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Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet

psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp

June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…

Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient

April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…

Missed breast cancer: effects of subconscious bias and lesion characteristics. | PSNet

psnet.ahrq.gov/issue/missed-breast-cancer-effects-subconscious-bias-and-lesion-characteristics

February 02, 2022 - Commentary Missed breast cancer: effects of subconscious bias and lesion characteristics. Citation Text: Lamb LR, Mohallem Fonseca M, Verma R, et al. Missed breast cancer: effects of subconscious bias and lesion characteristics. RadioGraphics. 2020;40(4):941-960. doi:10.1148/rg.202019009…

Who makes prescribing decisions in hospital inpatients? An observational study. | PSNet

psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study

January 30, 2013 - Study Who makes prescribing decisions in hospital inpatients? An observational study. Citation Text: Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…

Health care huddles: managing complexity to achieve high reliability. | PSNet

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November 17, 2015 - Study Health care huddles: managing complexity to achieve high reliability. Citation Text: Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. Copy Citat…

Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective

June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…

Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. | PSNet

psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients

September 08, 2016 - Study Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. Citation Text: Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…

Effect of patient safety strategies on the incidence of adverse events. | PSNet

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March 09, 2022 - Study Effect of patient safety strategies on the incidence of adverse events. Citation Text: Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105. Copy C…

Interventions to improve hand hygiene compliance in patient care. | PSNet

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September 09, 2020 - Review Interventions to improve hand hygiene compliance in patient care. Citation Text: Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4. Copy Citat…

The natural lifespan of a safety policy: violations and system migration in anaesthesia. | PSNet

psnet.ahrq.gov/issue/natural-lifespan-safety-policy-violations-and-system-migration-anaesthesia

June 22, 2009 - Study The natural lifespan of a safety policy: violations and system migration in anaesthesia. Citation Text: Maurice G de S, Auroy Y, Vincent CA, et al. The natural lifespan of a safety policy: violations and system migration in anaesthesia. Qual Saf Health Care. 2010;19(4):327-31. doi:…

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. | PSNet

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February 15, 2011 - Review An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. Citation Text: Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Inter…

Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. | PSNet

psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health-care-delivery

June 25, 2018 - Commentary Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …

Disclosing clinical adverse events to patients: can practice inform policy? | PSNet

psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy

September 29, 2017 - Study Disclosing clinical adverse events to patients: can practice inform policy? Citation Text: Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. Cop…

Health care professionals' views of implementing a policy of open disclosure of errors. | PSNet

psnet.ahrq.gov/issue/health-care-professionals-views-implementing-policy-open-disclosure-errors

September 29, 2017 - Study Health care professionals' views of implementing a policy of open disclosure of errors. Citation Text: Sorensen R, Iedema R, Piper D, et al. Health care professionals' views of implementing a policy of open disclosure of errors. J Health Serv Res Policy. 2008;13(4):227-32. doi:10.1…

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. | PSNet

psnet.ahrq.gov/issue/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions

November 08, 2017 - Study An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. Citation Text: Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Af…

Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet

psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety

October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …

Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. | PSNet

psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests

November 13, 2024 - Journal Article Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. Citation Text: Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…

Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. | PSNet

psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse

October 19, 2022 - Review Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. Citation Text: Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …

Investigating workplace support and the importance of psychological safety in general surgery residency training. | PSNet

psnet.ahrq.gov/issue/investigating-workplace-support-and-importance-psychological-safety-general-surgery-residency

July 16, 2015 - Study Investigating workplace support and the importance of psychological safety in general surgery residency training. Citation Text: Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. …

Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics

July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

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