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  1. Medication errors associated with transition from insulin pens to insulin vials. | PSNet

    psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials
    May 29, 2019 - Study Medication errors associated with transition from insulin pens to insulin vials. Citation Text: Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. Copy C…

  2. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. | PSNet

    psnet.ahrq.gov/issue/vaccination-errors-general-practice-creation-preventive-checklist-based-multimodal-analysis
    July 08, 2020 - Study Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. Citation Text: Charles R, Vallée J, Tissot C, et al. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analys…

  3. Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. | PSNet

    psnet.ahrq.gov/issue/monitoring-and-reducing-central-line-associated-bloodstream-infections-national-survey-state
    December 01, 2010 - Study Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations. Citation Text: Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state h…

  4. Risk factors for i.v. compounding errors when using an automated workflow management system. | PSNet

    psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
    September 23, 2020 - Study Risk factors for i.v. compounding errors when using an automated workflow management system. Citation Text: Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…

  5. Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. | PSNet

    psnet.ahrq.gov/issue/principles-patient-and-family-partnership-care-american-college-physicians-position-paper
    March 14, 2018 - Commentary Emerging Classic Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Citation Text: Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An American Colle…

  6. Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
    October 19, 2022 - Commentary Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. Citation Text: Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …

  7. Changes in prognosis after the first postoperative complication. | PSNet

    psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
    June 29, 2022 - Study Changes in prognosis after the first postoperative complication. Citation Text: Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. Copy Citation Format: Google Scholar PubMed BibT…

  8. Lessons learned: basic evidence-based advice for preventing medication errors in children. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
    December 22, 2008 - Commentary Lessons learned: basic evidence-based advice for preventing medication errors in children. Citation Text: Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Eme…

  9. Using pharmacists to optimize patient outcomes and costs in the ED. | PSNet

    psnet.ahrq.gov/issue/using-pharmacists-optimize-patient-outcomes-and-costs-ed
    October 13, 2015 - Review Using pharmacists to optimize patient outcomes and costs in the ED. Citation Text: Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. Copy Citation For…

  10. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. | PSNet

    psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
    December 29, 2014 - Study Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. Citation Text: Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …

  11. People are more error-prone after committing an error. | PSNet

    psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
    June 29, 2011 - Study People are more error-prone after committing an error. Citation Text: Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  12. Computer physician order entry: benefits, costs, and issues. | PSNet

    psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
    May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  13. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. | PSNet

    psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
    September 23, 2020 - Commentary Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. Citation Text: Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …

  14. Using implementation safety indicators for CPOE implementation. | PSNet

    psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
    August 04, 2021 - Study Using implementation safety indicators for CPOE implementation. Citation Text: Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  15. Reducing surgical specimen errors through multidisciplinary quality improvement. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
    July 28, 2021 - Study Reducing surgical specimen errors through multidisciplinary quality improvement. Citation Text: Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. …

  16. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
    December 22, 2008 - Commentary Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. Citation Text: Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…

  17. Identification and characterization of adverse drug events in primary care. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
    July 16, 2015 - Study Identification and characterization of adverse drug events in primary care. Citation Text: Trinkley KE, Weed HG, Beatty SJ, et al. Identification and Characterization of Adverse Drug Events in Primary Care. Am J Med Qual. 2017;32(5):518-525. doi:10.1177/1062860616665695. Copy Cit…

  18. Accuracy of a popular online symptom checker for ophthalmic diagnoses. | PSNet

    psnet.ahrq.gov/issue/accuracy-popular-online-symptom-checker-ophthalmic-diagnoses
    March 04, 2011 - Study Accuracy of a popular online symptom checker for ophthalmic diagnoses. Citation Text: Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571. Copy Citatio…

  19. Checklists change communication about key elements of patient care. | PSNet

    psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
    November 16, 2022 - Study Checklists change communication about key elements of patient care. Citation Text: Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. …

  20. Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. | PSNet

    psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
    September 23, 2020 - Commentary Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. Citation Text: King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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