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  1. Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national
    December 29, 2014 - Study Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. Citation Text: van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong surgery in …

  2. Medication errors reported by US family physicians and their office staff. | PSNet

    psnet.ahrq.gov/issue/medication-errors-reported-us-family-physicians-and-their-office-staff
    June 11, 2008 - Study Medication errors reported by US family physicians and their office staff. Citation Text: Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. …

  3. The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
    April 06, 2022 - Study The role of feedback in emergency ambulance services: a qualitative interview study. Citation Text: Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…

  4. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-adults-living-diabetes-mellitus-scoping-review
    November 02, 2022 - Review Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Citation Text: Ayalew MB, Spark MJ, Quirk F, et al. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Int J Clin Pharm. 2022;44(4):860-…

  5. A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

    psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
    November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

  6. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. | PSNet

    psnet.ahrq.gov/issue/pharmacist-counseling-when-dispensing-naloxone-standing-order-secret-shopper-study-4-chain
    March 17, 2021 - Study Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. Citation Text: Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am …

  7. The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. | PSNet

    psnet.ahrq.gov/issue/standardisation-handoffs-large-academic-paediatric-emergency-department-using-i-pass
    October 21, 2020 - Study The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. Citation Text: Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e00125…

  8. Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. | PSNet

    psnet.ahrq.gov/issue/modifications-medical-emergency-team-activation-criteria-and-implications-patient-safety
    July 20, 2022 - Study Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. Citation Text: Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point …

  9. The link between clinically validated patient safety indicators and clinical outcomes. | PSNet

    psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
    November 16, 2016 - Study The link between clinically validated patient safety indicators and clinical outcomes. Citation Text: Gray DM, Hefner JL, Nguyen MC, et al. The Link Between Clinically Validated Patient Safety Indicators and Clinical Outcomes. Am J Med Qual. 2017;32(6):583-590. doi:10.1177/10628606…

  10. Evaluating patient identification practices during intrahospital transfers: a human factors approach. | PSNet

    psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
    August 18, 2021 - Study Evaluating patient identification practices during intrahospital transfers: a human factors approach. Citation Text: Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;…

  11. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. | PSNet

    psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
    September 08, 2010 - Study Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Citation Text: Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…

  12. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet

    psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
    August 03, 2017 - Study Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. Citation Text: Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…

  13. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. | PSNet

    psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department
    May 29, 2019 - Study Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Citation Text: Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …

  14. Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effects-computerized-physician-order-entry-and-clinical-decision-support-systems-medication
    May 27, 2011 - Review Classic Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Citation Text: Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…

  15. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

    psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations
    March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

  16. Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. | PSNet

    psnet.ahrq.gov/issue/application-theoretical-framework-behavior-change-hospital-workers-real-time-explanations
    October 12, 2022 - Study Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. Citation Text: Fuller C, Besser S, Savage J, et al. Application of a theoretical framework for behavior change to hospital worker…

  17. Wrong-patient orders in obstetrics. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
    September 23, 2020 - Study Wrong-patient orders in obstetrics. Citation Text: Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  18. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. | PSNet

    psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
    December 31, 2014 - Review Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. Citation Text: Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…

  19. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

    psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
    March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

  20. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. | PSNet

    psnet.ahrq.gov/issue/comprehensive-quality-assurance-program-personnel-and-procedures-radiation-oncology-value
    November 18, 2020 - Study A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. Citation Text: Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in …
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