
    October 19, 2022 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2019. Am J Health Syst Pharm. 2…

  12. A customized triggers program: a children's hospital's experience in improving trigger usability. | PSNet

    psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
    September 01, 2021 - Study A customized triggers program: a children's hospital's experience in improving trigger usability. Citation Text: Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…

  13. Unintended adverse consequences of a clinical decision support system: two cases. | PSNet

    psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
    October 23, 2018 - Commentary Unintended adverse consequences of a clinical decision support system: two cases. Citation Text: Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096. Copy Citation …

  14. Clinical decision support for drug related events: moving towards better prevention. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
    December 16, 2020 - Commentary Clinical decision support for drug related events: moving towards better prevention. Citation Text: Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. Copy …

  15. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
    October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…

  16. The effect of cognitive debiasing training among family medicine residents. | PSNet

    psnet.ahrq.gov/issue/effect-cognitive-debiasing-training-among-family-medicine-residents
    August 04, 2021 - Study The effect of cognitive debiasing training among family medicine residents. Citation Text: Smith BW, Slack MB. The effect of cognitive debiasing training among family medicine residents. Diagnosis (Berl). 2015;2(2):117-121. doi:10.1515/dx-2015-0007. Copy Citation Format: …

  17. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
    February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

  18. FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. | PSNet

    psnet.ahrq.gov/issue/fda-requires-label-warnings-prohibit-sharing-multi-dose-diabetes-pen-devices-among-patients
    March 04, 2015 - Press Release/Announcement FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. Citation Text: FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. FDA Safety Communication. Silver Spring, MD: US …

  19. Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. | PSNet

    psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication
    June 29, 2011 - Study Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. Citation Text: Graves K, Symes L, Cesario SK, et al. Is There Light? Well It Depends--A Grounded Theory Study of Nurses, Lighting, and Medication Administration. Nurs Forum. …

  20. "You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety. | PSNet

    psnet.ahrq.gov/issue/you-just-want-feel-safe-when-you-go-healthcare-professional-intimate-partner-violence-and
    January 27, 2019 - Study "You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety. Citation Text: Maras SA. “You just want to feel safe when you go to a healthcare professional:” Intimate partner violence and patient safety. Soc Sci Med. 2023;331:1…
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