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  1. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
    December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

  2. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet

    psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
    January 19, 2011 - Study The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. Citation Text: Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents …

  3. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet

    psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
    March 02, 2016 - Study Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Citation Text: Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Q…

  4. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
    January 23, 2017 - Commentary What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. Citation Text: Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. J Health Life Sci Law. 2020;13(2):71-88. Copy Citati…

  5. Optimizing transitions of care to reduce rehospitalizations. | PSNet

    psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
    November 04, 2015 - Review Optimizing transitions of care to reduce rehospitalizations. Citation Text: Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. Copy Citation Format: DOI Google Schol…

  6. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. | PSNet

    psnet.ahrq.gov/issue/understanding-vs-competency-case-accuracy-checking-dispensed-medicines-pharmacy
    December 11, 2013 - Study Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Citation Text: James L, Davies G, Kinchin I, et al. Understanding vs. competency: the case of accuracy checking dispensed medicines in pharmacy. Adv Health Sci Educ Theory Pract. 2010;15(…

  7. Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. | PSNet

    psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
    November 16, 2022 - Study Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. Citation Text: Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open repair using patient safety indicators …

  8. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. | PSNet

    psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
    October 19, 2022 - Commentary Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. Citation Text: Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…

  9. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. | PSNet

    psnet.ahrq.gov/issue/predictors-completeness-patients-self-reported-personal-medication-lists-and-discrepancies
    October 19, 2022 - Study Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. Citation Text: Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with…

  10. Residents' perspective on the impact of the 80-hour workweek policy. | PSNet

    psnet.ahrq.gov/issue/residents-perspective-impact-80-hour-workweek-policy
    November 16, 2022 - Study Residents' perspective on the impact of the 80-hour workweek policy. Citation Text: Woods SE, Zabat E, Talen MR, et al. Residents' perspective on the impact of the 80-hour workweek policy. Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584. Copy Citation Forma…

  11. Patients' and healthcare workers' perceptions of a patient safety advisory. | PSNet

    psnet.ahrq.gov/issue/patients-and-healthcare-workers-perceptions-patient-safety-advisory
    March 11, 2013 - Study Patients' and healthcare workers' perceptions of a patient safety advisory. Citation Text: Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062.…

  12. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
    March 03, 2011 - Study Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Citation Text: Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40…

  13. A review of best practices for intravenous push medication administration. | PSNet

    psnet.ahrq.gov/issue/review-best-practices-intravenous-push-medication-administration
    February 21, 2018 - Review A review of best practices for intravenous push medication administration. Citation Text: Lenz JR, Degnan DD, Hertig JB, et al. A Review of Best Practices for Intravenous Push Medication Administration. J Infus Nurs. 2017;40(6):354-358. doi:10.1097/NAN.0000000000000247. Copy Cit…

  14. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
    June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

  15. A report on 15 years of clinical negligence claims in rhinology. | PSNet

    psnet.ahrq.gov/issue/report-15-years-clinical-negligence-claims-rhinology
    November 30, 2011 - Study A report on 15 years of clinical negligence claims in rhinology. Citation Text: Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118. Copy Citation Format: …

  16. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
    October 04, 2011 - Study The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Citation Text: Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience…

  17. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
    October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

  18. 5 Tk2 P2T8-Sample Antibiogram Phase 2 (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.doc
    May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2 Sample Antibiogram Nursing Home Name/Clinical Laboratory Name Antibiogram for dd/mm/yyyy to dd/mm/yyyy Gram Negative Gram Positive Antibiotic Tested Escherichia coli Klebsiella pneumoniae Proteus mirabilis Pseudomonas aeruginosa Staphylococcus aureus Non…

  19. Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. | PSNet

    psnet.ahrq.gov/issue/trade-offs-between-voice-and-silence-qualitative-exploration-oncology-staffs-decisions-speak
    November 05, 2014 - Study Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns. Citation Text: Schwappach DLB, Gehring K. Trade-offs between voice and silence: a qualitative exploration of oncology staff's decisions to speak up about…

  20. Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. | PSNet

    psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
    July 02, 2019 - Study Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. Citation Text: Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…
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