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  1. Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-intelligent-intravenous-infusion-devices-experience-specialty
    January 07, 2015 - Study Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. Citation Text: Wood JL, Burnette JS. Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac hospital. Heart & Lun…

  2. Effective physician–nurse communication: a patient safety essential for labor and delivery. | PSNet

    psnet.ahrq.gov/issue/effective-physician-nurse-communication-patient-safety-essential-labor-and-delivery
    May 21, 2019 - Study Effective physician–nurse communication: a patient safety essential for labor and delivery. Citation Text: Lyndon A, Zlatnik MG, Wachter R. Effective physician-nurse communication: a patient safety essential for labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-6. doi:10.10…

  3. The case for simulation as part of a comprehensive patient safety program. | PSNet

    psnet.ahrq.gov/issue/case-simulation-part-comprehensive-patient-safety-program
    September 02, 2015 - Review The case for simulation as part of a comprehensive patient safety program. Citation Text: Argani CH, Eichelberger M, Deering S, et al. The case for simulation as part of a comprehensive patient safety program. Am J Obstet Gynecol. 2012;206(6):451-5. doi:10.1016/j.ajog.2011.09.01…

  4. More to teamwork than knowledge, skill and attitude. | PSNet

    psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
    July 13, 2009 - Study More to teamwork than knowledge, skill and attitude. Citation Text: Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x. Copy Citation Format: DOI Google Sc…

  5. Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. | PSNet

    psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
    June 14, 2017 - Newspaper/Magazine Article Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. Citation Text: Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…

  6. Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. | PSNet

    psnet.ahrq.gov/issue/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-acute-change
    September 17, 2008 - Study Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias. Citation Text: Downey A, Quach J, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for acute ch…

  7. Simulation based adverse event reporting system: development and feasibility. | PSNet

    psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
    July 08, 2020 - Study Simulation based adverse event reporting system: development and feasibility. Citation Text: Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. Copy Citation Format: …

  8. Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-within-electronic-health-record-reduces-ambulatory-prescribing-errors
    March 21, 2017 - Study Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-455. Copy Citation…

  9. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. | PSNet

    psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
    May 29, 2015 - Study Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. Citation Text: Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…

  10. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. | PSNet

    psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
    March 09, 2009 - Commentary System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Citation Text: Lien H-H, Huang C-C, Liu J-S, et al. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Surg La…

  11. Unintended errors with EHR-based result management: a case series. | PSNet

    psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
    April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…

  12. Pediatric emergency nurses self-reported medication safety practices. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
    March 03, 2019 - Study Pediatric emergency nurses self-reported medication safety practices. Citation Text: Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. Copy Citation Format: …

  13. Medication reconciliation at hospital discharge: evaluating discrepancies. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
    July 08, 2008 - Study Medication reconciliation at hospital discharge: evaluating discrepancies. Citation Text: Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. Copy Citation …

  14. The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. | PSNet

    psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
    July 22, 2020 - Book/Report The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Citation Text: The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Thompson WC Jr. New York, NY: Off…

  15. Differences in day and night shift clinical performance in anesthesiology. | PSNet

    psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
    September 29, 2017 - Study Differences in day and night shift clinical performance in anesthesiology. Citation Text: Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. Copy Citation Format: Google S…

  16. The role of technology in clinician-to-clinician communication. | PSNet

    psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
    September 09, 2015 - Commentary The role of technology in clinician-to-clinician communication. Citation Text: McElroy LM, Ladner DP, Holl JL. The role of technology in clinician-to-clinician communication. BMJ Qual Saf. 2013;22(12):981-3. doi:10.1136/bmjqs-2013-002191. Copy Citation Format: …

  17. Quality improvement and patient safety activities in academic departments of medicine. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine
    July 02, 2014 - Study Quality improvement and patient safety activities in academic departments of medicine. Citation Text: Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…

  18. Conducting root cause analysis with nursing students: best practice in nursing education. | PSNet

    psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
    September 09, 2015 - Commentary Conducting root cause analysis with nursing students: best practice in nursing education. Citation Text: Lambton J, Mahlmeister L. Conducting root cause analysis with nursing students: best practice in nursing education. J Nurs Educ. 2010;49(8):444-8. doi:10.3928/01484834-…

  19. Diagnostic decision-making in the emergency department. | PSNet

    psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
    December 16, 2020 - Review Diagnostic decision-making in the emergency department. Citation Text: Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003. Copy Citation Format: DOI …

  20. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. | PSNet

    psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal
    April 08, 2011 - Commentary A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Citation Text: Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Heal…
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