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Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet

psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff

August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

Preventing patient positioning injuries in the nonoperating room setting. | PSNet

psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting

November 21, 2012 - Commentary Preventing patient positioning injuries in the nonoperating room setting. Citation Text: Moody A, Chacin B, Chang C. Preventing patient positioning injuries in the nonoperating room setting. Curr Opin Anaesthesiol. 2022;35(4):465-471. doi:10.1097/aco.0000000000001153. Copy C…

Work system design for patient safety: the SEIPS model. | PSNet

psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model

December 18, 2013 - Commentary Work system design for patient safety: the SEIPS model. Citation Text: Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842. Copy Citation Form…

FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. | PSNet

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March 11, 2015 - Press Release/Announcement FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Citation Text: FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…

Using simulation to teach patient safety behaviors in undergraduate nursing education. | PSNet

psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education

March 23, 2011 - Study Using simulation to teach patient safety behaviors in undergraduate nursing education. Citation Text: Gantt LT, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing education. J Nurs Educ. 2010;49(1):48-51. doi:10.3928/01484834-20090918-10. …

What can we learn from coroners’ reports on preventable deaths? | PSNet

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October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet

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September 07, 2016 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Citation Text: Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…

Presenting complaint: use of language that disempowers patients. | PSNet

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July 13, 2022 - Commentary Presenting complaint: use of language that disempowers patients. Citation Text: doi:10.1136/bmj-2021-066720. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to …

Barcode medication administration work-arounds: a systematic review and implications for nurse executives. | PSNet

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January 10, 2017 - Review Barcode medication administration work-arounds: a systematic review and implications for nurse executives. Citation Text: Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…

Waiting for urgent procedures on the weekend among emergently hospitalized patients. | PSNet

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September 04, 2019 - Study Waiting for urgent procedures on the weekend among emergently hospitalized patients. Citation Text: Bell CM, Redelmeier DA. Waiting for urgent procedures on the weekend among emergently hospitalized patients. Am J Med. 2004;117(3):175-81. Copy Citation Format: Googl…

Notes on healing after a missed diagnosis. | PSNet

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May 18, 2022 - Commentary Notes on healing after a missed diagnosis. Citation Text: Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

Medication administration technologies and patient safety: a mixed-method systematic review. | PSNet

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May 18, 2022 - Review Medication administration technologies and patient safety: a mixed-method systematic review. Citation Text: Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed-method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.…

An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet

psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study

December 21, 2014 - Study An evaluation of information transfer through the continuum of surgical care: a feasibility study. Citation Text: Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…

Patient safety culture: factors that influence clinician involvement in patient safety behaviours. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours

April 16, 2014 - Study Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Citation Text: Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…

The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. | PSNet

psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors

October 19, 2022 - Study The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. Citation Text: Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140…

Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. | PSNet

psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code

July 02, 2019 - Study Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. Citation Text: Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …

The problem of engaging hospital doctors in promoting safety and quality in clinical care. | PSNet

psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care

August 18, 2017 - Review The problem of engaging hospital doctors in promoting safety and quality in clinical care. Citation Text: Neale G, Vincent CA, Darzi SA. The problem of engaging hospital doctors in promoting safety and quality in clinical care. J R Soc Promot Health. 2007;127(2):87-94. Copy Ci…

Unprofessional Behavior Leads to Complications. | PSNet

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October 31, 2023 - Audiovisual Presentation Unprofessional Behavior Leads to Complications. Citation Text: Unprofessional Behavior Leads to Complications. JN Learning. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

Patient handoffs: is cross cover or night shift better? | PSNet

psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better

December 07, 2009 - Study Patient handoffs: is cross cover or night shift better? Citation Text: Higgins A, Brannen ML, Heiman HL, et al. Patient Handoffs: Is Cross Cover or Night Shift Better? J Patient Saf. 2017;13(2):88-92. doi:10.1097/PTS.0000000000000126. Copy Citation Format: DOI Google …

Incident reporting in one UK accident and emergency department. | PSNet

psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department

December 12, 2012 - Study Incident reporting in one UK accident and emergency department. Citation Text: Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37. Copy Citation Format: Google Scholar PubMed …

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