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Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. | PSNet

psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic

February 09, 2022 - Study Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Citation Text: Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg …

Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. | PSNet

psnet.ahrq.gov/issue/incidence-and-characteristics-errors-detected-short-team-briefing-pediatric-anesthesia

September 30, 2020 - Study Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. Citation Text: Keil O, Brunsmann K, Boethig D, et al. Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. Paediatr Anaesth. 2022;32(10):…

Paying the piper: investing in infrastructure for patient safety. | PSNet

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July 01, 2017 - Commentary Classic Paying the piper: investing in infrastructure for patient safety. Citation Text: Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. Co…

Medication reconciliation in ambulatory care: attempts at improvement. | PSNet

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March 28, 2011 - Study Medication reconciliation in ambulatory care: attempts at improvement. Citation Text: Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. Copy Ci…

A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. | PSNet

psnet.ahrq.gov/issue/new-patient-safety-smartphone-application-prevention-forgotten-ureteral-stents-results

July 01, 2015 - Study A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. Citation Text: Molina WR, Pessoa R, da Silva RD, et al. A new patient safety smartphone application for prevention of "forgotten" ureteral…

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian

January 24, 2024 - Study Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. Citation Text: Goldman J, Rotteau L, Flintoft V, et al. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a C…

Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

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October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. | PSNet

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April 25, 2018 - Review Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments. Citation Text: Ricci-Cabello I, Gonçalves DC, Rojas-García A, et al. Measuring experiences and outcomes of patient safety in primary care: a systematic review of ava…

Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. | PSNet

psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic

March 04, 2015 - Review Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. Citation Text: Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.…

Root cause analysis for hospital-acquired pressure injury. | PSNet

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July 07, 2021 - Review Root cause analysis for hospital-acquired pressure injury. Citation Text: Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. Copy Citation Format: DOI Google Schol…

Closing the loop: follow-up and feedback in a patient safety program. | PSNet

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January 04, 2017 - Study Closing the loop: follow-up and feedback in a patient safety program. Citation Text: Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. Copy Citation Format: …

How well is quality improvement described in the perioperative care literature? A systematic review. | PSNet

psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review

January 19, 2022 - Review How well is quality improvement described in the perioperative care literature? A systematic review. Citation Text: Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…

What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. | PSNet

psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and

December 23, 2020 - Study What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. Citation Text: Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse event reporting system for chiropractors a…

Determining current insulin pen use practices and errors in the inpatient setting. | PSNet

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June 29, 2016 - Study Determining current insulin pen use practices and errors in the inpatient setting. Citation Text: Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…

Quality and safety practices among academic obstetrics and gynecology departments. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments

October 19, 2022 - Study Quality and safety practices among academic obstetrics and gynecology departments. Citation Text: Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…

Systems thinking and incivility in nursing practice: an integrative review. | PSNet

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December 18, 2017 - Review Classic Systems thinking and incivility in nursing practice: an integrative review. Citation Text: Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298.…

Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health

April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

Spreading a medication administration intervention organizationwide in six hospitals. | PSNet

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January 03, 2017 - Study Spreading a medication administration intervention organizationwide in six hospitals. Citation Text: Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. Copy C…

Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. | PSNet

psnet.ahrq.gov/issue/detecting-adverse-events-surgery-comparing-events-detected-veterans-health-administration

June 20, 2011 - Study Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. Citation Text: Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events …

Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet

psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical

February 24, 2021 - Study Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. Citation Text: Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nur…

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