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The path to diagnostic excellence includes feedback to calibrate how clinicians think. | PSNet

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May 04, 2022 - Commentary Emerging Classic The path to diagnostic excellence includes feedback to calibrate how clinicians think. Citation Text: Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738…

Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? | PSNet

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November 16, 2022 - Commentary Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? Citation Text: Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…

The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. | PSNet

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April 11, 2011 - Study The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Citation Text: Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…

Safety considerations for challenges when using smart infusion pumps. | PSNet

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October 26, 2022 - Newspaper/Magazine Article Safety considerations for challenges when using smart infusion pumps. Citation Text: Safety considerations for challenges when using smart infusion pumps. ISMP Medication Safety Alert! Acute care edition. October 20, 2022;20(21):1-5. Copy Citation …

Balancing innovation and safety when integrating digital tools into health care. | PSNet

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July 01, 2011 - Commentary Balancing innovation and safety when integrating digital tools into health care. Citation Text: Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. Co…

Use of a public health law framework to improve medication safety by anesthesia providers. | PSNet

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December 22, 2018 - Commentary Use of a public health law framework to improve medication safety by anesthesia providers. Citation Text: Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/25160435188…

Diagnostic decision-making in the emergency department. | PSNet

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December 16, 2020 - Review Diagnostic decision-making in the emergency department. Citation Text: Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003. Copy Citation Format: DOI …

Understanding middle managers' influence in implementing patient safety culture. | PSNet

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March 24, 2012 - Commentary Understanding middle managers' influence in implementing patient safety culture. Citation Text: Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. Copy Citat…

No shortcuts to safer opioid prescribing. | PSNet

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March 30, 2016 - Commentary Classic No shortcuts to safer opioid prescribing. Citation Text: Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190. Copy Citation Format: DOI Google Sc…

The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process. | PSNet

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December 16, 2014 - Study The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process. Citation Text: Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. Copy Citation For…

A medication-based trigger tool to identify adverse events in pediatric anesthesiology. | PSNet

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April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Citation Text: Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. C…

Safety stop: a valuable addition to the pediatric universal protocol. | PSNet

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June 21, 2015 - Commentary Safety stop: a valuable addition to the pediatric universal protocol. Citation Text: Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015. …

Supervision, autonomy, and medical error in the teaching clinic. | PSNet

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November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

Medication error identification rates by pharmacy, medical, and nursing students. | PSNet

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June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

Getting moving on patient safety—harnessing electronic data for safer care. | PSNet

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April 05, 2013 - Commentary Getting moving on patient safety—harnessing electronic data for safer care. Citation Text: Jha AK, Classen D. Getting moving on patient safety--harnessing electronic data for safer care. N Engl J Med. 2011;365(19):1756-8. doi:10.1056/NEJMp1109398. Copy Citation Format:…

Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. | PSNet

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October 09, 2013 - Press Release/Announcement Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. Citation Text: Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. …

Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. | PSNet

psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication

October 28, 2020 - Press Release/Announcement Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. Citation Text: Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…

Timing and interventions of emergency teams during the MERIT study. | PSNet

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June 02, 2010 - Study Timing and interventions of emergency teams during the MERIT study. Citation Text: Flabouris A, Chen J, Hillman K, et al. Timing and interventions of emergency teams during the MERIT study. Resuscitation. 2010;81(1):25-30. doi:10.1016/j.resuscitation.2009.09.025. Copy Citation …

Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. | PSNet

psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department

June 12, 2019 - Study Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. Citation Text: Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…

Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. | PSNet

psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room

November 09, 2015 - Study Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …

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