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"First, know thyself": cognition and error in medicine. | PSNet

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March 09, 2022 - Review "First, know thyself": cognition and error in medicine. Citation Text: Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. Copy Citation Format: DOI Google Schola…

Managing risk in hazardous conditions: improvisation is not enough. | PSNet

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November 06, 2024 - Commentary Managing risk in hazardous conditions: improvisation is not enough. Citation Text: Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443. Copy Citation Format: DO…

A culture of safety in EMS systems. | PSNet

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February 18, 2011 - Organizational Policy/Guidelines A culture of safety in EMS systems. Citation Text: A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services. Ann Emerg Med. 2021;78(3):e37-e57. Copy Citation …

Lost in translation: impact of language barriers on children's healthcare. | PSNet

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January 06, 2018 - Review Lost in translation: impact of language barriers on children's healthcare. Citation Text: Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404. Copy Citation Format: …

A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

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April 05, 2013 - Study A coaching program to improve employee engagement, culture of safety, and patient experience. Citation Text: Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…

Nearing zero...reducing grade C medication errors. | PSNet

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October 05, 2022 - Commentary Nearing zero...reducing grade C medication errors. Citation Text: Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3. Copy Citation Format: DOI …

Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet

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August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …

Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. | PSNet

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June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…

Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet

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April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…

Medication error prevention by clinical pharmacists in two children's hospitals. | PSNet

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October 15, 2014 - Study Classic Medication error prevention by clinical pharmacists in two children's hospitals. Citation Text: Medication error prevention by clinical pharmacists in two children's hospitals. Folli HL; Poole RL; Benitz WE; Russo JC Copy Citation …

Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. | PSNet

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July 05, 2008 - Meeting/Conference Proceedings Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. Citation Text: Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…

The development of the National Reporting and Learning System in England and Wales, 2001-2005. | PSNet

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September 14, 2022 - Commentary The development of the National Reporting and Learning System in England and Wales, 2001-2005. Citation Text: Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…

Rapid response systems as a patient safety strategy: a systematic review. | PSNet

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March 20, 2013 - Review Rapid response systems as a patient safety strategy: a systematic review. Citation Text: Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051…

NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. | PSNet

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February 15, 2023 - Book/Report NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Citation Text: NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Rockvil…

Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. | PSNet

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November 11, 2020 - Book/Report Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Citation Text: Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Dyrbye …

IV push medications survey results—part 1 and part 2. | PSNet

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December 12, 2018 - Newspaper/Magazine Article IV push medications survey results—part 1 and part 2. Citation Text: IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. Copy Citation Save …

Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. | PSNet

psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks

March 29, 2006 - Book/Report Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Citation Text: Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Bonnie RJ, Ford M…

Unmet Needs: Teaching Physicians to Provide Safe Patient Care. | PSNet

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November 07, 2012 - Book/Report Classic Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Citation Text: Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. Copy Cita…

Adverse Events in Dentistry | PSNet

psnet.ahrq.gov/perspective/adverse-events-dentistry

December 22, 2020 - Adverse Events in Dentistry December 22, 2020 Also Read the Conversation View more articles from the same authors. Citation Text: Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd

December 22, 2020 - In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD December 22, 2020 Also Read the Essay Citation Text: In Conversation With.. Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD. PSNet [internet]. 2020.In Conversati…

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