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How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. | PSNet

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June 29, 2022 - Review How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. Citation Text: Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …

Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework. | PSNet

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June 28, 2017 - Study Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework. Citation Text: Marshall M, Cruickshank L, Shand J, et al. Assessing the safety culture of care homes: a multimethod eval…

The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

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April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

Residents' intentions and actions after patient safety education. | PSNet

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June 08, 2011 - Study Residents' intentions and actions after patient safety education. Citation Text: Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. Copy Citation Format: D…

Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. | PSNet

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September 14, 2016 - Commentary Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems. Citation Text: Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dis…

Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet

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January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…

Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. | PSNet

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May 16, 2012 - Study Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Citation Text: Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform. …

Understanding medical errors and adverse events in ICU patients. | PSNet

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March 20, 2015 - Commentary Understanding medical errors and adverse events in ICU patients. Citation Text: Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. Copy Citation F…

Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

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December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

Effect of computerized physician order entry on radiologic examination order indication quality. | PSNet

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June 13, 2015 - Study Effect of computerized physician order entry on radiologic examination order indication quality. Citation Text: Schneider E, Franz W, Spitznagel R, et al. Effect of computerized physician order entry on radiologic examination order indication quality. Arch Intern Med. 2011;171(11…

Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. | PSNet

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August 16, 2023 - Commentary Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. Citation Text: Kuczkowski KM. Anesthesia machine as a cause of intraoperative "code red" in the labor and delivery suite. Arch Gynecol Obstet. 2008;278(5):477-8. doi:10.1007/s00404-008-…

Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet

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December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…

Safety culture, patient safety, and quality of care outcomes: a literature review. | PSNet

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October 24, 2018 - Review Safety culture, patient safety, and quality of care outcomes: a literature review. Citation Text: Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…

Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. | PSNet

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October 19, 2022 - Commentary Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. Citation Text: Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…

Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. | PSNet

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October 19, 2022 - Organizational Policy/Guidelines Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. Citation Text: Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…

Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. | PSNet

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October 19, 2022 - Study Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. Citation Text: Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with…

Do hospital boards matter for better, safer, patient care? | PSNet

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April 21, 2015 - Study Do hospital boards matter for better, safer, patient care? Citation Text: Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045. Copy Citation Format: DOI G…

A review of best practices for intravenous push medication administration. | PSNet

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February 21, 2018 - Review A review of best practices for intravenous push medication administration. Citation Text: Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. Copy Cit…

Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? | PSNet

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July 26, 2023 - Commentary Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Citation Text: Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate…

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

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January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

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