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  1. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. | PSNet

    psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
    August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …

  2. A preliminary taxonomy of medical errors in family practice. | PSNet

    psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
    April 08, 2011 - Study Classic A preliminary taxonomy of medical errors in family practice. Citation Text: Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. Copy Citation Format: …

  3. SWITCH for safety: perioperative hand-off tools. | PSNet

    psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
    October 18, 2023 - Commentary SWITCH for safety: perioperative hand-off tools. Citation Text: Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. Copy Citation Format: DOI Google Scho…

  4. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet

    psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
    July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…

  5. Surgical safety checklist compliance: a job done poorly! | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly
    April 25, 2016 - Study Surgical safety checklist compliance: a job done poorly! Citation Text: Sparks EA, Wehbe-Janek H, Johnson RL, et al. Surgical Safety Checklist compliance: a job done poorly!. J Am Coll Surg. 2013;217(5):867-73.e1-3. doi:10.1016/j.jamcollsurg.2013.07.393. Copy Citation Forma…

  6. Implementing human factors in clinical practice. | PSNet

    psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
    June 28, 2023 - Study Implementing human factors in clinical practice. Citation Text: Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203. Copy Citation Format: DOI Google Scholar PubMed …

  7. A theoretical framework and competency-based approach to improving handoffs. | PSNet

    psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
    March 28, 2011 - Commentary A theoretical framework and competency-based approach to improving handoffs. Citation Text: Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…

  8. Prioritising the prevention of medication handling errors. | PSNet

    psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-errors
    October 22, 2008 - Study Prioritising the prevention of medication handling errors. Citation Text: Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3. Copy Citation Format: DOI…

  9. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. | PSNet

    psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients
    September 08, 2016 - Study Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. Citation Text: Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…

  10. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. | PSNet

    psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
    April 16, 2008 - Study Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Citation Text: Arora VM, Johnson JK, Lovinger D, et al. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. Qual Saf Hea…

  11. Management of arterial lines and blood sampling in intensive care: a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/management-arterial-lines-and-blood-sampling-intensive-care-threat-patient-safety
    November 12, 2014 - Study Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Citation Text: Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111…

  12. PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. | PSNet

    psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
    November 16, 2022 - Study PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. Citation Text: Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…

  13. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. | PSNet

    psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
    June 28, 2017 - Study Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Citation Text: Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Am J Infect Control. 2013;41(11):965-…

  14. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
    January 07, 2015 - Study E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Citation Text: Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…

  15. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  16. Error disclosure and family members' reactions: does the type of error really matter? | PSNet

    psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter
    March 08, 2023 - Study Error disclosure and family members' reactions: does the type of error really matter? Citation Text: Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.20…

  17. The effect of automated alerts on provider ordering behavior in an outpatient setting.   | PSNet

    psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
    November 23, 2016 - Study The effect of automated alerts on provider ordering behavior in an outpatient setting.   Citation Text: Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…

  18. The natural lifespan of a safety policy: violations and system migration in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/natural-lifespan-safety-policy-violations-and-system-migration-anaesthesia
    June 22, 2009 - Study The natural lifespan of a safety policy: violations and system migration in anaesthesia. Citation Text: Maurice G de S, Auroy Y, Vincent CA, et al. The natural lifespan of a safety policy: violations and system migration in anaesthesia. Qual Saf Health Care. 2010;19(4):327-31. doi:…

  19. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. | PSNet

    psnet.ahrq.gov/issue/errors-and-omissions-hospital-prescriptions-survey-prescription-writing-hospital
    April 13, 2022 - Study Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. Citation Text: Calligaris L, Panzera A, Arnoldo L, et al. Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital. BMC Clin Pharmacol. 2009;9:9. d…

  20. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/reporting-medical-errors-improve-patient-safety-survey-physicians-teaching-hospitals
    February 24, 2011 - Study Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Citation Text: Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-…
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