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  1. Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

    psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
    September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

  2. Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. | PSNet

    psnet.ahrq.gov/issue/application-iv-medication-harm-index-assess-nature-harm-averted-smart-infusion-safety-systems
    January 23, 2017 - Study Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems. Citation Text: Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the Nature of Harm Averted by "Smart" Infusion Safety …

  3. Medication errors involving nursing students: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review
    March 09, 2022 - Review Medication errors involving nursing students: a systematic review. Citation Text: Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. Copy Citation …

  4. Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety
    September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…

  5. Payment innovations to improve diagnostic accuracy and reduce diagnostic error. | PSNet

    psnet.ahrq.gov/issue/payment-innovations-improve-diagnostic-accuracy-and-reduce-diagnostic-error
    December 16, 2020 - Commentary Payment innovations to improve diagnostic accuracy and reduce diagnostic error. Citation Text: Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error. Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714. Co…

  6. Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. | PSNet

    psnet.ahrq.gov/issue/communication-training-adverse-events-and-quality-measures-2-retrospective-database-analyses
    August 04, 2021 - Study Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. Citation Text: Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washi…

  7. Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet

    psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
    July 12, 2023 - Commentary Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. Citation Text: Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…

  8. Governing the quality and safety of healthcare: a conceptual framework. | PSNet

    psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
    September 03, 2011 - Commentary Governing the quality and safety of healthcare: a conceptual framework. Citation Text: Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020. Copy Citation …

  9. The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. | PSNet

    psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
    July 02, 2014 - Study The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. Citation Text: Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…

  10. The role of emotion in patient safety: are we brave enough to scratch beneath the surface? | PSNet

    psnet.ahrq.gov/issue/role-emotion-patient-safety-are-we-brave-enough-scratch-beneath-surface
    January 09, 2014 - Review The role of emotion in patient safety: are we brave enough to scratch beneath the surface? Citation Text: Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/014…

  11. Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

    psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
    June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

  12. Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. | PSNet

    psnet.ahrq.gov/issue/understanding-procedural-violations-using-safety-i-and-safety-ii-case-community-pharmacies
    February 06, 2019 - Study Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. Citation Text: Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…

  13. Joy in medical practice: clinician satisfaction in the Healthy Work Place trial. | PSNet

    psnet.ahrq.gov/issue/joy-medical-practice-clinician-satisfaction-healthy-work-place-trial
    January 23, 2017 - Study Joy in medical practice: clinician satisfaction in the Healthy Work Place trial. Citation Text: Linzer M, Sinsky CA, Poplau S, et al. Joy In Medical Practice: Clinician Satisfaction In The Healthy Work Place Trial. Health Aff (Millwood). 2017;36(10):1808-1814. doi:10.1377/hlthaff.2…

  14. Perceptions of rounding checklists in the intensive care unit: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
    July 21, 2021 - Study Perceptions of rounding checklists in the intensive care unit: a qualitative study. Citation Text: Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…

  15. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. | PSNet

    psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals
    March 12, 2025 - Study Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. Citation Text: Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…

  16. Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
    January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…

  17. The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted
    May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…

  18. The impact of stress on surgical performance: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/impact-stress-surgical-performance-systematic-review-literature
    February 10, 2010 - Review The impact of stress on surgical performance: a systematic review of the literature. Citation Text: Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of the literature. Surgery. 2010;147(3):318-30, 330.e1-6. doi:10.1016/j.sur…

  19. Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/epidemiology-and-risk-factors-harmful-anti-infective-medication-errors-pediatric-hospital
    March 22, 2017 - Study Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. Citation Text: Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf.…

  20. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
    February 22, 2017 - Review The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. Citation Text: Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…
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