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Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. | PSNet

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January 08, 2025 - Study Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. Citation Text: Garcia BH, Elenjord R, Bjornstad C, et al. Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting. BMJ Qual S…

Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. | PSNet

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August 28, 2024 - Review Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. Citation Text: Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. BMJ …

Order Interrupted by Text: Multitasking Mishap | PSNet

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August 21, 2015 - SPOTLIGHT CASE Order Interrupted by Text: Multitasking Mishap Citation Text: Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: …

Dangerous Shift | PSNet

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July 24, 2013 - SPOTLIGHT CASE Dangerous Shift Citation Text: Patterson ES. Dangerous Shift. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

A Stroke of Error | PSNet

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February 01, 2016 - If the patient does not respond to command, the task should be demonstrated to him or her (pantomime) … Only the first attempt is scored. 0 = Performs both tasks correctly. 1 = Performs one task correctly … . 2 = Performs neither task correctly. ______ 2.

Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. | PSNet

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October 11, 2023 - Study Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. Citation Text: McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …

Perchance to think. | PSNet

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December 08, 2016 - Commentary Perchance to think. Citation Text: Ofri D. Perchance to Think. New Engl J Med. 2019;380(13):1197-1199. doi:10.1056/NEJMp1814019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. | PSNet

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August 04, 2021 - Study Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. Citation Text: Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1…

Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet

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July 22, 2020 - Commentary Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. Citation Text: Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…

Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. | PSNet

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September 28, 2022 - Review Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. Citation Text: Panagioti M, Panagopoulou E, Bower P, et al. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Intern Med. 2017;177(2…

Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. | PSNet

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September 09, 2020 - Study Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial. Citation Text: Balsom C, Pittman N, King R, et al. Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized control…

Effect of noise on auditory processing in the operating room. | PSNet

psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room

November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …

Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. | PSNet

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December 05, 2018 - Study Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. Citation Text: Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiot…

Omissions of care in nursing home settings: a narrative review. | PSNet

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November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…

Can we make postoperative patient handovers safer? A systematic review of the literature. | PSNet

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June 10, 2015 - Review Can we make postoperative patient handovers safer? A systematic review of the literature. Citation Text: Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:1…

Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/factors-associated-missed-nursing-care-and-nurse-assessed-quality-care-during-covid-19

June 09, 2021 - Study Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. Citation Text: Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse‐assessed quality of care during the COVID‐19 pandemic. J Nurs Manag.…

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. | PSNet

psnet.ahrq.gov/issue/facilitators-and-barriers-care-transitions-comparing-perspectives-hospital-and-community

July 21, 2021 - Study Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. Citation Text: Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staf…

Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet

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July 01, 2011 - The decision to trust a trainee is driven by characteristics of the learner, risks involved in the task … American Association for Emergency Psychiatry Task Force on Medical Clearance of Adults Part I: Introduction … American Association for Emergency Psychiatry Task Force on Medical Clearance of Adult Psychiatric Patients

Speaking up and sharing information improves trainee neonatal resuscitations. | PSNet

psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations

April 08, 2011 - Study Speaking up and sharing information improves trainee neonatal resuscitations. Citation Text: Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. Copy C…

Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. | PSNet

psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems

April 08, 2011 - Commentary Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Citation Text: Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …

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