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FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet

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June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet

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May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

Medication errors recovered by emergency department pharmacists. | PSNet

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December 31, 2014 - Study Medication errors recovered by emergency department pharmacists. Citation Text: Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012. Copy Citatio…

A work systems analysis approach to understanding fatigue in hospital nurses. | PSNet

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July 08, 2020 - Study A work systems analysis approach to understanding fatigue in hospital nurses. Citation Text: Steege LM, Pasupathy KS, Drake DA. A work systems analysis approach to understanding fatigue in hospital nurses. Ergonomics. 2017;61(1):148-161. doi:10.1080/00140139.2017.1280186. Copy Ci…

Case: a second victim support program in pediatrics: successes and challenges to implementation. | PSNet

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October 26, 2016 - Study Case: a second victim support program in pediatrics: successes and challenges to implementation. Citation Text: Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics: Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59. …

Placing Diagnosis Errors on the Policy Agenda. | PSNet

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October 31, 2014 - Book/Report Placing Diagnosis Errors on the Policy Agenda. Citation Text: Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014. Copy Citation Save Save…

Fatigue, performance and the work environment: a survey of registered nurses. | PSNet

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November 18, 2020 - Study Fatigue, performance and the work environment: a survey of registered nurses. Citation Text: Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. Copy Citation…

Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor

January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet

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February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. | PSNet

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April 28, 2021 - Book/Report Classic Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Citation Text: Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …

Implementing a fatigue countermeasures program for nurses: a focus group analysis. | PSNet

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February 19, 2010 - Study Implementing a fatigue countermeasures program for nurses: a focus group analysis. Citation Text: Scott LD, Hofmeister N, Rogness N, et al. Implementing a fatigue countermeasures program for nurses: a focus group analysis. J Nurs Adm. 2010;40(5):233-40. doi:10.1097/NNA.0b013e3181d…

Surgical confusions in ophthalmology. | PSNet

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November 16, 2022 - Study Surgical confusions in ophthalmology. Citation Text: Simon JW, Ngo Y, Khan S, et al. Surgical confusions in ophthalmology. Arch Ophthalmol. 2007;125(11):1515-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. | PSNet

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December 21, 2014 - Commentary The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Citation Text: Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …

Wake Up Safe in the USA & international patient safety. | PSNet

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August 23, 2023 - Study Wake Up Safe in the USA & international patient safety. Citation Text: Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. Copy Citation Format: DOI Google Scholar BibTeX En…

The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. | PSNet

psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near

June 04, 2014 - Commentary Classic The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Citation Text: Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…

Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. | PSNet

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July 17, 2024 - Study Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Citation Text: Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876. …

Relationship between systems-level factors and hand hygiene adherence. | PSNet

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September 28, 2011 - Study Relationship between systems-level factors and hand hygiene adherence. Citation Text: Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71. Copy Ci…

Health literacy and medication understanding among hospitalized adults. | PSNet

psnet.ahrq.gov/issue/health-literacy-and-medication-understanding-among-hospitalized-adults

April 05, 2013 - Study Health literacy and medication understanding among hospitalized adults. Citation Text: Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925. Copy Citation Format: …

It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. | PSNet

psnet.ahrq.gov/issue/its-not-all-about-me-motivating-hand-hygiene-among-health-care-professionals-focusing

May 29, 2019 - Study It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Citation Text: Grant AM, Hofmann DA. It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Psychol Sci. 2011;22(12):1494-9. do…

Challenges in health care simulation: are we learning anything new? | PSNet

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February 27, 2019 - Commentary Challenges in health care simulation: are we learning anything new? Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891. Copy Citation F…

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