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Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. | PSNet

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July 01, 2011 - Review Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. Citation Text: Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability orga…

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. | PSNet

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April 22, 2011 - Study Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. Citation Text: Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…

Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety

April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

Structural racism and adverse maternal health outcomes: a systematic review. | PSNet

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February 15, 2023 - Review Structural racism and adverse maternal health outcomes: a systematic review. Citation Text: Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. …

Recommendations from a national panel on quality improvement in obstetrics. | PSNet

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July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims

September 27, 2017 - Study Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. Citation Text: Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;1…

Eleven basic procedures/practices for dental patient safety. | PSNet

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March 27, 2013 - Commentary Eleven basic procedures/practices for dental patient safety. Citation Text: Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234. Copy Citation For…

Evaluating the accuracy of electronic pediatric drug dosing rules. | PSNet

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May 08, 2017 - Study Evaluating the accuracy of electronic pediatric drug dosing rules. Citation Text: Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793. Copy Citation For…

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. | PSNet

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April 12, 2011 - Study Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. Citation Text: Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…

The impact of the built environment on patient falls in hospital rooms: an integrative review. | PSNet

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July 27, 2022 - Review The impact of the built environment on patient falls in hospital rooms: an integrative review. Citation Text: Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi…

'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. | PSNet

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May 29, 2024 - Commentary 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. Citation Text: Ratwani RM, Fong A. 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. J Am Med Inform Assoc. 2015;22(2):312-7. doi:1…

Safety of using a computerized rounding and sign-out system to reduce resident duty hours. | PSNet

psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours

June 23, 2009 - Study Safety of using a computerized rounding and sign-out system to reduce resident duty hours. Citation Text: Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet

psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system

January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…

Medication errors and trainees: advice for learners and organizations. | PSNet

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April 10, 2019 - Commentary Medication errors and trainees: advice for learners and organizations. Citation Text: Wheeler JS, Duncan R, Hohmeier K. Medication Errors and Trainees: Advice for Learners and Organizations. Ann Pharmacother. 2017;51(12):1138-1141. doi:10.1177/1060028017725092. Copy Citation…

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

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November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

The costs of adverse drug events in community hospitals. | PSNet

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February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

Medication safety in older adults: home-based practice patterns. | PSNet

psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns

June 30, 2011 - Study Medication safety in older adults: home-based practice patterns. Citation Text: Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. Copy Citation Format: Google Scholar PubMed Bi…

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. | PSNet

psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use

September 01, 2016 - Study Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Citation Text: Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-academic-medical-center-implementation-comprehensive-program

April 24, 2018 - Commentary Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. Citation Text: Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive …

Solving alarm fatigue with smartphone technology. | PSNet

psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology

October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

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