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psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
August 25, 2021 - Study
Nurse burnout predicts self-reported medication administration errors in acute care hospitals.
Citation Text:
Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13…
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psnet.ahrq.gov/issue/clinical-criteria-screen-inpatient-diagnostic-errors-scoping-review
December 12, 2018 - Review
Clinical criteria to screen for inpatient diagnostic errors: a scoping review.
Citation Text:
Shenvi EC, El-Kareh R. Clinical criteria to screen for inpatient diagnostic errors: a scoping review. Diagnosis (Berl). 2015;2(1):3-19. doi:10.1515/dx-2014-0047.
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psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
March 02, 2012 - Study
Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.
Citation Text:
Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administratio…
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psnet.ahrq.gov/issue/nurses-perceptions-simulation-based-interprofessional-training-program-rapid-response-and
January 04, 2012 - Study
Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.
Citation Text:
Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code …
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psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox
September 23, 2020 - Commentary
"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation.
Citation Text:
Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…
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psnet.ahrq.gov/issue/using-artificial-intelligence-improve-primary-care-patients-and-clinicians
March 02, 2022 - Commentary
Using artificial intelligence to improve primary care for patients and clinicians.
Citation Text:
Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965.
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psnet.ahrq.gov/issue/controlled-trial-smart-infusion-pumps-improve-medication-safety-critically-ill-patients
March 13, 2019 - Study
Classic
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients.
Citation Text:
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill …
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Study
Characterization of prescribing errors in an internal medicine clinic.
Citation Text:
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
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psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
October 26, 2022 - Study
Reducing pediatric emergency department prescription errors.
Citation Text:
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
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psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
February 15, 2023 - Organizational Policy/Guidelines
Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.
Citation Text:
Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…
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psnet.ahrq.gov/issue/exploring-concept-medication-discrepancy-within-context-patient-safety-improve-population
November 18, 2020 - Review
Exploring the concept of medication discrepancy within the context of patient safety to improve population health.
Citation Text:
Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population h…
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psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
March 18, 2019 - Commentary
Classic
Five years after 'To Err is Human': what have we learned?
Citation Text:
Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90.
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psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
October 03, 2013 - Commentary
SEIPS 101 and seven simple SEIPS tools.
Citation Text:
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538.
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psnet.ahrq.gov/issue/potential-collective-intelligence-emergency-medicine
June 12, 2024 - Study
The potential of collective intelligence in emergency medicine.
Citation Text:
Kämmer JE, Hautz WE, Herzog SM, et al. The Potential of Collective Intelligence in Emergency Medicine: Pooling Medical Students' Independent Decisions Improves Diagnostic Performance. Med Decis Making. 2…
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psnet.ahrq.gov/issue/experimental-study-medical-error-explanations-do-apology-empathy-corrective-action-and
October 07, 2020 - Study
An experimental study of medical error explanations: do apology, empathy, corrective action, and compensation alter intentions and attitudes?
Citation Text:
Nazione S, Pace K. An Experimental Study of Medical Error Explanations: Do Apology, Empathy, Corrective Action, and Compensat…
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psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis
September 27, 2017 - Study
Risk factors for adverse drug events: a 10-year analysis.
Citation Text:
Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8.
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psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19
July 01, 2020 - Newspaper/Magazine Article
Coronavirus: can this California prison save itself from Covid-19?
Citation Text:
Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News, Washington. 2020;Jul 27.
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - they can prepare on
their end, the things that need to be done for that or, if I have a patient with severe
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - Simulation Training
March 1, 2023
Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/simulation-training
Originally published in 2014 by researchers at the University of California, San Francisco. Updated in
March 2023, by Jennifer J. Edwards, MS, RN, CHSE…