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Utilization of a role-based head covering system to decrease misidentification in the operating room. | PSNet

psnet.ahrq.gov/issue/utilization-role-based-head-covering-system-decrease-misidentification-operating-room

September 23, 2020 - Study Utilization of a role-based head covering system to decrease misidentification in the operating room. Citation Text: Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(…

The association between sepsis and potential medical injury among hospitalized patients. | PSNet

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July 15, 2014 - Study The association between sepsis and potential medical injury among hospitalized patients. Citation Text: Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. …

Measuring perceptions of safety climate in primary care: a cross-sectional study. | PSNet

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January 19, 2011 - Study Measuring perceptions of safety climate in primary care: a cross-sectional study. Citation Text: de Wet C, Johnson P, Mash R, et al. Measuring perceptions of safety climate in primary care: a cross-sectional study. J Eval Clin Pract. 2010;18(1). doi:10.1111/j.1365-2753.2010.01537…

Relationship of staff information sharing and advice networks to patient safety outcomes. | PSNet

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June 22, 2011 - Study Relationship of staff information sharing and advice networks to patient safety outcomes. Citation Text: Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…

Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

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June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

Reducing treatment errors through point-of-care glucometer configuration. | PSNet

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September 23, 2020 - Study Reducing treatment errors through point-of-care glucometer configuration. Citation Text: Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014…

Simulation safety first: an imperative. | PSNet

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February 13, 2014 - Commentary Simulation safety first: an imperative. Citation Text: Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

ED handoffs: observed practices and communication errors. | PSNet

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October 19, 2022 - Study ED handoffs: observed practices and communication errors. Citation Text: Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004. Copy Citation Format: DOI Google Scho…

Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. | PSNet

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March 30, 2011 - Study Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. Citation Text: Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…

Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. | PSNet

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January 18, 2011 - Study Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. Citation Text: Schlickum MK, Hedman L, Enochsson L, et al. Systematic video game training in surgical novices improves perfor…

Crew resource management in the intensive care unit: a prospective 3-year cohort study. | PSNet

psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study

August 10, 2022 - Study Crew resource management in the intensive care unit: a prospective 3-year cohort study. Citation Text: Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10…

A prospective study of suicide screening tools and their association with near-term adverse events in the ED. | PSNet

psnet.ahrq.gov/issue/prospective-study-suicide-screening-tools-and-their-association-near-term-adverse-events-ed

October 07, 2020 - Study A prospective study of suicide screening tools and their association with near-term adverse events in the ED. Citation Text: Chang BP, Tan TM. Suicide screening tools and their association with near-term adverse events in the ED. Am J Emerg Med. 2015;33(11):1680-1683. doi:10.1016/j…

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. | PSNet

psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal

July 01, 2017 - Commentary Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Citation Text: Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…

Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. | PSNet

psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported

January 22, 2016 - Study Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. Citation Text: Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verifi…

Imperfect practice makes perfect: error management training improves transfer of learning. | PSNet

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May 19, 2019 - Study Imperfect practice makes perfect: error management training improves transfer of learning. Citation Text: Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…

Physician knowledge, attitudes, and behavior related to reporting adverse drug events. | PSNet

psnet.ahrq.gov/issue/physician-knowledge-attitudes-and-behavior-related-reporting-adverse-drug-events

September 23, 2020 - Study Classic Physician knowledge, attitudes, and behavior related to reporting adverse drug events. Citation Text: Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 201…

Iatrogenic events contributing to ICU admission: a prospective study. | PSNet

psnet.ahrq.gov/issue/iatrogenic-events-contributing-icu-admission-prospective-study

November 29, 2023 - Study Iatrogenic events contributing to ICU admission: a prospective study. Citation Text: Mercier E, Giraudeau B, Giniès G, et al. Iatrogenic events contributing to ICU admission: a prospective study. Intensive Care Med. 2010;36(6):1033-7. doi:10.1007/s00134-010-1793-9. Copy Citatio…

Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey. | PSNet

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October 19, 2022 - Study Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey. Citation Text: Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general surgery residency …

The second victim of unanticipated adverse events. | PSNet

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February 12, 2020 - Commentary The second victim of unanticipated adverse events. Citation Text: Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010. Copy Citation Format: DOI …

Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. | PSNet

psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective

August 28, 2013 - Review Emerging Classic Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. Citation Text: Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…

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