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Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. | PSNet

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November 11, 2020 - Study Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. Citation Text: Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatm…

How useful are voluntary medication error reports? The case of warfarin-related medication errors. | PSNet

psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors

May 27, 2011 - Study How useful are voluntary medication error reports? The case of warfarin-related medication errors. Citation Text: Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet

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October 07, 2020 - Study Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. Citation Text: Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from P…

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology

April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? | PSNet

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September 14, 2022 - Study Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Citation Text: Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-2…

The relationship of self-report of quality to practice size and health information technology. | PSNet

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April 12, 2011 - Study The relationship of self-report of quality to practice size and health information technology. Citation Text: Gorman PN, O'Malley JP, Fagnan LJ. The relationship of self-report of quality to practice size and health information technology. J Am Board Fam Med. 2012;25(5):614-24. do…

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. | PSNet

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September 22, 2010 - Study Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Citation Text: Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…

The impact of medication reconciliation and review in patients using oral chemotherapy. | PSNet

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November 17, 2021 - Study The impact of medication reconciliation and review in patients using oral chemotherapy. Citation Text: Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.117…

Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. | PSNet

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September 20, 2011 - Review Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. Citation Text: McGaughey J, Alderdice F, Fowler RA, et al. Outreach and Early Warning Systems (EWS) for the prevention of…

Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet

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July 17, 2024 - Study Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. Citation Text: Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…

Association of sleep and fatigue with decision regret among critical care nurses. | PSNet

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July 14, 2021 - Study Association of sleep and fatigue with decision regret among critical care nurses. Citation Text: Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191. …

Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. | PSNet

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January 18, 2023 - Study Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. Citation Text: Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. J Racial…

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). | PSNet

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February 04, 2015 - Study Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). Citation Text: Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing stu…

Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. | PSNet

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October 19, 2022 - Study Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. Citation Text: Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…

Associations between attending physician workload, teaching effectiveness, and patient safety. | PSNet

psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety

July 02, 2014 - Study Associations between attending physician workload, teaching effectiveness, and patient safety. Citation Text: Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…

Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. | PSNet

psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training

August 10, 2022 - Study Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. Citation Text: Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences o…

Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice | PSNet

psnet.ahrq.gov/issue/communicating-patients-about-diagnostic-errors-breast-cancer-care-providers-attitudes

March 11, 2013 - Study Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice Citation Text: Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast cancer care: Providers’ attitudes, experienc…

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis

December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie

February 14, 2024 - Study Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. Citation Text: Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…

Medication errors during medical emergencies in a large, tertiary care, academic medical center. | PSNet

psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center

July 31, 2013 - Study Medication errors during medical emergencies in a large, tertiary care, academic medical center. Citation Text: Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482…

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