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Errors in laboratory medicine: practical lessons to improve patient safety. | PSNet

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February 14, 2024 - Commentary Classic Errors in laboratory medicine: practical lessons to improve patient safety. Citation Text: Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. Copy Citation …

Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. | PSNet

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February 22, 2019 - Study Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. Citation Text: Salazar MJB, Minkoff H, Bayya J, et al. Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial. J Am Coll Surg. 2014;219(5):1001-…

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. | PSNet

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September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing-2013. Am J Health Syst Pharm. 2…

Organizational learning in the morbidity and mortality conference. | PSNet

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June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. | PSNet

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August 03, 2022 - Review Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. Citation Text: Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…

We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. | PSNet

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September 18, 2019 - Study We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. Citation Text: Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Phys…

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet

psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia

May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. | PSNet

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April 13, 2022 - Commentary A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. Citation Text: Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…

The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. | PSNet

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December 21, 2014 - Review Emerging Classic The influence of stress responses on surgical performance and outcomes: literature review and the development of the surgical stress effects (SSE) framework. Citation Text: Chrouser KL, Xu J, Hallbeck S, et al. The influence of stress res…

Exploring the human factors of prescribing errors in paediatric intensive care units. | PSNet

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March 06, 2024 - Study Emerging Classic Exploring the human factors of prescribing errors in paediatric intensive care units. Citation Text: Sutherland A, Ashcroft DM, Phipps D. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child.…

Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. | PSNet

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July 23, 2010 - Study Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. Citation Text: DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical inte…

Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/exploring-causes-copd-misdiagnosis-primary-care-mixed-methods-study

September 23, 2020 - Study Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. Citation Text: Patel K, Smith DJ, Huntley CC, et al. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. PLoS ONE. 2024;19(3):e0298432. doi:10.1371/journal.pone.0298432. …

The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet

psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based

May 22, 2013 - Study The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. Citation Text: van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…

Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. | PSNet

psnet.ahrq.gov/issue/do-remote-community-telepharmacies-have-higher-medication-error-rates-traditional-community

October 17, 2012 - Study Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. Citation Text: Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication erro…

Information-gathering patterns associated with higher rates of diagnostic error. | PSNet

psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error

June 27, 2018 - Study Information-gathering patterns associated with higher rates of diagnostic error. Citation Text: Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007…

Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet

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April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

Weekend and night outcomes in a statewide trauma system. | PSNet

psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system

November 16, 2022 - Study Weekend and night outcomes in a statewide trauma system. Citation Text: Carr BG, Reilly PM, Schwab W, et al. Weekend and night outcomes in a statewide trauma system. Arch Surg. 2011;146(7):810-7. doi:10.1001/archsurg.2011.60. Copy Citation Format: DOI Google Scholar P…

Analysis of paediatric long-term ventilation incidents in the community | PSNet

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November 06, 2024 - Study Analysis of paediatric long-term ventilation incidents in the community Citation Text: Nawaz RF, Page B, Harrop E, et al. Analysis of paediatric long-term ventilation incidents in the community. Arch Dis Child. 2020;105(5):446-451. doi:10.1136/archdischild-2019-317965. Copy Citat…

Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program | PSNet

psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance

May 12, 2021 - Study Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program Citation Text: Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322…

Therapeutic errors involving diabetes medications reported to United States poison centers. | PSNet

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September 27, 2023 - Study Therapeutic errors involving diabetes medications reported to United States poison centers. Citation Text: Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.…

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