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Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. | PSNet

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September 23, 2020 - Review Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. Citation Text: Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…

Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications

June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. | PSNet

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January 26, 2022 - Study Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in Inpatie…

Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. | PSNet

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September 27, 2023 - Study Simulation-based education to train learners to "speak up" in the clinical environment: results of a randomized trial. Citation Text: Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the Clinical Environment: Results of a Randomized …

Automated identification of diagnostic labelling errors in medicine. | PSNet

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September 23, 2020 - Study Automated identification of diagnostic labelling errors in medicine. Citation Text: Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. Copy Citation Format: …

Electronic Test Result Communication in the Era of the 21st Century Cures Act | PSNet

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May 25, 2022 - Book/Report Electronic Test Result Communication in the Era of the 21st Century Cures Act Citation Text: Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 20…

The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

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November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

SAFER Care: improving caregiver comprehension of discharge instructions. | PSNet

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October 26, 2022 - Study SAFER Care: improving caregiver comprehension of discharge instructions. Citation Text: Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. Copy Citation Fo…

‘Ladder’-based safety culture assessments inversely predict safety outcomes. | PSNet

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January 22, 2025 - Commentary ‘Ladder’-based safety culture assessments inversely predict safety outcomes. Citation Text: Boskeljon‐Horst L, Sillem S, Dekker SWA. ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-…

Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

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May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. | PSNet

psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii

April 18, 2012 - Study Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. Citation Text: Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.20…

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

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August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

Racial and ethnic harm in patient care is a patient safety issue. | PSNet

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October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands. | PSNet

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March 04, 2011 - Study Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands. Citation Text: Dequito AB, Mol PGM, van Doormaal J, et al. Preventable and non-preventable adverse drug events in hospitalized patients: a prospective char…

Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. | PSNet

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August 20, 2018 - Study Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Citation Text: Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…

Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

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November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. | PSNet

psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient

July 06, 2022 - Study Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Citation Text: Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…

Ordering interruptions in a tertiary care center: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/ordering-interruptions-tertiary-care-center-prospective-observational-study

July 15, 2020 - Study Ordering interruptions in a tertiary care center: a prospective observational study. Citation Text: Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016…

Health care worker fatigue. | PSNet

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July 08, 2020 - Commentary Health care worker fatigue. Citation Text: Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Sleep deprivation and error in nurses who work the night shift. | PSNet

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October 19, 2022 - Study Sleep deprivation and error in nurses who work the night shift. Citation Text: Johnson AL, Jung L, Song Y, et al. Sleep deprivation and error in nurses who work the night shift. J Nurs Adm. 2014;44(1):17-22. doi:10.1097/NNA.0000000000000016. Copy Citation Format: DOI…

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