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The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. | PSNet

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February 12, 2020 - Study The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. Citation Text: Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusi…

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

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July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. | PSNet

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March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…

Randomized trial to improve prescribing safety in ambulatory elderly patients. | PSNet

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March 10, 2011 - Study Randomized trial to improve prescribing safety in ambulatory elderly patients. Citation Text: Raebel MA, Charles J, Dugan J, et al. Randomized trial to improve prescribing safety in ambulatory elderly patients. J Am Geriatr Soc. 2007;55(7):977-85. Copy Citation Format: …

Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet

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November 18, 2020 - Study Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. Citation Text: Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. …

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. | PSNet

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July 14, 2010 - Study Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit. Citation Text: Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit*. P…

Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. | PSNet

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December 30, 2014 - Study Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. Citation Text: Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a ra…

Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

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September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. | PSNet

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February 23, 2011 - Study Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. Citation Text: Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ. 20…

The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. | PSNet

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April 22, 2011 - Study The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Citation Text: Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…

Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. | PSNet

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February 25, 2015 - Study Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. Citation Text: Ahmed K, Khan N, Khan MS, et al. Development and content validation of a surgical safety checklist for operating theatres that use robotic technolog…

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

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October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. | PSNet

psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric

July 28, 2021 - Study Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. Citation Text: Raghuram N, Alodan K, Bartels U, et al. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.…

The impact of the 80-hour resident workweek on surgical residents and attending surgeons. | PSNet

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January 04, 2010 - Study The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Citation Text: Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…

Patient perceptions of mistakes in ambulatory care. | PSNet

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July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …

Accurate measurement in California's safety-net health systems has gaps and barriers. | PSNet

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April 04, 2018 - Study Accurate measurement in California's safety-net health systems has gaps and barriers. Citation Text: Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…

Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. | PSNet

psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases

June 15, 2022 - Study Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial. Citation Text: Khoong EC, Fontil V, Rivadeneira NA, et al. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases:…

Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems

August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. | PSNet

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May 16, 2012 - Study Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Citation Text: Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…

Errare humanum est: frequency of laterality errors in radiology reports. | PSNet

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September 13, 2023 - Study Errare humanum est: frequency of laterality errors in radiology reports. Citation Text: Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. Copy Citatio…

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