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The stories clinicians tell: achieving high reliability and improving patient safety. | PSNet

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April 24, 2018 - Commentary The stories clinicians tell: achieving high reliability and improving patient safety. Citation Text: Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety. Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039. Copy Citation …

Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. | PSNet

psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings

July 29, 2020 - Study Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. Citation Text: Jepson ZK, Darling CE, Kotkowski KA, et al. Emergency department patient safety incident characterization: an observational…

Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at least for me)—a qualitative study. | PSNet

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June 07, 2023 - Study Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at least for me)—a qualitative study. Citation Text: Forsberg HH, Athlin ÅM, Schwarz U von T. Nurses' perceptions of multitasking in the emergency department: effective, fun and unpro…

The spectrum of harm associated with modern medicine. | PSNet

psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine

July 26, 2023 - Commentary The spectrum of harm associated with modern medicine. Citation Text: Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

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May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet

psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2

January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…

The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. | PSNet

psnet.ahrq.gov/issue/legibility-prescription-medication-labelling-canada-moving-pharmacy-centred-patient-centred

September 23, 2020 - Study The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. Citation Text: Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada: Moving from pharmacy-centred to patient-c…

Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient

April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…

Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. | PSNet

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October 21, 2015 - Study Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…

Surgical safety checklist compliance: a job done poorly! | PSNet

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April 25, 2016 - Study Surgical safety checklist compliance: a job done poorly! Citation Text: Sparks EA, Wehbe-Janek H, Johnson RL, et al. Surgical Safety Checklist compliance: a job done poorly!. J Am Coll Surg. 2013;217(5):867-73.e1-3. doi:10.1016/j.jamcollsurg.2013.07.393. Copy Citation Forma…

Cost-effective enhancement of claims data to improve comparisons of patient safety. | PSNet

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December 21, 2014 - Study Cost-effective enhancement of claims data to improve comparisons of patient safety. Citation Text: Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…

A theoretical framework and competency-based approach to improving handoffs. | PSNet

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March 28, 2011 - Commentary A theoretical framework and competency-based approach to improving handoffs. Citation Text: Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…

Safe use of electronic health records and health information technology systems: trust but verify. | PSNet

psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify

August 02, 2015 - Study Safe use of electronic health records and health information technology systems: trust but verify. Citation Text: Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):17…

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. | PSNet

psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children

April 22, 2011 - Study Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. Citation Text: Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…

Management of arterial lines and blood sampling in intensive care: a threat to patient safety. | PSNet

psnet.ahrq.gov/issue/management-arterial-lines-and-blood-sampling-intensive-care-threat-patient-safety

November 12, 2014 - Study Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Citation Text: Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111…

Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective

January 30, 2019 - Review Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. Citation Text: Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…

Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. | PSNet

psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study

June 28, 2017 - Study Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Citation Text: Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Am J Infect Control. 2013;41(11):965-…

Blending evidence and innovation: improving intershift handoffs in a multihospital setting. | PSNet

psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting

September 23, 2017 - Commentary Blending evidence and innovation: improving intershift handoffs in a multihospital setting. Citation Text: Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…

The role of purple pens in learning to prescribe. | PSNet

psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe

June 17, 2020 - Commentary The role of purple pens in learning to prescribe. Citation Text: Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Adverse events and near misses relating to information management in a hospital. | PSNet

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December 29, 2014 - Study Adverse events and near misses relating to information management in a hospital. Citation Text: Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551. Copy Ci…

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