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  1. Diagnostic errors in paediatric cardiac intensive care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
    June 24, 2020 - Study Diagnostic errors in paediatric cardiac intensive care. Citation Text: Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. Copy Citation Format: DOI Google S…

  2. High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. | PSNet

    psnet.ahrq.gov/issue/high-alert-medication-administration-and-intravenous-smart-pumps-descriptive-analysis
    December 12, 2018 - Study High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice. Citation Text: Marwitz KK, Giuliano KK, Su W-T, et al. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res S…

  3. A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. | PSNet

    psnet.ahrq.gov/issue/bottom-approach-addressing-patient-care-and-differential-diagnosis-amidst-covid-19-response
    May 05, 2021 - Commentary A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. Citation Text: Zolnikov T, Zolnikov TR. A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. J Prim Care Community Health. 202…

  4. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement. | PSNet

    psnet.ahrq.gov/issue/impact-nursing-work-environments-patient-safety-outcomes-mediating-role-burnout-engagement
    July 23, 2010 - Study The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement. Citation Text: Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J Nurs Adm. …

  5. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. | PSNet

    psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
    February 16, 2022 - Commentary Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Citation Text: Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. do…

  6. Interrogating and uprooting systemic racism in the emergency department. | PSNet

    psnet.ahrq.gov/issue/interrogating-and-uprooting-systemic-racism-emergency-department
    March 05, 2025 - Commentary Interrogating and uprooting systemic racism in the emergency department. Citation Text: Sangal RB, Khidir H, Agarwal AK. Interrogating and uprooting systemic racism in the emergency department. JAMA Health Forum. 2024;5(8):e242347. doi:10.1001/jamahealthforum.2024.2347. Copy…

  7. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
    February 25, 2015 - Review Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. Citation Text: Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract…

  8. Prevalence and characteristics of interruptions and distractions during surgical counts. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characteristics-interruptions-and-distractions-during-surgical-counts
    March 09, 2016 - Study Prevalence and characteristics of interruptions and distractions during surgical counts. Citation Text: Bubric KA, Biesbroek SL, Laberge JC, et al. Prevalence and characteristics of interruptions and distractions during surgical counts. Jt Comm J Qual Patient Saf. 2021;47(9):556-56…

  9. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. | PSNet

    psnet.ahrq.gov/issue/development-and-usability-behavioural-marking-system-performance-assessment-obstetrical-teams
    June 28, 2017 - Study Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Citation Text: Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Hea…

  10. Isolation precautions for visitors. | PSNet

    psnet.ahrq.gov/issue/isolation-precautions-visitors
    March 02, 2014 - Organizational Policy/Guidelines Isolation precautions for visitors. Citation Text: Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67. Copy Citation Format: DOI Google …

  11. Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
    January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …

  12. Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. | PSNet

    psnet.ahrq.gov/issue/why-patient-safety-challenge-insights-professionalism-opinions-medical-students-research
    January 26, 2022 - Study Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. Citation Text: McGurgan PM, Calvert KL, Nathan EA, et al. Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. J Pati…

  13. Operational failures detected by frontline acute care nurses. | PSNet

    psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses
    July 19, 2023 - Study Operational failures detected by frontline acute care nurses. Citation Text: Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791. Copy Citation Format: DO…

  14. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. | PSNet

    psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
    August 26, 2015 - Study Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Citation Text: Rhodes P, McDonald R, Campbell S, et al. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Sociol Health Illn. 2016;38(…

  15. The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. | PSNet

    psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
    September 23, 2020 - Newspaper/Magazine Article The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. Citation Text: The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…

  16. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    September 29, 2017 - Review Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…

  17. Complications: acknowledging, managing, and coping with human error. | PSNet

    psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
    March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…

  18. Disclosing adverse events to patients: international norms and trends. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
    July 29, 2020 - Study Disclosing adverse events to patients: international norms and trends. Citation Text: Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. Copy Citation For…

  19. Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

    psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
    February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

  20. Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? | PSNet

    psnet.ahrq.gov/issue/post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk
    August 04, 2021 - Study Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? Citation Text: Thompson C, Naumann DN, Fellows JL, et al. Post-traumatic stress disorder amongst surgical trainees: An unrecognised risk? Surgeon. 2017;15(3):123-130. doi:10.1016/j.surge.2015.09.002. …
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