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  1. Self-reported violations during medication administration in two paediatric hospitals. | PSNet

    psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals
    December 01, 2010 - Study Self-reported violations during medication administration in two paediatric hospitals. Citation Text: Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-…

  2. Ethical duty of health care systems to address interfacility medical error discovery. | PSNet

    psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
    September 11, 2019 - Commentary Ethical duty of health care systems to address interfacility medical error discovery. Citation Text: Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…

  3. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. | PSNet

    psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
    November 16, 2022 - Review Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. Citation Text: Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. …

  4. A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. | PSNet

    psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
    October 19, 2022 - Study A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. Citation Text: Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Cultu…

  5. Cleaning up the discharge process: a number of components—and personnel—are crucial to success. | PSNet

    psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
    October 20, 2021 - Commentary Cleaning up the discharge process: a number of components—and personnel—are crucial to success. Citation Text: Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…

  6. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. | PSNet

    psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
    September 24, 2016 - Study Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Citation Text: Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm…

  7. Resident attitudes regarding the impact of the 80–duty-hours work standards. | PSNet

    psnet.ahrq.gov/issue/resident-attitudes-regarding-impact-80-duty-hours-work-standards
    August 24, 2015 - Study Resident attitudes regarding the impact of the 80–duty-hours work standards. Citation Text: Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/docu…

  8. Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? | PSNet

    psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad
    September 23, 2020 - Study Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? Citation Text: Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann…

  9. Medication reconciliation in a rural trauma population. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
    April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…

  10. Identification and Prioritization of Health IT Patient Safety Measures. | PSNet

    psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
    September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …

  11. Diseases of medical progress. | PSNet

    psnet.ahrq.gov/issue/diseases-medical-progress
    June 27, 2018 - Review Classic Diseases of medical progress. Citation Text: MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Aiming higher to enhance professionalism: beyond accreditation and certification. | PSNet

    psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
    February 03, 2011 - Commentary Aiming higher to enhance professionalism: beyond accreditation and certification. Citation Text: Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818. Copy Citation F…

  13. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. Citation Text: Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…

  14. Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." | PSNet

    psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
    September 16, 2015 - Study Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." Citation Text: Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…

  15. Undiagnosed and rare diseases in critical care: the role of diagnostic access. | PSNet

    psnet.ahrq.gov/issue/undiagnosed-and-rare-diseases-critical-care-role-diagnostic-access
    April 20, 2022 - Commentary Undiagnosed and rare diseases in critical care: the role of diagnostic access. Citation Text: Bordini BJ. Undiagnosed and rare diseases in critical care: the role of diagnostic access. Crit Care Clin. 2022;38(2):159-171. doi:10.1016/j.ccc.2021.12.002. Copy Citation Forma…

  16. Which Line: Ordering Provider or Proceduralist? | PSNet

    psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
    September 16, 2015 - SPOTLIGHT CASE Which Line: Ordering Provider or Proceduralist? Citation Text: Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73146/psn-pdf
    April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021 Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis Dialysis Care and Patient Safety Concerns In patients with chronic kidney disease, kidney function declines ov…

  18. Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. | PSNet

    psnet.ahrq.gov/issue/health-services-under-pressure-scoping-review-and-development-taxonomy-adaptive-strategies
    January 22, 2020 - Commentary Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. Citation Text: Page B, Irving D, Amalberti R, et al. Health services under pressure: a scoping review and development of a taxonomy of adaptive strategies. BMJ Qual Saf. 2023…

  19. Hospice diagnosis: polypharmacy—a teachable moment. | PSNet

    psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
    April 24, 2018 - Commentary Hospice diagnosis: polypharmacy—a teachable moment. Citation Text: Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253. Copy Citation Format: DOI Google Scholar PubMed…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846170/psn-pdf
    March 15, 2023 - Duplicate therapy errors have the potential to be serious and may result in adverse drug events (ADE) … duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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