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Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. | PSNet

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August 31, 2016 - Review Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Citation Text: Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…

Improving measurement in clinical handover. | PSNet

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August 12, 2009 - Commentary Improving measurement in clinical handover. Citation Text: Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570. Copy Citation Format: DOI Google Scholar PubMed…

Higher quality of care and patient safety associated with better NICU work environments. | PSNet

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October 19, 2022 - Study Higher quality of care and patient safety associated with better NICU work environments. Citation Text: Lake ET, Hallowell SG, Kutney-Lee A, et al. Higher Quality of Care and Patient Safety Associated With Better NICU Work Environments. J Nurs Care Qual. 2016;31(1):24-32. doi:10.10…

Developing a tool for assessing competency in root cause analysis. | PSNet

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May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. Citation Text: Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42. Copy Citation Format: Google Scholar PubMed BibTeX E…

Individual and team-based medical error disclosure: dialectical tensions among health care providers. | PSNet

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September 27, 2017 - Study Individual and team-based medical error disclosure: dialectical tensions among health care providers. Citation Text: Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…

Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

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July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Citation Text: Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…

Learning from accidents—what more do we need to know? | PSNet

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May 29, 2014 - Commentary Learning from accidents—what more do we need to know? Citation Text: Lindberg A-K, Hansson SO, Rollenhagen C. Learning from accidents – What more do we need to know? Saf Sci. 2010;48(6). doi:10.1016/j.ssci.2010.02.004. Copy Citation Format: DOI Google Scholar B…

Using Plan Do Study Act to transform a simulation center. | PSNet

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March 13, 2024 - Commentary Using Plan Do Study Act to transform a simulation center. Citation Text: Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

Dental patient safety in the military health system: joining medicine in the journey to high reliability. | PSNet

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October 19, 2022 - Study Dental patient safety in the military health system: joining medicine in the journey to high reliability. Citation Text: Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…

Diagnostic overshadowing in dentistry. | PSNet

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March 13, 2024 - Commentary Diagnostic overshadowing in dentistry. Citation Text: Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet

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August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…

Diagnostic errors and the bedside clinical examination. | PSNet

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August 20, 2018 - Review Emerging Classic Diagnostic errors and the bedside clinical examination. Citation Text: Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. Copy…

Gaps in pediatric clinician communication and opportunities for improvement. | PSNet

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March 24, 2011 - Study Gaps in pediatric clinician communication and opportunities for improvement. Citation Text: Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54. Copy Citation Format: Goog…

Effects of technological interventions on the safety of a medication-use system. | PSNet

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May 11, 2016 - Study Effects of technological interventions on the safety of a medication-use system. Citation Text: Skibinski K, White BA, Lin LI-K, et al. Effects of technological interventions on the safety of a medication-use system. Am J Health Syst Pharm. 2007;64(1):90-6. Copy Citation Fo…

Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. | PSNet

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December 22, 2018 - Commentary Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. Citation Text: Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing Terminol…

Frequency of pediatric medication administration errors and contributing factors. | PSNet

psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors

November 16, 2022 - Study Frequency of pediatric medication administration errors and contributing factors. Citation Text: Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e31820…

Conscious sedation on a general ward: the MET and clinical governance. | PSNet

psnet.ahrq.gov/issue/conscious-sedation-general-ward-met-and-clinical-governance

January 05, 2017 - Commentary Conscious sedation on a general ward: the MET and clinical governance. Citation Text: Warrillow S, Bellomo R, Jones D. Conscious sedation on a general ward: the MET and clinical governance. Jt Comm J Qual Patient Saf. 2007;33(2):112-7, 61. Copy Citation Format: G…

Medication reconciliation in the emergency department: opportunities for workflow redesign. | PSNet

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August 04, 2021 - Commentary Medication reconciliation in the emergency department: opportunities for workflow redesign. Citation Text: Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.11…

Three laws for paperlessness. | PSNet

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July 22, 2015 - Commentary Three laws for paperlessness. Citation Text: Thimbleby H. Three laws for paperlessness. Digit Health. 2019;5:2055207619827722. doi:10.1177/2055207619827722. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

Association between ophthalmologist age and unsolicited patient complaints. | PSNet

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June 27, 2018 - Study Association between ophthalmologist age and unsolicited patient complaints. Citation Text: Fathy CA, Pichert JW, Domenico HJ, et al. Association Between Ophthalmologist Age and Unsolicited Patient Complaints. JAMA Ophthalmol. 2018;136(1):61-67. doi:10.1001/jamaophthalmol.2017.5154.…

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