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Building physician work hour regulations from first principles and best evidence. | PSNet

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April 24, 2018 - Commentary Building physician work hour regulations from first principles and best evidence. Citation Text: Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. Copy Citation…

How event reporting by US hospitals has changed from 2005 to 2009. | PSNet

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April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? | PSNet

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October 06, 2011 - Study Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? Citation Text: Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met?…

A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet

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October 27, 2010 - Study A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. Citation Text: Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs,…

The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. | PSNet

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November 26, 2014 - Study The relationship between safety culture and voluntary event reporting in a large regional ambulatory care group. Citation Text: Miller N, Bhowmik S, Ezinwa M, et al. The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory Care Group. J P…

Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. | PSNet

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December 18, 2019 - Commentary Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. Citation Text: Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…

Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

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October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. | PSNet

psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain

August 08, 2018 - Study Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. Citation Text: Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016…

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. | PSNet

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March 19, 2019 - Commentary Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. Citation Text: Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…

Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

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April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. | PSNet

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August 25, 2021 - Study Emerging Classic System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. Citation Text: Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraope…

The American College of Surgeons' closed claims study: new insights for improving care. | PSNet

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March 02, 2011 - Study The American College of Surgeons' closed claims study: new insights for improving care. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.…

The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. | PSNet

psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units

June 16, 2011 - Study Classic The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. Citation Text: Thomas EJ, Sexton B, Neilands TB, et al. The effect of executive walk rounds on nurse safety climate attitudes: a randomiz…

The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. | PSNet

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November 21, 2021 - Study The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Citation Text: Ross P, Hodgson CL, Ilic D, et al. The impact of nursing skill-mix on adverse events in intensive care: a single centre cohort study. Contemp Nurse. 2023;59(1):3-15. do…

Disclosing harmful mammography errors to patients. | PSNet

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November 03, 2015 - Study Disclosing harmful mammography errors to patients. Citation Text: Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. Copy Citation Format: DOI Google Scholar BibTeX EndN…

Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. | PSNet

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June 21, 2016 - Study Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. Citation Text: Walton MM, Harrison R, Kelly P, et al. Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. BMJ Qual Saf. 2017;26(…

Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. | PSNet

psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state

August 25, 2021 - Study Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. Citation Text: Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …

Finding diagnostic errors in children admitted to the PICU. | PSNet

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May 21, 2016 - Study Finding diagnostic errors in children admitted to the PICU. Citation Text: Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059. Copy Citation Format: …

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. | PSNet

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September 23, 2020 - Commentary Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. Citation Text: Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to I…

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? | PSNet

psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and

July 02, 2008 - Study An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? Citation Text: Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …

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