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Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. | PSNet

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December 18, 2018 - Study Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. Citation Text: Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…

Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

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April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

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July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. | PSNet

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November 09, 2015 - Study Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Citation Text: Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimens C…

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

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December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. | PSNet

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January 11, 2017 - Study Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. Citation Text: Gandara E, Moniz T, Ungar J, et al. Communication and information deficits in patients discharged to rehabilitation facilities: An …

A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. | PSNet

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March 23, 2011 - Study A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. Citation Text: Regenbogen SE, Hirose M, Imanaka Y, et al. A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. Qual Saf Hea…

Using portable digital technology for clinical care and critical incidents: a new model. | PSNet

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June 29, 2011 - Commentary Using portable digital technology for clinical care and critical incidents: a new model. Citation Text: Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305. Copy Citation…

A literature review of the individual and systems factors that contribute to medication errors in nursing practice. | PSNet

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April 22, 2011 - Review A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Citation Text: Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…

Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet

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August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

Incorporating medication indications into the prescribing process. | PSNet

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May 01, 2019 - Commentary Emerging Classic Incorporating medication indications into the prescribing process. Citation Text: Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.…

A typology of electronic health record workarounds in small-to-medium size primary care practices. | PSNet

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November 30, 2016 - Study A typology of electronic health record workarounds in small-to-medium size primary care practices. Citation Text: Friedman A, Crosson JC, Howard J, et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc. 2014;…

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

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December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

Time out! Rethinking surgical safety: more than just a checklist. | PSNet

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April 27, 2022 - Commentary Time out! Rethinking surgical safety: more than just a checklist. Citation Text: Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. Copy Citation Format: DOI Google Schola…

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

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May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Barcode medication administration software technology use in the emergency department and medication error rates. | PSNet

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November 04, 2015 - Study Barcode medication administration software technology use in the emergency department and medication error rates. Citation Text: Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…

Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability

September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

Overview of adverse events related to invasive procedures in the intensive care unit. | PSNet

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November 29, 2023 - Study Overview of adverse events related to invasive procedures in the intensive care unit. Citation Text: Pottier V, Daubin C, Lerolle N, et al. Overview of adverse events related to invasive procedures in the intensive care unit. Am J Infect Control. 2012;40(3):241-6. doi:10.1016/j.a…

Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet

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October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation practices. Citation Text: Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…

Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. | PSNet

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August 07, 2013 - Study Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Citation Text: Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health record…

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