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The simulated ward: ideal for training clinical clerks in an era of patient safety. | PSNet

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July 27, 2022 - Study The simulated ward: ideal for training clinical clerks in an era of patient safety. Citation Text: Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050…

IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. | PSNet

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January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …

Medication errors and patient complications with continuous renal replacement therapy. | PSNet

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June 25, 2009 - Study Medication errors and patient complications with continuous renal replacement therapy. Citation Text: Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5. Copy Cita…

Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. | PSNet

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June 09, 2011 - Study Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Citation Text: Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…

What causes adverse events in prehospital care? A human-factors approach. | PSNet

psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach

July 26, 2023 - Study What causes adverse events in prehospital care? A human-factors approach. Citation Text: Price R, Bendall JC, Patterson JA, et al. What causes adverse events in prehospital care? A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. Copy Cit…

The contribution of sociotechnical factors to health information technology–related sentinel events. | PSNet

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September 18, 2024 - Study The contribution of sociotechnical factors to health information technology–related sentinel events. Citation Text: Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…

Preventing medication errors in the information age. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors-information-age

February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

Human factors considerations relevant to CPOE implementations. | PSNet

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October 23, 2024 - Review Human factors considerations relevant to CPOE implementations. Citation Text: Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005;19(3):71-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

Systematic review of serious games for medical education and surgical skills training. | PSNet

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February 25, 2015 - Review Systematic review of serious games for medical education and surgical skills training. Citation Text: Graafland M, Schraagen JM, Schijven MP. Systematic review of serious games for medical education and surgical skills training. Br J Surg. 2012;99(10):1322-30. doi:10.1002/bjs.88…

Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety. | PSNet

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September 24, 2010 - Commentary Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety. Citation Text: Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that improve patient safety. Clin J Oncol Nurs. 20…

Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. | PSNet

psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans

December 21, 2022 - Study Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. Citation Text: Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…

The next phase of health care improvement: what can we learn from social movements? | PSNet

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July 22, 2010 - Commentary The next phase of health care improvement: what can we learn from social movements? Citation Text: Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Qual Saf Health Care. 2004;13(1):62-6. Copy Citation Format:…

The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals. | PSNet

psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach

February 13, 2019 - Commentary The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals. Citation Text: Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for t…

Sentinel events. In memory of Ben—a case study. | PSNet

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July 01, 2016 - Study Sentinel events. In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

What does it take? A case study of radical change toward patient safety. | PSNet

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September 27, 2017 - Study What does it take? A case study of radical change toward patient safety. Citation Text: Vicente KJ. What does it take? A case study of radical change toward patient safety. Jt Comm J Qual Patient Saf. 2003;29(11):598-609. Copy Citation Format: Google Scholar PubMed …

Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. | PSNet

psnet.ahrq.gov/issue/fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors

July 08, 2020 - Study Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. Citation Text: Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493. Copy Citat…

Is your code cart ready? | PSNet

psnet.ahrq.gov/issue/your-code-cart-ready

August 30, 2017 - Newspaper/Magazine Article Is your code cart ready? Citation Text: Cohen ML. Is your code cart ready? Medical economics. 2005;82(18):45-6, 48. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

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June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

Preparing challenging medications for barcode scanning. | PSNet

psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning

October 19, 2022 - Commentary Preparing challenging medications for barcode scanning. Citation Text: Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet

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July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…

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