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Rural inpatient telepharmacy consultation demonstration for after-hours medication review. | PSNet

psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review

January 23, 2017 - Study Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Citation Text: Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…

That's the way we do things around here! Your actions speak louder than words when it comes to patient safety. | PSNet

psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it-comes-patient

December 19, 2018 - Commentary That's the way we do things around here! Your actions speak louder than words when it comes to patient safety. Citation Text: Grissinger M. That's the Way We Do Things Around Here!: Your Actions Speak Louder Than Words When It Comes To Patient Safety. P T. 2014;39(5):308-44. …

Human factors engineering in patient safety. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-patient-safety

September 13, 2017 - Commentary Human factors engineering in patient safety. Citation Text: Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

Medication safety in community pharmacy: a qualitative study of the sociotechnical context. | PSNet

psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context

February 06, 2019 - Study Medication safety in community pharmacy: a qualitative study of the sociotechnical context. Citation Text: Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186…

Creating a highly reliable neonatal intensive care unit through safer systems of care. | PSNet

psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care

January 12, 2011 - Review Creating a highly reliable neonatal intensive care unit through safer systems of care. Citation Text: Panagos PG, Pearlman SA. Creating a Highly Reliable Neonatal Intensive Care Unit Through Safer Systems of Care. Clin Perinatol. 2017;44(3):645-662. doi:10.1016/j.clp.2017.05.006. …

The elusive and illusive quest for diagnostic safety metrics. | PSNet

psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics

October 10, 2018 - Commentary The elusive and illusive quest for diagnostic safety metrics. Citation Text: Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. Copy Citation Format: DOI Google Sch…

Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet

psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk

October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

Analysis of medical malpractice claims to improve quality of care: cautionary remarks. | PSNet

psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks

May 09, 2012 - Commentary Analysis of medical malpractice claims to improve quality of care: cautionary remarks. Citation Text: Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. Copy Cit…

National Healthcare Quality and Disparities Report Chartbook on Patient Safety. | PSNet

psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0

May 02, 2017 - Book/Report National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Citation Text: National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. Cop…

Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery

February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. | PSNet

psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients

October 27, 2016 - Study Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Citation Text: Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…

Electronic health record use issues and diagnostic error: a scoping review and framework. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework

September 14, 2011 - Review Electronic health record use issues and diagnostic error: a scoping review and framework. Citation Text: Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/p…

Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. | PSNet

psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries

February 15, 2017 - Book/Report Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3

March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. | PSNet

psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during

September 03, 2011 - Study Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. Citation Text: Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …

Measuring mobile patient safety information system success: an empirical study. | PSNet

psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study

September 27, 2017 - Study Measuring mobile patient safety information system success: an empirical study. Citation Text: Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. Copy Cit…

Prescription opioid exposures among children and adolescents in the United States: 2000–2015. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-exposures-among-children-and-adolescents-united-states-2000-2015

December 21, 2017 - Study Prescription opioid exposures among children and adolescents in the United States: 2000–2015. Citation Text: Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/…

Dissemination of Lean methods to improve Pap testing quality and patient safety. | PSNet

psnet.ahrq.gov/issue/dissemination-lean-methods-improve-pap-testing-quality-and-patient-safety

June 14, 2011 - Study Dissemination of Lean methods to improve Pap testing quality and patient safety. Citation Text: Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0…

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected

January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

The role of error in organizing behaviour. | PSNet

psnet.ahrq.gov/issue/role-error-organizing-behaviour

April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

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