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  1. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. | PSNet

    psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
    September 21, 2008 - Study Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Citation Text: Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Vaccine.…

  2. With Safety in Mind: Mental Health Services and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
    August 07, 2018 - This report, the second in a series from the United Kingdom's National Patient Safety Agency , analyzes

  3. Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. | PSNet

    psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety-health-care-settings
    May 21, 2014 - Book/Report Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. Citation Text: Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. Schulson LB, Thomas AD, Tsuei J, et al.&n…

  4. Task uncertainty and communication during nursing shift handovers. | PSNet

    psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
    August 20, 2018 - Study Task uncertainty and communication during nursing shift handovers. Citation Text: Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x. Copy Citation Format: …

  5. How well do health professionals interpret diagnostic information? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-well-do-health-professionals-interpret-diagnostic-information-systematic-review
    August 03, 2022 - Review How well do health professionals interpret diagnostic information? A systematic review. Citation Text: Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjope…

  6. What prevents incident disclosure, and what can be done to promote it? | PSNet

    psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
    February 20, 2012 - December 9, 2020 COVID-19 has united patients and providers against institutional betrayal

  7. How to use an article about quality improvement. | PSNet

    psnet.ahrq.gov/issue/how-use-article-about-quality-improvement
    August 03, 2010 - Commentary How to use an article about quality improvement. Citation Text: Fan E, Laupacis A, Pronovost P, et al. How to use an article about quality improvement. JAMA. 2010;304(20):2279-87. doi:10.1001/jama.2010.1692. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  8. Spreading human factors expertise in healthcare: untangling the knots in people and systems. | PSNet

    psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
    May 01, 2024 - Commentary Spreading human factors expertise in healthcare: untangling the knots in people and systems. Citation Text: Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…

  9. "Canary measures" among the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
    November 27, 2012 - Study "Canary measures" among the AHRQ Patient Safety Indicators. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. "Canary measures" among the AHRQ patient safety indicators. Am J Med Qual. 2009;24(6):465-73. doi:10.1177/1062860609341585. Copy Citation Format: DOI G…

  10. Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
    July 08, 2020 - Study Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. Citation Text: Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs…

  11. Perceptions of patient safety culture among physicians and RNs in the perioperative area. | PSNet

    psnet.ahrq.gov/issue/perceptions-patient-safety-culture-among-physicians-and-rns-perioperative-area
    November 03, 2010 - Study Perceptions of patient safety culture among physicians and RNs in the perioperative area. Citation Text: Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN J. 2008;87(1):163-175. doi:10.1016/j.aorn.2007.07.003. …

  12. It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. | PSNet

    psnet.ahrq.gov/issue/its-not-all-about-me-motivating-hand-hygiene-among-health-care-professionals-focusing
    May 29, 2019 - Study It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Citation Text: Grant AM, Hofmann DA. It's not all about me: motivating hand hygiene among health care professionals by focusing on patients. Psychol Sci. 2011;22(12):1494-9. do…

  13. Analyzing communication errors in an air medical transport service. | PSNet

    psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
    August 04, 2021 - Study Analyzing communication errors in an air medical transport service. Citation Text: Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019. Copy Citation Format: DOI G…

  14. Pediatric antidepressant medication errors in a national error reporting database. | PSNet

    psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
    September 21, 2008 - Study Pediatric antidepressant medication errors in a national error reporting database. Citation Text: Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…

  15. Measures of patient safety in developing and emerging countries: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/measures-patient-safety-developing-and-emerging-countries-review-literature
    April 05, 2017 - Review Measures of patient safety in developing and emerging countries: a review of the literature. Citation Text: Carpenter KB, Duevel MA, Lee PW, et al. Measures of patient safety in developing and emerging countries: a review of the literature. Qual Saf Health Care. 2010;19(1):48-54…

  16. The role of surgeon error in withdrawal of postoperative life support. | PSNet

    psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
    July 03, 2014 - Study The role of surgeon error in withdrawal of postoperative life support. Citation Text: Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5. Copy Citation …

  17. Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
    January 09, 2018 - Review Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. Citation Text: Hignett S, Otter ME, Keen C. Safety risks associated with physical interactions between patients and car…

  18. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. | PSNet

    psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs
    September 29, 2010 - Study A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. Citation Text: Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…

  19. What's the difference between a hospital and a bottling factory? | PSNet

    psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
    October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

  20. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products | PSNet

    psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
    July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
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