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The occurrence of potential patient safety events among trauma patients: are they random? | PSNet

psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random

July 19, 2018 - Study The occurrence of potential patient safety events among trauma patients: are they random? Citation Text: Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…

Impact of time pressure on dentists' diagnostic performance. | PSNet

psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance

November 16, 2022 - Study Impact of time pressure on dentists' diagnostic performance. Citation Text: Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011. Copy Citation Format: DOI Google Scho…

Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? | PSNet

psnet.ahrq.gov/issue/discontinuation-antihyperglycemic-therapy-after-acute-myocardial-infarction-medical-necessity

February 28, 2011 - Study Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? Citation Text: Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical e…

Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. | PSNet

psnet.ahrq.gov/issue/examining-effects-obstetrics-interprofessional-programme-reductions-reportable-events-and

August 04, 2021 - Study Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. Citation Text: Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and t…

A case of mistaken identity: staff input on patient ID errors. | PSNet

psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors

March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …

Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet

psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and

February 27, 2019 - Study Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. Citation Text: Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharma…

Medication errors associated with transition from insulin pens to insulin vials. | PSNet

psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials

May 29, 2019 - Study Medication errors associated with transition from insulin pens to insulin vials. Citation Text: Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. Copy C…

Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. | PSNet

psnet.ahrq.gov/issue/changes-practice-and-organisation-surrounding-blood-transfusion-nhs-trusts-england-1995-2005

August 04, 2021 - Study Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Citation Text: Taylor CJC, Murphy MF, Lowe D, et al. Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Qual Saf Health Care. 2…

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. | PSNet

psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates

July 12, 2018 - Commentary Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. Citation Text: Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining L…

Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. | PSNet

psnet.ahrq.gov/issue/oral-chemotherapy-home-safety-educational-framework-healthcare-providers-patients-and

January 25, 2023 - Review Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. Citation Text: Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.…

How organisations contribute to improving the quality of healthcare. | PSNet

psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare

June 25, 2014 - Commentary How organisations contribute to improving the quality of healthcare. Citation Text: Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773. Copy Citation Format: DOI Google Scholar Pub…

Organizational factors that promote error reporting in healthcare: a scoping review. | PSNet

psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review

June 01, 2022 - Review Organizational factors that promote error reporting in healthcare: a scoping review. Citation Text: Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166. Copy…

Is there a 'weekend effect' in major trauma? | PSNet

psnet.ahrq.gov/issue/there-weekend-effect-major-trauma

September 23, 2020 - Study Is there a 'weekend effect' in major trauma? Citation Text: Metcalfe D, Perry DC, Bouamra O, et al. Is there a 'weekend effect' in major trauma? Emerg Med J. 2016;33(12):836-842. doi:10.1136/emermed-2016-206049. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet

psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors

November 12, 2014 - Commentary Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. Citation Text: Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…

Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. | PSNet

psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio

May 07, 2014 - Book/Report Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Citation Text: Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…

The practice of respect in the ICU. | PSNet

psnet.ahrq.gov/issue/practice-respect-icu

August 09, 2018 - Commentary Emerging Classic The practice of respect in the ICU. Citation Text: Brown SM, Azoulay E, Benoit D, et al. The Practice of Respect in the ICU. Am J Respir Crit Care Med. 2018;197(11):1389-1395. doi:10.1164/rccm.201708-1676CP. Copy Citation Format…

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. | PSNet

psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals

October 16, 2019 - Study A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. Citation Text: Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…

Case study research: the view from complexity science. | PSNet

psnet.ahrq.gov/issue/case-study-research-view-complexity-science

January 03, 2017 - Commentary Case study research: the view from complexity science. Citation Text: Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality

October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…

Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet

psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm

September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Citation Text: Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…

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