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E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet

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September 30, 2015 - Study E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. Citation Text: Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …

Team communication during patient handover from the operating room: more than facts and figures. | PSNet

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December 16, 2009 - Study Team communication during patient handover from the operating room: more than facts and figures. Citation Text: Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56. Cop…

Hospital credentialing and privileging of surgeons: a potential safety blind spot. | PSNet

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September 24, 2017 - Commentary Hospital credentialing and privileging of surgeons: a potential safety blind spot. Citation Text: Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943. Co…

The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. | PSNet

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September 27, 2017 - Commentary The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists. Citation Text: Clebone A, Burian BK, Watkins SC, et al. The Development and Implementation of Cognitive Aids for C…

Analysis of a medication safety intervention in the pediatric emergency department. | PSNet

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August 02, 2012 - Study Analysis of a medication safety intervention in the pediatric emergency department. Citation Text: Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jama…

Medical students benefit from learning about patient safety in an interprofessional team. | PSNet

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November 03, 2015 - Image/Poster Medical students benefit from learning about patient safety in an interprofessional team. Citation Text: Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111…

Racial and ethnic differences in emergency department pain management of children with fractures. | PSNet

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September 15, 2015 - Study Racial and ethnic differences in emergency department pain management of children with fractures. Citation Text: Goyal MK, Johnson TJ, Chamberlain JM, et al. Racial and ethnic differences in emergency department pain management of children with fractures. Pediatrics. 2020;145(5):e2…

Safety through redundancy: a case study of in-hospital patient transfers. | PSNet

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November 03, 2015 - Study Safety through redundancy: a case study of in-hospital patient transfers. Citation Text: Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. Copy Citation Format: …

Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. | PSNet

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January 12, 2011 - Study Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. Citation Text: Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…

Exclusion of residents from surgery-intensive care team communication: a qualitative study. | PSNet

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December 04, 2015 - Study Exclusion of residents from surgery-intensive care team communication: a qualitative study. Citation Text: Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…

Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/clarifying-radiologys-role-safety-events-5-year-retrospective-common-cause-analysis-safety

November 21, 2017 - Study Clarifying radiology's role in safety events: a 5-year retrospective common cause analysis of safety events at a pediatric hospital. Citation Text: Khalatbari H, Menashe SJ, Otto RK, et al. Clarifying radiology’s role in safety events: a 5-year retrospective common cause analysis o…

Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet

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January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. Citation Text: Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a…

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. | PSNet

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August 02, 2015 - Study Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Citation Text: Glance LG, Dick AW, Osler T, et al. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Arch Surg. 2011;146(10):1170-7. doi:10.1001/archsurg.2011.247. Copy Citation …

Communication failure in the operating room. | PSNet

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February 25, 2009 - Study Communication failure in the operating room. Citation Text: Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. | PSNet

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August 14, 2018 - Study Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1…

Preventing medical injury. | PSNet

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February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

Introductions during time-outs: do surgical team members know one another's names? | PSNet

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November 09, 2015 - Study Introductions during time-outs: do surgical team members know one another's names? Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1…

The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. | PSNet

psnet.ahrq.gov/issue/impact-critical-event-checklists-medical-management-and-teamwork-during-simulated-crises

November 04, 2009 - Study The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. Citation Text: Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management and teamwork during simulated cri…

Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. | PSNet

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January 15, 2009 - Study Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Citation Text: Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…

Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. | PSNet

psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews

September 11, 2018 - Book/Report Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. Citation Text: Understanding the knowledge gaps in whistleblowing and speaking up…

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