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Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view. | PSNet

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September 09, 2010 - Study Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view. Citation Text: Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse E…

The impact of critical incidents on nurses and midwives: a systematic review. | PSNet

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May 11, 2022 - Review The impact of critical incidents on nurses and midwives: a systematic review. Citation Text: Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. Copy Citation …

Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. | PSNet

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January 12, 2022 - Review Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. Citation Text: Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…

RISE: exploring volunteer retention and sustainability of a second victim support program. | PSNet

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April 21, 2021 - Study RISE: exploring volunteer retention and sustainability of a second victim support program. Citation Text: Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.10…

Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. | PSNet

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January 30, 2019 - Study Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. Citation Text: True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and prote…

The impact of errors on healthcare professionals in the critical care setting. | PSNet

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October 27, 2021 - Study The impact of errors on healthcare professionals in the critical care setting. Citation Text: Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. Copy…

The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. | PSNet

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October 27, 2021 - Review The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. Citation Text: Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…

The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. | PSNet

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October 28, 2020 - Review The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. Citation Text: Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With Patient Safety Culture and Outcomes: A Systematic …

A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

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December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. | PSNet

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December 15, 2021 - Study Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. Citation Text: Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e…

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. | PSNet

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May 27, 2011 - Review Classic Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Citation Text: Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…

Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet

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February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet

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June 29, 2022 - Review Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. Citation Text: Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on …

Emergency departments are higher-risk locations for wrong blood in tube errors. | PSNet

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November 17, 2021 - Study Emergency departments are higher-risk locations for wrong blood in tube errors. Citation Text: Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher‐risk locations for wrong blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588. …

Medication adverse events in the ambulatory setting: a mixed-methods analysis. | PSNet

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October 21, 2020 - Study Medication adverse events in the ambulatory setting: a mixed-methods analysis. Citation Text: Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. …

Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet

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July 28, 2021 - Study Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. Citation Text: Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian community pharmacy incident…

Exploration of prescribing error reporting across primary care: a qualitative study. | PSNet

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June 01, 2022 - Study Exploration of prescribing error reporting across primary care: a qualitative study. Citation Text: Hall N, Bullen K, Sherwood J, et al. Exploration of prescribing error reporting across primary care: a qualitative study. BMJ Open. 2022;12(1):e050283. doi:10.1136/bmjopen-2021-05028…

Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet

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February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…

Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). | PSNet

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April 13, 2016 - Study Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). Citation Text: Fleming CA, Humm G, Wild JR, et al. Supporting doctors as healthcare quality and safety advocates: Recommendations from the Association…

Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review

August 29, 2018 - Review Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. Citation Text: Ensaldo-Carrasco E, Suarez-Ortegon MF, Carson-Stevens A, et al. Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. J …

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