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The Other Side | PSNet

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May 01, 2007 - SPOTLIGHT CASE The Other Side Citation Text: Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

The Consequences of Miscommunication Regarding a Possible Artifact | PSNet

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May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet

psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions

November 30, 2023 - concerns (PS) or personal beliefs of a clinician (PBOC) took priority, when our proposed framework suggests

Safety considerations in learning new procedures: a survey of surgeons. | PSNet

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January 23, 2017 - Study Safety considerations in learning new procedures: a survey of surgeons. Citation Text: Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. Copy Citation Format…

Factors influencing perioperative nurses' error reporting preferences. | PSNet

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June 23, 2010 - Study Factors influencing perioperative nurses' error reporting preferences. Citation Text: Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43. Copy Citation Format: Google Scholar PubMed …

Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

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November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. | PSNet

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March 18, 2011 - Study Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. Citation Text: Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:…

Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. | PSNet

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October 12, 2022 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Washington DC: Un…

Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. | PSNet

psnet.ahrq.gov/issue/safety-considerations-container-labels-and-carton-labeling-design-minimize-medication-errors

January 13, 2021 - Regulation Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Rockville,…

Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions

June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

Inpatient suicide: preventing a common sentinel event. | PSNet

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May 28, 2015 - Review Inpatient suicide: preventing a common sentinel event. Citation Text: Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. Copy Citation Format: DOI Google Scholar …

Incidence, staff awareness and mortality of patients at risk on general wards. | PSNet

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November 15, 2023 - Study Incidence, staff awareness and mortality of patients at risk on general wards. Citation Text: Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…

Detection and prevention of medication errors using real-time bedside nurse charting. | PSNet

psnet.ahrq.gov/issue/detection-and-prevention-medication-errors-using-real-time-bedside-nurse-charting

September 27, 2017 - Study Detection and prevention of medication errors using real-time bedside nurse charting. Citation Text: Nelson NC, Evans RS, Samore MH, et al. Detection and Prevention of Medication Errors Using Real-Time Bedside Nurse Charting. Journal of the American Medical Informatics Associatio…

Overcoming human barriers to safety event reporting in radiology. | PSNet

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February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. Citation Text: Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. Copy Citation Format: …

Diagnostic performance by medical students working individually or in teams. | PSNet

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January 26, 2022 - Study Diagnostic performance by medical students working individually or in teams. Citation Text: Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770. Copy Citation …

Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. | PSNet

psnet.ahrq.gov/issue/safe-medication-prescribing-training-and-experience-medical-students-and-housestaff-large

December 22, 2008 - Study Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. Citation Text: Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical students and housestaff at a large teachin…

Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. | PSNet

psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health

May 03, 2023 - Book/Report Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Citation Text: Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …

Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

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February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

Safety of care by caregivers of cancer patients. | PSNet

psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients

March 02, 2012 - Review Safety of care by caregivers of cancer patients. Citation Text: Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379. doi:10.1016/j.soncn.2019.06.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

Digital health and patient safety. | PSNet

psnet.ahrq.gov/issue/digital-health-and-patient-safety

September 01, 2016 - Commentary Digital health and patient safety. Citation Text: Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

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