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  1. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  2. Monitoring for medication errors in outpatient settings. | PSNet

    psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-settings
    December 31, 2014 - Review Monitoring for medication errors in outpatient settings. Citation Text: Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487. Copy Citation Format: D…

  3. The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. | PSNet

    psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
    November 27, 2012 - Commentary The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. Citation Text: Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…

  4. Pediatric aspects of inpatient health information technology systems. | PSNet

    psnet.ahrq.gov/issue/pediatric-aspects-inpatient-health-information-technology-systems
    August 02, 2010 - Review Pediatric aspects of inpatient health information technology systems. Citation Text: Kim GR, Lehmann CU. Pediatric Aspects of Inpatient Health Information Technology Systems. Pediatrics. 2008;122(6):e1287-e1296. doi:10.1542/peds.2008-2963. Copy Citation Format: DOI…

  5. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet

    psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
    June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

  6. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products | PSNet

    psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
    July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…

  7. Responding to large-scale testing errors. | PSNet

    psnet.ahrq.gov/issue/responding-large-scale-testing-errors
    December 18, 2008 - Commentary Responding to large-scale testing errors. Citation Text: Valenstein PN, Alpern GA, Keren DF. Responding to Large-Scale Testing Errors: Table 1. Am J Clin Pathol. 2010;133(3). doi:10.1309/ajcpxlze0yynid0x. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  8. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. | PSNet

    psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
    April 03, 2019 - Study Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. Citation Text: Bowers L, Allan T, Simpson A, et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins …

  9. The association between organizational culture and the ability to benefit from "just culture" training. | PSNet

    psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…

  10. Epidemiology of medication-related adverse events in nursing homes. | PSNet

    psnet.ahrq.gov/issue/epidemiology-medication-related-adverse-events-nursing-homes
    March 28, 2012 - Review Epidemiology of medication-related adverse events in nursing homes. Citation Text: Handler S, Wright RM, Ruby CM, et al. Epidemiology of medication-related adverse events in nursing homes. Am J Geriatr Pharmacother. 2006;4(3):264-72. Copy Citation Format: Google Sc…

  11. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. | PSNet

    psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
    February 26, 2009 - Study A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Citation Text: Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Anesthesiology. 2007;106(6):1096-1104. Copy Citation Format: Google S…

  12. A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. | PSNet

    psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital-united-kingdom
    September 27, 2017 - Study A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom. Citation Text: Haw CM, Dickens G, Stubbs J. A review of medication administration errors reported in a large psychiatric hospital in the United kingdom. Psychiatr Serv. 2005…

  13. Fatal errors in nitrous oxide delivery. | PSNet

    psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
    March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  14. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? | PSNet

    psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical
    February 23, 2011 - Study Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Citation Text: Maaløe R, la Cour M, Hansen A, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006;50(8):1005-13. …

  15. Improving self-reporting of adverse drug events in a West Virginia hospital. | PSNet

    psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
    March 10, 2011 - Study Improving self-reporting of adverse drug events in a West Virginia hospital. Citation Text: Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. Copy Citation Format: Go…

  16. Error tracking in a clinical biochemistry laboratory. | PSNet

    psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
    June 10, 2020 - Study Error tracking in a clinical biochemistry laboratory. Citation Text: Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  17. How surgeons disclose medical errors to patients: a study using standardized patients.   | PSNet

    psnet.ahrq.gov/issue/how-surgeons-disclose-medical-errors-patients-study-using-standardized-patients
    July 10, 2008 - Study How surgeons disclose medical errors to patients: a study using standardized patients.   Citation Text: Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8. Copy Citation …

  18. Analysis of malpractice claims in mammography: a complex issue. | PSNet

    psnet.ahrq.gov/issue/analysis-malpractice-claims-mammography-complex-issue
    October 19, 2022 - Study Analysis of malpractice claims in mammography: a complex issue. Citation Text: Fileni A, Magnavita N, Pescarini L. Analysis of malpractice claims in mammography: a complex issue. Radiol Med. 2009;114(4):636-44. doi:10.1007/s11547-009-0394-6. Copy Citation Format: DO…

  19. An in-depth analysis of medication errors in hospitalized patients with HIV. | PSNet

    psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
    July 15, 2010 - Study An in-depth analysis of medication errors in hospitalized patients with HIV. Citation Text: Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599. Copy Cita…

  20. The SAGES FUSE program: bridging a patient safety gap. | PSNet

    psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
    April 05, 2017 - Commentary The SAGES FUSE program: bridging a patient safety gap. Citation Text: Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27. Copy Citation Format: Google Scholar PubMed BibTeX End…
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