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  1. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet

    psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
    September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure injury policy. Citation Text: Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…

  2. Workarounds in the workplace: a second look. | PSNet

    psnet.ahrq.gov/issue/workarounds-workplace-second-look
    December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  3. Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. | PSNet

    psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
    January 04, 2010 - Review Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. Citation Text: Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…

  4. A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). | PSNet

    psnet.ahrq.gov/issue/toolkit-disseminate-best-practices-inpatient-medication-reconciliation-multi-center
    January 23, 2019 - Commentary A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Citation Text: Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medicatio…

  5. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. | PSNet

    psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge
    October 19, 2022 - Study Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool. Citation Text: Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication rec…

  6. To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. | PSNet

    psnet.ahrq.gov/issue/point-integrating-patient-safety-education-obstetrics-and-gynecology-undergraduate-curriculum
    January 02, 2017 - Review To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. Citation Text: Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculu…

  7. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. | PSNet

    psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
    September 15, 2021 - Newspaper/Magazine Article A nursing home’s 64-day Covid siege: ‘They’re all going to die’. Citation Text: Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  8. Building collaborative teams in neonatal intensive care. | PSNet

    psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
    August 14, 2019 - Study Building collaborative teams in neonatal intensive care. Citation Text: Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. Copy Citation Format: DOI Google Scho…

  9. A customized triggers program: a children's hospital's experience in improving trigger usability. | PSNet

    psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
    September 01, 2021 - Study A customized triggers program: a children's hospital's experience in improving trigger usability. Citation Text: Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…

  10. Physicians' practice of dispensing medicines: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
    November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…

  11. Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. | PSNet

    psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep-1-performance-measure
    May 05, 2021 - Study Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. Citation Text: Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009. …

  12. Automated identification of extreme-risk events in clinical incident reports. | PSNet

    psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
    November 03, 2015 - Study Automated identification of extreme-risk events in clinical incident reports. Citation Text: Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. Copy Citation Format: Go…

  13. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet

    psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
    November 03, 2015 - Study Last orders: follow-up of tests ordered on the day of hospital discharge. Citation Text: Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. Copy C…

  14. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

    psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
    August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

  15. Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. | PSNet

    psnet.ahrq.gov/issue/distraction-operating-room-narrative-review-environmental-and-self-initiated-distractions-and
    August 28, 2024 - Review Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. Citation Text: Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated…

  16. Patient identification and tube labelling—a call for harmonisation. | PSNet

    psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
    April 29, 2020 - Commentary Patient identification and tube labelling—a call for harmonisation. Citation Text: van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…

  17. Computerized surveillance for adverse drug events in a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-pediatric-hospital
    January 03, 2017 - Study Computerized surveillance for adverse drug events in a pediatric hospital. Citation Text: Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167. C…

  18. A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. | PSNet

    psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality
    May 16, 2012 - Study A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. Citation Text: Holden RJ, Scanlon MC, Patel NR, et al. A human factors framework and study of the effect of nursing workload on patient safety and employe…

  19. Context-Aware Knowledge Delivery into Electronic Health Records - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records/annual-summary/2011
    January 01, 2011 - Context-Aware Knowledge Delivery into Electronic Health Records - 2011 Project Name Context-Aware Knowledge Delivery into Electronic Health Records Principal Investigator Del Fiol, Guilherme Organization University of Utah Funding Mechanism PAR: HS09-087: Mentored R…

  20. Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management-managing-high-level
    December 18, 2014 - Study Design and implementation of the infection prevention program into risk management: managing high level disinfection and sterilization in the outpatient setting. Citation Text: Sweet W, Snyder D, Raymond M. Design and implementation of the infection prevention program into risk man…
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