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Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. | PSNet

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August 20, 2021 - Press Release/Announcement Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. Citation Text: Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/automated-dispensing-cabinet-overrides-evaluation-necessity-pediatric-emergency-department

October 21, 2020 - Study Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. Citation Text: Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 202…

Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

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April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…

Prevalence of polypharmacy exposure among hospitalized children in the United States. | PSNet

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August 20, 2016 - Study Prevalence of polypharmacy exposure among hospitalized children in the United States. Citation Text: Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…

Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

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September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

Mandating limits on workload, duty, and speed in radiology. | PSNet

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August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…

Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy. | PSNet

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July 06, 2022 - Commentary Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy. Citation Text: Alexander RG, Yazdanie F, Waite S, et al. Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnosti…

Promoting a culture of safety as a patient safety strategy: a systematic review. | PSNet

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January 06, 2018 - Review Promoting a culture of safety as a patient safety strategy: a systematic review. Citation Text: Weaver SJ, Lubomksi LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-74. doi:10.7326/0003-48…

Interruptions and distractions in healthcare: review and reappraisal. | PSNet

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January 19, 2011 - Review Classic Interruptions and distractions in healthcare: review and reappraisal. Citation Text: Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…

Rethinking diagnostic delay in cancer: how difficult is the diagnosis? | PSNet

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August 19, 2020 - Commentary Rethinking diagnostic delay in cancer: how difficult is the diagnosis? Citation Text: Lyratzopoulos G, Wardle J, Rubin G. Rethinking diagnostic delay in cancer: how difficult is the diagnosis? BMJ. 2014;349:g7400. doi:10.1136/bmj.g7400. Copy Citation Format: DOI …

The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. | PSNet

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September 14, 2022 - Commentary The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. Citation Text: Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance

January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

Standardization and visualization of the surgical time-out. | PSNet

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November 06, 2024 - Study Standardization and visualization of the surgical time-out. Citation Text: Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. Copy Citation Format: DOI Goog…

Unit of measurement used and parent medication dosing errors. | PSNet

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June 04, 2014 - Study Unit of measurement used and parent medication dosing errors. Citation Text: Yin S, Dreyer BP, Ugboaja DC, et al. Unit of measurement used and parent medication dosing errors. Pediatrics. 2014;134(2):e354-61. doi:10.1542/peds.2014-0395. Copy Citation Format: DOI Googl…

Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. | PSNet

psnet.ahrq.gov/issue/conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient

January 07, 2015 - Study Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. Citation Text: Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safet…

U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet

psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software

September 25, 2008 - Commentary Emerging Classic U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. Citation Text: Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …

A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. | PSNet

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October 12, 2022 - Study A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. Citation Text: Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, st…

Clinical and financial implications of second-opinion surgical pathology review. | PSNet

psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review

August 04, 2021 - Study Clinical and financial implications of second-opinion surgical pathology review. Citation Text: Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa…

Advancement toward High Reliability in Healthcare Awards. | PSNet

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June 08, 2011 - January 21, 2009 Teamwork is associated with reduced hospital staff burnout at military

Fatal drug mix-up exposes hospital flaws. | PSNet

psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws

March 02, 2016 - July 10, 2018 Teamwork is associated with reduced hospital staff burnout at military

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