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  1. 'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. | PSNet

    psnet.ahrq.gov/issue/balancing-risk-my-life-politics-risk-hospital-operating-theatre-department
    July 20, 2010 - Commentary 'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. Citation Text: McDonald R, Waring J, Harrison S. ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. Health Risk Soc. 2005;7(4)…

  2. Errors during the preparation of drug infusions: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/errors-during-preparation-drug-infusions-randomized-controlled-trial
    March 02, 2011 - Study Errors during the preparation of drug infusions: a randomized controlled trial. Citation Text: Adapa RM, Mani V, Murray LJ, et al. Errors during the preparation of drug infusions: a randomized controlled trial. Br J Anaesth. 2012;109(5):729-34. doi:10.1093/bja/aes257. Copy Cita…

  3. A multicenter trial of aviation-style training for surgical teams. | PSNet

    psnet.ahrq.gov/issue/multicenter-trial-aviation-style-training-surgical-teams
    October 03, 2011 - Study A multicenter trial of aviation-style training for surgical teams. Citation Text: Catchpole K, Dale TJ, Hirst G, et al. A multicenter trial of aviation-style training for surgical teams. J Patient Saf. 2010;6(3):180-6. doi:10.1097/PTS.0b013e3181f100ea. Copy Citation Format…

  4. Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. | PSNet

    psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
    March 15, 2016 - Study Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. Citation Text: Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…

  5. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet

    psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
    April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Citation Text: Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…

  6. New technology, new errors: how to prime an upgrade of an insulin infusion pump. | PSNet

    psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
    July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…

  7. No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. | PSNet

    psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
    December 21, 2017 - Newspaper/Magazine Article No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. Citation Text: Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…

  8. 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…

  9. 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…

  10. Randomized trial to improve prescribing safety during pregnancy. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-during-pregnancy
    October 06, 2011 - Study Randomized trial to improve prescribing safety during pregnancy. Citation Text: Raebel MA, Carroll NM, Kelleher JA, et al. Randomized trial to improve prescribing safety during pregnancy. J Am Med Inform Assoc. 2007;14(4):440-450. Copy Citation Format: Google Schola…

  11. "Second victim" casualties and how physician leaders can help. | PSNet

    psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
    August 28, 2024 - Newspaper/Magazine Article "Second victim" casualties and how physician leaders can help. Citation Text: MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  12. Hospital RNs' experiences with disruptive behavior: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
    September 09, 2015 - Study Hospital RNs' experiences with disruptive behavior: a qualitative study. Citation Text: Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. Copy Citation …

  13. Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
    July 08, 2020 - Study Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. Citation Text: Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs…

  14. Fatigue, performance and the work environment: a survey of registered nurses. | PSNet

    psnet.ahrq.gov/issue/fatigue-performance-and-work-environment-survey-registered-nurses
    November 18, 2020 - Study Fatigue, performance and the work environment: a survey of registered nurses. Citation Text: Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. Copy Citation…

  15. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

    psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
    September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

  16. Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. | PSNet

    psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
    January 27, 2021 - Newspaper/Magazine Article Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. Citation Text: Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. ISMP Medication …

  17. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet

    psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

  18. 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…

  19. 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…

  20. 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…
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