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  1. Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

    psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
    March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

  2. Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

    psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural
    May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

  3. Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. | PSNet

    psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-study-based
    January 19, 2014 - Study Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. Citation Text: Cresswell K, Howe A, Steven A, et al. Patient safety in healthcare preregistratio…

  4. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

    psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
    December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

  5. Medication errors in community pharmacies: the need for commitment, transparency, and research. | PSNet

    psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
    June 17, 2020 - Commentary Medication errors in community pharmacies: the need for commitment, transparency, and research. Citation Text: Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. d…

  6. Safety of using a computerized rounding and sign-out system to reduce resident duty hours. | PSNet

    psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
    June 23, 2009 - Study Safety of using a computerized rounding and sign-out system to reduce resident duty hours. Citation Text: Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…

  7. Time out! Rethinking surgical safety: more than just a checklist. | PSNet

    psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist
    April 27, 2022 - Commentary Time out! Rethinking surgical safety: more than just a checklist. Citation Text: Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. Copy Citation Format: DOI Google Schola…

  8. Toward a theoretical approach to medical error reporting system research and design. | PSNet

    psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design
    November 30, 2011 - Study Toward a theoretical approach to medical error reporting system research and design. Citation Text: Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system research and design. Appl Ergon. 2006;37(3):283-95. Copy Citation Form…

  9. Institutional disclosure: promise and problems. | PSNet

    psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems
    August 12, 2015 - Study Institutional disclosure: promise and problems. Citation Text: Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  10. FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
    October 19, 2022 - Press Release/Announcement FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

  11. Public perceptions and preferences for patient notification after an unsafe injection. | PSNet

    psnet.ahrq.gov/issue/public-perceptions-and-preferences-patient-notification-after-unsafe-injection
    July 14, 2010 - Study Public perceptions and preferences for patient notification after an unsafe injection. Citation Text: Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:…

  12. Can social media be used as a hospital quality improvement tool? | PSNet

    psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-tool
    May 27, 2011 - Study Can social media be used as a hospital quality improvement tool? Citation Text: Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486. Copy Citation Format: DOI Google Schola…

  13. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
    October 14, 2009 - Study Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Citation Text: Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…

  14. The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments. | PSNet

    psnet.ahrq.gov/issue/safety-emergency-care-systems-results-survey-clinicians-65-us-emergency-departments
    June 07, 2008 - Study The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments. Citation Text: Magid DJ, Sullivan AF, Cleary PD, et al. The safety of emergency care systems: Results of a survey of clinicians in 65 US emergency departments. Ann Emerg Med. 2…

  15. An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/ethnography-parents-perceptions-patient-safety-neonatal-intensive-care-unit
    September 01, 2018 - Study An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. Citation Text: Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…

  16. Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. | PSNet

    psnet.ahrq.gov/issue/opioid-related-inpatient-stays-and-emergency-department-visits-state-2009-2014
    May 11, 2016 - Book/Report Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. Citation Text: Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. Weiss AJ, Elixhauser A, Barrett ML, Steiner CA, Bailey MK, O'Malley L. HCUP Statistical Brief…

  17. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. | PSNet

    psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
    February 21, 2024 - Study Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Citation Text: Parikh K, Hall M, Tieder JS, et al. Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals. Pediatrics. 2024;153(3):e2023063714. doi:10.1…

  18. Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet

    psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
    September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. Citation Text: Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…

  19. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet

    psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
    March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…

  20. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - Commentary Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Citation Text: Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…
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