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  1. Family-identified barriers to medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
    September 01, 2018 - Study Family-identified barriers to medication reconciliation. Citation Text: Riley-Lawless K. Family-identified barriers to medication reconciliation. J Spec Pediatr Nurs. 2009;14(2):94-101. doi:10.1111/j.1744-6155.2009.00182.x. Copy Citation Format: DOI Google Scholar Pub…

  2. Minimising medication errors in children. | PSNet

    psnet.ahrq.gov/issue/minimising-medication-errors-children
    August 04, 2021 - Review Minimising medication errors in children. Citation Text: Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child. 2009;94(2):161-4. doi:10.1136/adc.2007.116442. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  3. Creating effective quality-improvement collaboratives: a multiple case study. | PSNet

    psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
    December 19, 2012 - Study Creating effective quality-improvement collaboratives: a multiple case study. Citation Text: Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …

  4. Missed steps in the preanesthetic set-up. | PSNet

    psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
    June 26, 2019 - Study Missed steps in the preanesthetic set-up. Citation Text: DeMaria S, Blasius K, Neustein SM. Missed steps in the preanesthetic set-up. Anesth Analg. 2011;113(1):84-8. doi:10.1213/ANE.0b013e318219645e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  5. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. | PSNet

    psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events
    September 11, 2013 - Study Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. Citation Text: Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…

  6. From heroism to safe design: leveraging technology. | PSNet

    psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
    August 17, 2017 - Commentary From heroism to safe design: leveraging technology. Citation Text: Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. Copy Citation Format: DOI Google S…

  7. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care
    July 31, 2019 - Study Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. Citation Text: Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient ca…

  8. The value of inking breast cores to reduce specimen mix-up. | PSNet

    psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
    January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  9. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet

    psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
    June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

  10. Simulation-based clinical rehearsals as a method for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/simulation-based-clinical-rehearsals-method-improving-patient-safety
    September 28, 2022 - Commentary Simulation-based clinical rehearsals as a method for improving patient safety. Citation Text: Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526. Cop…

  11. The lost art of doctoring: reflections of a pediatric resident. | PSNet

    psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
    November 21, 2021 - Commentary The lost art of doctoring: reflections of a pediatric resident. Citation Text: Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. Copy Citation Format: DOI Google Schola…

  12. The impact of electronic health records on diagnosis. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis
    May 19, 2019 - Review The impact of electronic health records on diagnosis. Citation Text: Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012. Copy Citation Format: DOI Google Scholar PubMed B…

  13. Disclosure programmes in the US--an inadequate response to medical error. | PSNet

    psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
    October 25, 2023 - Commentary Disclosure programmes in the US--an inadequate response to medical error. Citation Text: Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318. Copy Citation Format: DOI Google Scholar BibT…

  14. Identifying cross contaminants and specimen mix-ups in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
    July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …

  15. Towards safer neonatal transfer: the importance of critical incident review. | PSNet

    psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
    October 02, 2019 - Study Towards safer neonatal transfer: the importance of critical incident review. Citation Text: Moss SJ. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639. Copy Citation Format: DOI Googl…

  16. Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/incidence-accidental-awareness-during-general-anaesthesia-obstetrics-multicentre-prospective
    December 10, 2024 - Study Emerging Classic Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective cohort study. Citation Text: Incidence of accidental awareness during general anaesthesia in obstetrics: a multicentre, prospective coho…

  17. Satisfaction of intensive care unit nurses with nurse-physician communication. | PSNet

    psnet.ahrq.gov/issue/satisfaction-intensive-care-unit-nurses-nurse-physician-communication
    March 18, 2009 - Study Satisfaction of intensive care unit nurses with nurse-physician communication. Citation Text: Manojlovich M, Antonakos C. Satisfaction of intensive care unit nurses with nurse-physician communication. J Nurs Adm. 2008;38(5):237-43. doi:10.1097/01.NNA.0000312769.19481.18. Copy C…

  18. Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. | PSNet

    psnet.ahrq.gov/issue/toward-higher-performance-health-systems-adults-health-care-experiences-seven-countries-2007
    February 22, 2010 - Study Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. Citation Text: Schoen C, Osborn R, Doty M, et al. Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. Health Aff (Millwood). 2007;26…

  19. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
    January 02, 2017 - Commentary John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. Citation Text: Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …

  20. Outcome of 6 years of protocol use for preventing wrong site office surgery. | PSNet

    psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
    February 10, 2012 - Study Outcome of 6 years of protocol use for preventing wrong site office surgery. Citation Text: Starling J, Coldiron BM. Outcome of 6 years of protocol use for preventing wrong site office surgery. J Am Acad Dermatol. 2011;65(4):807-810. doi:10.1016/j.jaad.2011.05.011. Copy Citatio…
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