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Interventions to engage patients and families in patient safety: a systematic review. | PSNet

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March 04, 2020 - Review Interventions to engage patients and families in patient safety: a systematic review. Citation Text: Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…

Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. | PSNet

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March 04, 2015 - Study Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. Citation Text: Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow…

Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. | PSNet

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May 25, 2011 - Commentary Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. Citation Text: Talbot TR, Bratzler DW, Carrico RM, et al. Public Reporting of Health Care–Associated Surveillance Data: Recommen…

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. | PSNet

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October 14, 2020 - Review Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. Citation Text: Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis. Am J Surg. 2022;22…

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. | PSNet

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September 07, 2016 - Study Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. Citation Text: Benzon HA, Hajduk J, De Oliveira GS, et al. Pediatric Anesthesiology Fellows' Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg. 2018;12…

Nursing care quality and adverse events in US hospitals. | PSNet

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November 04, 2009 - Study Nursing care quality and adverse events in US hospitals. Citation Text: Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x. Copy Citation Format: DOI Google S…

A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. | PSNet

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September 14, 2011 - Study A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. Citation Text: Lapane KL, Quilliam BJ, Hughes C. A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. J Am Med …

Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. | PSNet

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February 21, 2018 - Commentary Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. Citation Text: Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s co…

Risk factors for wrong-patient medication orders in the emergency department. | PSNet

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June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department. Citation Text: Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. Copy Ci…

Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. | PSNet

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March 21, 2018 - Study Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. Citation Text: Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experie…

Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy. | PSNet

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November 20, 2024 - Study Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy. Citation Text: Keller SC, Cosgrove SE, Arbaje AI, et al. Roles and Role Ambiguity in Patient- and Caregiver-Performed Outpatient Parenteral Antimicrobial Therapy. Jt Comm J Qua…

A mixed method study of the merits of e-prescribing drug alerts in primary care. | PSNet

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September 25, 2011 - Study A mixed method study of the merits of e-prescribing drug alerts in primary care. Citation Text: Lapane KL, Waring ME, Schneider KL, et al. A mixed method study of the merits of e-prescribing drug alerts in primary care. J Gen Intern Med. 2008;23(4):442-6. doi:10.1007/s11606-008-0…

Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. | PSNet

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October 18, 2023 - Study Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. Citation Text: Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observatio…

Safety II behavior in a pediatric intensive care unit. | PSNet

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January 12, 2022 - Study Safety II behavior in a pediatric intensive care unit. Citation Text: Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018. Copy Citation Format: DOI Google Scholar …

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet

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June 17, 2020 - Study Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. Citation Text: Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…

Operational failures and interruptions in hospital nursing. | PSNet

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November 03, 2021 - Study Operational failures and interruptions in hospital nursing. Citation Text: Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. | PSNet

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December 02, 2020 - Study A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Citation Text: Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin…

Enhancing safe medication use in home care: insights from informal caregivers. | PSNet

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December 02, 2020 - Study Enhancing safe medication use in home care: insights from informal caregivers. Citation Text: Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…

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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