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Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. | PSNet

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December 12, 2012 - June 17, 2010 'The ABC of Handover': impact on shift handover in the emergency department … September 27, 2016 Patient safety factors in children dying in a paediatric intensive … September 25, 2011 SECUre: a multicentre survey of the safety of emergency care in UK … April 3, 2019 How to master the new art of training: teamwork on the fly. … October 26, 2010 Clinical handover of patients arriving by ambulance to the emergency

The Deadly Duo | PSNet

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April 28, 2021 - Empty bottles of both were found on the floor near the patient at his home, and it was presumed that … One study suggested that only one-third of non-psychiatric patients on TCAs had a therapeutic dose or … Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey … September 19, 2018 Hospital cultural competency and attributes of patient safety culture … survey study among healthcare staff.

Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet

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September 23, 2020 - Polypharmacy in older patients is a predictor of medication errors. … August 17, 2016 Optimizing the use of dose error reduction software on intravenous infusion … July 1, 2019 In patient safety efforts, pharmacists gain new prominence. … May 28, 2015 Language barriers to prescriptions for patients with limited English proficiency … : a survey of pharmacies.

Challenges with requiring five characters during ADC drug searches via override. | PSNet

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October 20, 2021 - November 2, 2022 Temporarily holding medication orders safely in order to prevent patient … June 10, 2018 Survey on LASA drug name pairs: who knows what’s on your list and the best … May 7, 2014 Collaboration focused on priority issues promotes safety. … June 10, 2018 View More Related Resources Patient death after inadvertent … infusion of PRN medication hanging on bedside intravenous (IV) pole.

Patient and physician experience with interhospital transfer: a qualitative study. | PSNet

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April 12, 2023 - This single-site survey of resident and attending physicians across multiple specialties uncovered multiple … Investigators found that physicians and patients were both dissatisfied with timing of transfers and … May 8, 2017 Adverse diagnostic events in hospitalised patients: a single-centre, retrospective … November 16, 2022 Effect of patient- and medication-related factors on inpatient medication … July 14, 2010 Resident uncertainty in clinical decision making and impact on patient

How will state medical boards handle cases involving disclosure and apology for medical errors? | PSNet

psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors

September 07, 2022 - J Patient Saf Risk Manag . 2022; 27 (1) :15-20 . … In this study, 38 state medical boards responded to a survey regarding disclosure and apology practices … apologize, and that these actions would not make the clinician a target for disciplinary action; respondents … 1, 2021 View More Related Resources Perspectives on … Suicide Prevention March 25, 2025 Perspectives on

An analysis of electronic health record–related patient safety incidents. | PSNet

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August 19, 2020 - An analysis of electronic health record-related patient safety incidents. … an NHS hospital: retrospective patient case note review. … November 15, 2018 Resource-based view on safety culture's influence on hospital performance … September 19, 2018 A national survey assessing the number of records allowed open in … February 10, 2018 The impact of electronic medical records on hospital-acquired adverse

Effect of surgical safety checklists on pediatric surgical complications in Ontario. | PSNet

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December 07, 2016 - Association between handover of anesthesia care and adverse postoperative outcomes among patients … March 2, 2022 Hospital ward adaptation during the COVID-19 pandemic: a national survey … September 23, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … August 24, 2022 Engaging the patient and family in the surgical safety process utilizing … December 18, 2017 Enhancing pediatric perioperative patient safety.

Antibiotic and Opioid Stewardship in Dentistry | PSNet

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December 07, 2020 - KH : Has anybody looked at what the safety culture is within dental practices and how that correlates … In this intervention, the patients were instructed on what to expect post extraction, we provided non-opioid … safety culture in primary dental care. … May 6, 2020 Factors affecting patient safety culture among dental healthcare workers: … A nationwide cross-sectional survey October 16, 2019 View More See More

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. | PSNet

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November 18, 2020 - March 30, 2022 Development and validation of a brief culture-of-safety survey. … Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on … systems-based patient safety issues in a VA hospital: design and outcomes. … patient and workforce safety. … January 3, 2017 The effects of power, leadership and psychological safety on resident

In Conversation With… Gordon Schiff, MD | PSNet

psnet.ahrq.gov/perspective/conversation-gordon-schiff-md

February 26, 2025 - On the other hand, take the case of Linda McDougal , whose breast biopsy was switched between two patients … Increasingly with OpenNotes , patients are reading my notes (all of my patient now are able to). … Perhaps the patient should have called me, as I encourage them to do if I don't get back to them on key … Based on new screening recommendations for high-risk patients, we're ordering many imaging tests to screen … The Betsy Lehman Center and NSPF/IHI have recently done surveys of patients showing diagnostic errors

Pediatric medical errors part 1: the case. A pediatric drug overdose case. | PSNet

psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case

April 22, 2020 - April 3, 2024 Impact of pharmacist-led admission medication reconciliation on patient … September 6, 2023 The effect of a system-level tiered huddle system on reporting patient … October 6, 2016 Leveraging the Partnership for Patients' initiative to improve patient … May 3, 2017 Medication histories in critically ill patients completed by pharmacy personnel … July 1, 2016 Medication safety in the operating room: a survey of preparation methods

Closed medical negligence claims can drive patient safety and reduce litigation. | PSNet

psnet.ahrq.gov/issue/closed-medical-negligence-claims-can-drive-patient-safety-and-reduce-litigation

February 05, 2020 - This review evaluates the impact of peer review and tort reform measures on patient safety. … November 21, 2021 A resilience view on health system resilience: a scoping review of … November 15, 2023 Implementation of barcode medication administration (BMCA) technology on … July 1, 2013 How does routine disclosure of medical error affect patients' propensity … : Evidence from survey data.

A dose of reality for medical malpractice reform. | PSNet

psnet.ahrq.gov/issue/dose-reality-medical-malpractice-reform

March 09, 2016 - This survey of health care workers and safety professionals found that fear of malpractice litigation … November 4, 2020 The limits of current A.I. in health care: patient safety policing in … July 5, 2006 Our broken health care system and how to fix it: an essay on health law … September 10, 2014 Conditions that influence the impact of malpractice litigation risk on … physicians' behavior regarding patient safety.

Safety events in pediatric out-of-hospital cardiac arrest. | PSNet

psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest

August 01, 2018 - Emergency medical services responders' perceptions of the effect of stress and anxiety on … of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children … 25, 2018 The effects of leadership curricula with and without implicit bias training on … June 22, 2022 Inappropriate dosing of direct oral anticoagulants in patients with atrial … Emergency medical services responders' perceptions of the effect of stress and anxiety on

Incidence and types of non-ideal care events in an emergency department. | PSNet

psnet.ahrq.gov/issue/incidence-and-types-non-ideal-care-events-emergency-department

April 27, 2010 - Active surveillance identified problems in the care of nearly one-third of patients in an urban emergency … April 27, 2010 Preventing catheter-associated bloodstream infections: a survey of policies … June 24, 2010 Perspectives on Safety Meaningful Measurement … April 19, 2023 A program to provide clinicians with feedback on their diagnostic performance … September 16, 2009 Preventable deaths in patients admitted from emergency department.

Infection Prevention Compendium For Long-Term Care Facilities. | PSNet

psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities

November 08, 2017 - This toolkit highlights multidisciplinary approaches to reducing HAIs and teaching tools focused on distinct … November 8, 2017 2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions … in Patient Safety. … September 29, 2017 Medical Error Reporting System Could Boost Patient Safety. … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey

What causes near-misses and how are they mitigated? | PSNet

psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated

April 16, 2008 - This survey of hospital nurses identified both individual and system factors that contributed to near … December 12, 2012 Disclosing adverse events to patients: international norms and trends … February 26, 2014 Principles of pediatric patient safety: reducing harm due to medical … August 8, 2013 Crew resource management improved perception of patient safety in the … Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient

Prescription errors in psychiatry - a multi-centre study. | PSNet

psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study

September 27, 2017 - of patient safety and organizational culture. … April 12, 2019 The impact of abbreviations on patient safety. … 2, 2017 Pharmacist medication reviews to improve safety monitoring in primary care patients … August 31, 2011 Oral chemotherapy safety practices at US cancer centres: questionnaire … survey.

Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet

psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose

June 03, 2020 - Lack of familiarity with smart pumps can lead to user error and patient harm. … It suggests enhanced “hands on” education, improved medication labeling, required engagement with drug … May 19, 2021 Survey shows room for improvement with three new best practices for hospitals … October 21, 2020 WebM&M Cases Fatal Patient-Controlled … April 1, 2020 Trends influencing the cost of care and patient safety.

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