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Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? | PSNet

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November 25, 2009 - Study Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? Citation Text: Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems…

Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. | PSNet

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October 13, 2018 - Review Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. Citation Text: Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from …

Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. | PSNet

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August 09, 2023 - Review Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Citation Text: Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qu…

Antibiotic timing and errors in diagnosing pneumonia. | PSNet

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March 20, 2024 - Study Antibiotic timing and errors in diagnosing pneumonia. Citation Text: Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351-6. doi:10.1001/archinternmed.2007.84. Copy Citation Format: DOI Google Scholar …

Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. | PSNet

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August 04, 2021 - Study Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. Citation Text: Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the …

Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. | PSNet

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October 19, 2022 - Study Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. Citation Text: Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…

Now is the time to routinely ask patients about safety. | PSNet

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March 08, 2023 - Commentary Now is the time to routinely ask patients about safety. Citation Text: Gandhi TK. Now Is the Time to Routinely Ask Patients About Safety. Jt Comm J Qual Patient Saf. 2023;49(4):235-236. doi:10.1016/j.jcjq.2023.01.009. Copy Citation Format: DOI Google Scholar BibT…

Advancing measurement of patient safety culture. | PSNet

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February 14, 2015 - Study Advancing measurement of patient safety culture. Citation Text: Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x. Copy Citation Format: DOI Google Schol…

Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. | PSNet

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August 04, 2021 - Study Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Citation Text: Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Int J Qual Health Care. …

Peer support: healthcare professionals supporting each other after adverse medical events. | PSNet

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July 24, 2024 - Study Peer support: healthcare professionals supporting each other after adverse medical events. Citation Text: van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. …

Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. | PSNet

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July 06, 2011 - Study Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. Citation Text: McCormick F, Kadzielski J, Landrigan CP, et al. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predic…

Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. | PSNet

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July 19, 2023 - Study Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Citation Text: Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…

Patient involvement in patient safety: the health-care professional's perspective. | PSNet

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July 06, 2012 - Study Patient involvement in patient safety: the health-care professional's perspective. Citation Text: Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …

Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet

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January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…

A review of significant events analysed in general practice: implications for the quality and safety of patient care. | PSNet

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October 29, 2008 - Study A review of significant events analysed in general practice: implications for the quality and safety of patient care. Citation Text: McKay J, Bradley N, Lough M, et al. A review of significant events analysed in general practice: implications for the quality and safety of patient…

Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet

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March 02, 2016 - Study Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Citation Text: Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…

A review of best practices for intravenous push medication administration. | PSNet

psnet.ahrq.gov/issue/review-best-practices-intravenous-push-medication-administration

February 21, 2018 - Review A review of best practices for intravenous push medication administration. Citation Text: Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. Copy Cit…

Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

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June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and

January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet

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October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

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