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Patient falls while under supervision: trends from incident reporting. | PSNet

psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting

January 11, 2023 - Study Patient falls while under supervision: trends from incident reporting. Citation Text: Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. Copy Citation Format: DOI Google S…

Patient safety in inpatient psychiatry: a remaining frontier for health policy. | PSNet

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October 19, 2022 - Commentary Patient safety in inpatient psychiatry: a remaining frontier for health policy. Citation Text: Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.…

(How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. | PSNet

psnet.ahrq.gov/issue/how-do-we-learn-errors-prospective-study-link-between-wards-learning-practices-and-medication

August 30, 2017 - Study (How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. Citation Text: Drach-Zahavy A, Somech A, Admi H, et al. (How) do we learn from errors? A prospective study of the link between the ward's lea…

Leadership behaviors, attitudes and characteristics to support a culture of safety. | PSNet

psnet.ahrq.gov/issue/leadership-behaviors-attitudes-and-characteristics-support-culture-safety

August 03, 2022 - Study Leadership behaviors, attitudes and characteristics to support a culture of safety. Citation Text: Montminy SL. Leadership behaviors, attitudes and characteristics to support a culture of safety. J Healthc Risk Manag. 2022;42(2):31-38. doi:10.1002/jhrm.21521. Copy Citation Fo…

Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet

psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis

March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

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August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

Patient safety in surgery. | PSNet

psnet.ahrq.gov/issue/patient-safety-surgery

June 16, 2011 - Study Patient safety in surgery. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Patient safety in surgery. Ann Surg. 2006;243(5):628-32; discussion 632-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

The influence of the structure and culture of medical group practices on prescription drug errors. | PSNet

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January 14, 2011 - Study The influence of the structure and culture of medical group practices on prescription drug errors. Citation Text: Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…

A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. | PSNet

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July 22, 2020 - Study A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. Citation Text: Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt…

Increased mortality associated with weekend hospital admission: a case for expanded seven day services? | PSNet

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March 02, 2012 - Study Increased mortality associated with weekend hospital admission: a case for expanded seven day services? Citation Text: Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596.…

Doctors' experiences of adverse events in secondary care: the professional and personal impact. | PSNet

psnet.ahrq.gov/issue/doctors-experiences-adverse-events-secondary-care-professional-and-personal-impact

April 10, 2019 - Study Doctors' experiences of adverse events in secondary care: the professional and personal impact. Citation Text: Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10…

Surgical checklists: the human factor. | PSNet

psnet.ahrq.gov/issue/surgical-checklists-human-factor

December 10, 2014 - Study Surgical checklists: the human factor. Citation Text: O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

Factors associated with medication errors in the pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/factors-associated-medication-errors-pediatric-emergency-department

March 09, 2022 - Study Factors associated with medication errors in the pediatric emergency department. Citation Text: Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294. doi:…

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. | PSNet

psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting

December 06, 2013 - Study Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Citation Text: Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;…

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization

April 28, 2021 - Study Emerging Classic Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. Citation Text: Gurwitz JH, Kapoor A, Garber L, et al. Effect of …

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. | PSNet

psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study

May 19, 2018 - Study Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. Citation Text: Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…

Identifying the latent failures underpinning medication administration errors: an exploratory study. | PSNet

psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study

December 21, 2016 - Study Identifying the latent failures underpinning medication administration errors: an exploratory study. Citation Text: Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…

Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review

June 19, 2024 - Review Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. Citation Text: Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…

Classifying adverse events in the dental office. | PSNet

psnet.ahrq.gov/issue/classifying-adverse-events-dental-office

July 09, 2014 - Study Classifying adverse events in the dental office. Citation Text: Kalenderian E, Obadan-Udoh E, Maramaldi P, et al. Classifying Adverse Events in the Dental Office. J Patient Saf. 2021;17(6):e540-e356. doi:10.1097/PTS.0000000000000407. Copy Citation Format: DOI Google S…

Paediatric dosing errors before and after electronic prescribing. | PSNet

psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing

February 13, 2008 - Study Paediatric dosing errors before and after electronic prescribing. Citation Text: Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068. Copy Citation Format: …

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