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Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

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November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

The impact of major intraoperative adverse events on hospital readmissions. | PSNet

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July 01, 2017 - Study The impact of major intraoperative adverse events on hospital readmissions. Citation Text: Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018. Copy Cita…

In-home medication reviews: a novel approach to improving patient care through coordination of care. | PSNet

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July 01, 2016 - Study In-home medication reviews: a novel approach to improving patient care through coordination of care. Citation Text: Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…

Clinical relevance of and risk factors associated with medication administration time errors. | PSNet

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May 08, 2017 - Study Clinical relevance of and risk factors associated with medication administration time errors. Citation Text: Teunissen R, Bos J, Pot H, et al. Clinical relevance of and risk factors associated with medication administration time errors. Am J Health Syst Pharm. 2013;70(12):1052-6. …

Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist. | PSNet

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September 26, 2016 - Study Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist. Citation Text: Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays: advantages and disadvantages for m…

Rapid learning of adverse medical event disclosure and apology. | PSNet

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November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. Citation Text: Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. Copy Citation Format: …

Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. | PSNet

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September 27, 2023 - Commentary Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. Citation Text: Morrison B, Rudolph JW. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in th…

Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. | PSNet

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April 21, 2021 - Study Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. Citation Text: Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. d…

Inaccuracy of ECG interpretations reported to the poison center. | PSNet

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January 20, 2021 - Study Inaccuracy of ECG interpretations reported to the poison center. Citation Text: Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019. Copy Citation Forma…

Medical error disclosure among pediatricians: choosing carefully what we might say to parents. | PSNet

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July 10, 2008 - Study Classic Medical error disclosure among pediatricians: choosing carefully what we might say to parents. Citation Text: Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc Med. 2008;162(10):922-927. doi:10…

From battles to burnout: investigating the role of interphysician conflict in physician burnout. | PSNet

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August 23, 2023 - Study From battles to burnout: investigating the role of interphysician conflict in physician burnout. Citation Text: Amick AE, Schrepel C, Bann M, et al. From battles to burnout: investigating the role of interphysician conflict in physician burnout. Acad Med. 2023;98(9):1076-1082. doi:…

Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. | PSNet

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January 02, 2017 - Study Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Citation Text: Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. Copy Citation Format: …

Language discordance and patient care-Babel. | PSNet

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October 30, 2024 - Commentary Language discordance and patient care-Babel. Citation Text: Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

The nature and causes of unintended events reported at ten emergency departments. | PSNet

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February 20, 2013 - Study The nature and causes of unintended events reported at ten emergency departments. Citation Text: Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. …

Rapid response systems: a prospective study of response times. | PSNet

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November 16, 2022 - Study Rapid response systems: a prospective study of response times. Citation Text: Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013. Copy Citation Format: …

Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. | PSNet

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May 18, 2022 - Study Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Citation Text: Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.…

Rapid response teams and failure to rescue: one community's experience. | PSNet

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March 14, 2022 - Study Rapid response teams and failure to rescue: one community's experience. Citation Text: Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. Copy Citation Fo…

Epidemiology of adverse events in air medical transport. | PSNet

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July 03, 2014 - Study Epidemiology of adverse events in air medical transport. Citation Text: MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. Copy Citation Format: DOI Go…

Impact of a pharmacotherapy alerting system on medication errors. | PSNet

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November 10, 2015 - Study Impact of a pharmacotherapy alerting system on medication errors. Citation Text: Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors. American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126. Copy Citation…

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. | PSNet

psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures

August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …

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