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Incidents and errors in neonatal intensive care: a review of the literature. | PSNet

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June 15, 2011 - Review Incidents and errors in neonatal intensive care: a review of the literature. Citation Text: Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. Copy Cit…

Use of a computerized forcing function improves performance in ordering restraints. | PSNet

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September 30, 2020 - Study Use of a computerized forcing function improves performance in ordering restraints. Citation Text: Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergm…

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

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March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

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October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. | PSNet

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May 13, 2009 - Study Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …

Quality gaps identified through mortality review. | PSNet

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November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. | PSNet

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October 04, 2011 - Commentary Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. Citation Text: Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…

For whom the Bell Commission tolls: unintended effects of limiting residents' hours. | PSNet

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April 20, 2011 - Commentary For whom the Bell Commission tolls: unintended effects of limiting residents' hours. Citation Text: Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. Copy Citation Format: Google Sc…

Assessment of a simulated case-based measurement of physician diagnostic performance. | PSNet

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May 20, 2019 - Study Assessment of a simulated case-based measurement of physician diagnostic performance. Citation Text: Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…

Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. | PSNet

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July 18, 2016 - Study Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. Citation Text: Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…

International perspectives on modifications to the surgical safety checklist. | PSNet

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November 17, 2021 - Study International perspectives on modifications to the surgical safety checklist. Citation Text: Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. Cop…

Analysis and prioritization of near-miss adverse events in a radiology department. | PSNet

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June 15, 2016 - Study Analysis and prioritization of near-miss adverse events in a radiology department. Citation Text: Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…

Elucidating reasons for resident underutilization of electronic adverse event reporting. | PSNet

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November 21, 2021 - Study Elucidating reasons for resident underutilization of electronic adverse event reporting. Citation Text: Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…

Adverse drug events in general practice patients in Australia. | PSNet

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March 04, 2020 - Study Adverse drug events in general practice patients in Australia. Citation Text: Miller GC, Britth HC, Valenti L. Adverse drug events in general practice patients in Australia. Med J Aust. 2006;184(7):321-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. | PSNet

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November 01, 2023 - Study Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. Citation Text: Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.2181…

Multiprofessional survey of protocol use in the intensive care unit. | PSNet

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August 30, 2017 - Study Multiprofessional survey of protocol use in the intensive care unit. Citation Text: LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. Multiprofessional survey of protocol use in the intensive care unit. J Crit Care. 2012;27(6):738.e9-17. doi:10.1016/j.jcrc.2012.07.012. Copy Citation…

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet

psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients

September 27, 2017 - Commentary Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. Citation Text: Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

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April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

Learning from failure: the need for independent safety investigation in healthcare. | PSNet

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September 24, 2018 - Commentary Learning from failure: the need for independent safety investigation in healthcare. Citation Text: Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. Copy…

Using a medical emergency team to manage anaphylactic shock. | PSNet

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June 26, 2024 - Commentary Using a medical emergency team to manage anaphylactic shock. Citation Text: Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. Copy Citation Format: Google Scholar PubMed …

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