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Transfusion safety: the nature and outcomes of errors in patient registration. | PSNet

psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration

December 16, 2020 - Review Transfusion safety: the nature and outcomes of errors in patient registration. Citation Text: Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004. Copy …

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary

November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. | PSNet

psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus

October 27, 2021 - Review The impact of "missed nursing care" or "care not done" on adults in health care: a rapid review for the Consensus Development Project. Citation Text: Willis E, Brady C. The impact of “missed nursing care” or “care not done” on adults in health care: A rapid review for the Consensu…

Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

psnet.ahrq.gov/issue/patient-provider-and-system-factors-contributing-patient-safety-events-during-medical-and

November 18, 2016 - Study Patient, provider, and system factors contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: McGinty EE, Thompson DA, Pronovost P, et al. Patient, provider, and system factors contributing to patien…

Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. | PSNet

psnet.ahrq.gov/issue/listening-women-recommendations-women-color-improve-experiences-pregnancy-and-birth-care

August 12, 2019 - Study Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. Citation Text: Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwif…

Accuracy of practitioner estimates of probability of diagnosis before and after testing. | PSNet

psnet.ahrq.gov/issue/accuracy-practitioner-estimates-probability-diagnosis-and-after-testing

May 05, 2021 - Study Accuracy of practitioner estimates of probability of diagnosis before and after testing. Citation Text: Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.10…

The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. | PSNet

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December 15, 2021 - Study The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. Citation Text: Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching…

Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. | PSNet

psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study

February 09, 2022 - Study Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Citation Text: Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol…

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. | PSNet

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October 20, 2014 - Study Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. Citation Text: Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve …

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review

January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

Medication-administration errors in an urban mental health hospital: a direct observation study. | PSNet

psnet.ahrq.gov/issue/medication-administration-errors-urban-mental-health-hospital-direct-observation-study

September 03, 2014 - Study Medication-administration errors in an urban mental health hospital: a direct observation study. Citation Text: Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111…

Classification of health information technology safety events in a pediatric tertiary care hospital. | PSNet

psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital

May 20, 2019 - Study Classification of health information technology safety events in a pediatric tertiary care hospital. Citation Text: Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):25…

The trigger tool as a method to measure harmful medication errors in children. | PSNet

psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children

August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review

October 28, 2020 - Review Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Citation Text: Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q.…

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. | PSNet

psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality-based-clinical

July 27, 2022 - Study Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Citation Text: Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2…

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans

September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

Medication adverse events in the ambulatory setting: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/medication-adverse-events-ambulatory-setting-mixed-methods-analysis

October 21, 2020 - Study Medication adverse events in the ambulatory setting: a mixed-methods analysis. Citation Text: Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. …

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital

November 26, 2014 - Study Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. Citation Text: Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Disch…

Reporting of unsafe conditions at an academic women and children's hospital. | PSNet

psnet.ahrq.gov/issue/reporting-unsafe-conditions-academic-women-and-childrens-hospital

December 09, 2020 - Study Reporting of unsafe conditions at an academic women and children's hospital. Citation Text: Grabinski ZG, Babineau J, Jamal N, et al. Reporting of unsafe conditions at an academic women and children's hospital. Jt Comm J Qual Patient Saf. 2021;47(11):731-738. doi:10.1016/j.jcjq.202…

Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. | PSNet

psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff

September 14, 2011 - Study Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. Citation Text: Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…

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