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Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric

June 28, 2010 - Study Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. Citation Text: Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensi…

Patient safety at ten: unmistakable progress, troubling gaps. | PSNet

psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps

March 02, 2011 - Commentary Classic Patient safety at ten: unmistakable progress, troubling gaps. Citation Text: Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. Copy Citation …

What context features might be important determinants of the effectiveness of patient safety practice interventions? | PSNet

psnet.ahrq.gov/issue/what-context-features-might-be-important-determinants-effectiveness-patient-safety-practice

September 20, 2011 - Study What context features might be important determinants of the effectiveness of patient safety practice interventions? Citation Text: Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions?…

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

psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot

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…

Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital

October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet

psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient

November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. Citation Text: Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …

Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. | PSNet

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September 23, 2020 - Review Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. Citation Text: Anderson K, Stowasser D, Freeman C, et al. Prescriber barriers and enablers to minimising potentially inappropriate medication…

Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. | PSNet

psnet.ahrq.gov/issue/relationships-among-psychological-safety-principles-high-reliability-and-safety-reporting

September 16, 2015 - Study Relationships among psychological safety, the principles of high reliability, and safety reporting intentions in pediatric nursing. Citation Text: Pfeifer L, Vessey J, Cazzell M, et al. Relationships among psychological safety, the principles of high reliability, and safety reporti…

Rates and characteristics of paid malpractice claims among US physicians by specialty, 1992–2014. | PSNet

psnet.ahrq.gov/issue/rates-and-characteristics-paid-malpractice-claims-among-us-physicians-specialty-1992-2014

December 19, 2014 - Study Classic Rates and characteristics of paid malpractice claims among US physicians by specialty, 1992–2014. Citation Text: Schaffer A, Jena AB, Seabury SA, et al. Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-201…

Sensemaking of patient safety risks and hazards. | PSNet

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March 03, 2011 - Commentary Sensemaking of patient safety risks and hazards. Citation Text: Battles J, Dixon NM, Borotkanics RJ, et al. Sensemaking of patient safety risks and hazards. Health Serv Res. 2006;41(4 Pt 2):1555-1575. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Journey to no preventable risk: The Baylor Health Care System patient safety experience. | PSNet

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November 23, 2014 - Commentary Journey to no preventable risk: The Baylor Health Care System patient safety experience. Citation Text: Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…

Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. | PSNet

psnet.ahrq.gov/issue/triggers-bundles-protocols-and-checklists-what-every-maternal-care-provider-needs-know

October 19, 2022 - Review Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. Citation Text: Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444…

Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions

March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

Health care worker fatigue. | PSNet

psnet.ahrq.gov/issue/health-care-worker-fatigue

July 08, 2020 - Commentary Health care worker fatigue. Citation Text: Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Comparing trainee and staff perceptions of patient safety culture. | PSNet

psnet.ahrq.gov/issue/comparing-trainee-and-staff-perceptions-patient-safety-culture

February 15, 2017 - Study Comparing trainee and staff perceptions of patient safety culture. Citation Text: Bump GM, Coots N, Liberi CA, et al. Comparing Trainee and Staff Perceptions of Patient Safety Culture. Acad Med. 2017;92(1):116-122. doi:10.1097/ACM.0000000000001255. Copy Citation Format: …

Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. | PSNet

psnet.ahrq.gov/issue/endorsements-surgeon-punishment-and-patient-compensation-rested-and-sleep-restricted

September 23, 2020 - Study Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. Citation Text: Nguyen S, Corrington A, Hebl MR, et al. Endorsements of Surgeon Punishment and Patient Compensation in Rested and Sleep-Restricted Individuals. JAMA Surg. 2019;154…

Composite measures for profiling hospitals on bariatric surgery performance. | PSNet

psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance

January 31, 2013 - Study Composite measures for profiling hospitals on bariatric surgery performance. Citation Text: Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. Copy Cit…

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. | PSNet

psnet.ahrq.gov/issue/situ-simulation-detection-safety-threats-and-teamwork-training-high-risk-emergency-department

May 23, 2013 - Study In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Citation Text: Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf…

Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-1-day-interclerkship-program-medical-students-medical-errors-and

March 12, 2025 - Commentary Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety. Citation Text: Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for medical students on medical error…

Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. | PSNet

psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery

October 09, 2013 - Study Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Citation Text: Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…

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