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Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. | PSNet

psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients

April 21, 2021 - Study Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. Citation Text: Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …

Patient safety goals for the proposed Federal Health Information Technology Safety Center. | PSNet

psnet.ahrq.gov/issue/patient-safety-goals-proposed-federal-health-information-technology-safety-center

November 30, 2011 - Commentary Classic Patient safety goals for the proposed Federal Health Information Technology Safety Center. Citation Text: Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform…

Inappropriate prescribing of opioids for patients undergoing surgery. | PSNet

psnet.ahrq.gov/issue/inappropriate-prescribing-opioids-patients-undergoing-surgery

June 30, 2021 - Study Inappropriate prescribing of opioids for patients undergoing surgery. Citation Text: Varady NH, Worsham CM, Chen AF, et al. Inappropriate prescribing of opioids for patients undergoing surgery. Proc Natl Acad Sci USA. 2022;119(49):e2210226119. doi:10.1073/pnas.2210226119. Copy Ci…

More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. | PSNet

psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda

May 01, 2019 - Study More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. Citation Text: Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…

Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. | PSNet

psnet.ahrq.gov/issue/beyond-surgical-safety-checklist-using-intraoperative-handoff-facilitate-team-situation

June 13, 2018 - Study Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR. Citation Text: Ramjaun A, Hammond Mobilio M, Wright N, et al. Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awarene…

The role of organizational and professional cultures in medication safety: a scoping review of the literature. | PSNet

psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature

February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…

Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. | PSNet

psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life

April 24, 2018 - Review Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. Citation Text: Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…

Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. | PSNet

psnet.ahrq.gov/issue/safe-clinical-practice-patients-hospitalised-mental-health-wards-during-suicidal-crisis

August 17, 2022 - Study Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Safe clinical practice for patients hospitalised in mental health wards during a suicidal…

Association of safety culture with surgical site infection outcomes. | PSNet

psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

October 23, 2024 - Study Classic Association of safety culture with surgical site infection outcomes. Citation Text: Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…

Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet

psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident

March 11, 2020 - Study Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. Citation Text: Wrigstad J, Bergström J, Gusta…

Implementing patient safety interventions in your hospital: what to try and what to avoid. | PSNet

psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid

June 03, 2010 - Review Implementing patient safety interventions in your hospital: what to try and what to avoid. Citation Text: Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016…

Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-surgical-safety-checklist-provider-and-patient-outcomes-systematic-review

March 01, 2023 - Review Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. Citation Text: Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. …

Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet

psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient

June 15, 2016 - Study Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. Citation Text: Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…

The role of AI in detecting and mitigating human errors in safety-critical industries: a review. | PSNet

psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review

January 15, 2025 - Review The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Citation Text: Gursel E, Madadi M, Coble JB, et al. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Reliability Eng System Saf. 2025;25…

High-risk medication errors: insight from the UK National Reporting and Learning System. | PSNet

psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system

January 12, 2022 - Study High-risk medication errors: insight from the UK National Reporting and Learning System. Citation Text: Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. d…

Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. | PSNet

psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills

November 11, 2009 - Review Emerging Classic Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. Citation Text: Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Profes…

Relationship between nurse burnout, patient and organizational outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review

December 01, 2021 - Review Relationship between nurse burnout, patient and organizational outcomes: systematic review. Citation Text: Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…

To Err Is Human: Building a Safer Health System. | PSNet

psnet.ahrq.gov/issue/err-human-building-safer-health-system

July 08, 2016 - Book/Report Classic To Err Is Human: Building a Safer Health System. Citation Text: To Err Is Human: Building a Safer Health System. Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: Nati…

Medication safety in neonatal care: a review of medication errors among neonates. | PSNet

psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates

August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…

Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement

August 11, 2010 - Study Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications. Citation Text: Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of …

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