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  1. Investigating the safety of medication administration in adult critical care settings. | PSNet

    psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
    June 01, 2022 - Review Investigating the safety of medication administration in adult critical care settings. Citation Text: Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…

  2. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare
    October 26, 2022 - Commentary 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. Citation Text: Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga…

  3. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

  4. Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. | PSNet

    psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
    March 01, 2011 - Study Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. Citation Text: Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Pati…

  5. Identification of poor performance in a national medical workforce over 11 years: an observational study. | PSNet

    psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
    August 12, 2014 - Study Identification of poor performance in a national medical workforce over 11 years: an observational study. Citation Text: Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…

  6. Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. | PSNet

    psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
    January 06, 2016 - Study Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. Citation Text: Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication E…

  7. Safety of inpatient care in surgical settings: cohort study. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…

  8. A survey of factors affecting clinician acceptance of clinical decision support. | PSNet

    psnet.ahrq.gov/issue/survey-factors-affecting-clinician-acceptance-clinical-decision-support
    July 10, 2008 - Study A survey of factors affecting clinician acceptance of clinical decision support. Citation Text: Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6.…

  9. Racial disparities in child abuse medicine. | PSNet

    psnet.ahrq.gov/issue/racial-disparities-child-abuse-medicine
    June 15, 2022 - Commentary Racial disparities in child abuse medicine. Citation Text: Rosenthal CM, Parker DM, Thompson LA. Racial disparities in child abuse medicine. JAMA Pediatr. 2022;176(2):119-120. doi:10.1001/jamapediatrics.2021.3601. Copy Citation Format: DOI Google Scholar BibTeX E…

  10. Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. | PSNet

    psnet.ahrq.gov/issue/comparison-adverse-events-during-procedural-sedation-between-specially-trained-pediatric
    August 21, 2008 - Study Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. Citation Text: Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially tra…

  11. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

    psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
    June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

  12. Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/infection-preventionist-checklist-improve-culture-and-reduce-central-line-associated
    January 15, 2014 - Commentary Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and reduce central line-associated bloodstream i…

  13. Program access, depressive symptoms, and medical errors among resident physicians with disability. | PSNet

    psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
    May 19, 2021 - Study Program access, depressive symptoms, and medical errors among resident physicians with disability. Citation Text: Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):…

  14. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-curriculum-medical-residents-based-perspectives-residents-and-supervisors
    April 14, 2011 - Study A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. Citation Text: Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. J Patient Saf. 2011;7…

  15. Speaking up for patient safety by hospital-based health care professionals: a literature review. | PSNet

    psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review
    October 31, 2011 - Review Speaking up for patient safety by hospital-based health care professionals: a literature review. Citation Text: Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.…

  16. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. | PSNet

    psnet.ahrq.gov/issue/safe-and-appropriate-use-insulin-and-other-antihyperglycemic-agents-hospital
    April 18, 2016 - Review Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Citation Text: Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. Copy Citation …

  17. Minimizing bias when using artificial intelligence in critical care medicine. | PSNet

    psnet.ahrq.gov/issue/minimizing-bias-when-using-artificial-intelligence-critical-care-medicine
    September 23, 2020 - Review Minimizing bias when using artificial intelligence in critical care medicine. Citation Text: Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796. Copy Citation …

  18. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. | PSNet

    psnet.ahrq.gov/issue/teaching-structured-tool-improves-clarity-and-content-interprofessional-clinical
    June 28, 2017 - Study The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Citation Text: Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual …

  19. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access
    August 21, 2024 - Commentary Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Citation Text: Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Phar…

  20. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. | PSNet

    psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
    July 17, 2024 - Commentary Emerging Classic Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. Citation Text: Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…
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