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  1. The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. | PSNet

    psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and
    June 15, 2012 - Study The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. Citation Text: Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions among hospitalized children…

  2. Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet

    psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged
    February 04, 2009 - Study Medication report reduces number of medication errors when elderly patients are discharged from hospital. Citation Text: Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…

  3. How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. | PSNet

    psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
    September 23, 2020 - Study Classic How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Citation Text: Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine pat…

  4. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
    October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

  5. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. | PSNet

    psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and
    August 25, 2021 - Study Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Citation Text: Ziedan E, Kaestner R. Did the Hospital Readmissions Reduction Program reduce readmissions? An assessment of prior evidence and new estimates. Eval …

  6. Content analysis of nurses' reflections on medication errors in a regional hospital. | PSNet

    psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
    December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…

  7. Medication errors in paediatric outpatients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients
    December 15, 2011 - Study Medication errors in paediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  8. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. | PSNet

    psnet.ahrq.gov/issue/effects-discharge-time-out-quality-hospital-discharge-summaries
    December 31, 2014 - Study The effects of a 'discharge time-out' on the quality of hospital discharge summaries. Citation Text: Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital discharge summaries. BMJ Qual Saf. 2012;21(10):885-90. Copy Citation F…

  9. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  10. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. | PSNet

    psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
    December 14, 2016 - Study Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. Citation Text: Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Gl…

  11. Medical errors in US pediatric inpatients with chronic conditions. | PSNet

    psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
    November 04, 2014 - Study Medical errors in US pediatric inpatients with chronic conditions. Citation Text: Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555. Copy Citation Format: DOI Goog…

  12. Improving patient safety via automated laboratory-based adverse event grading. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
    October 19, 2022 - Study Improving patient safety via automated laboratory-based adverse event grading. Citation Text: Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…

  13. Wound-care teams for preventing and treating pressure ulcers. | PSNet

    psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
    June 05, 2019 - Review Wound-care teams for preventing and treating pressure ulcers. Citation Text: Moore ZEH, Webster J, Samuriwo R. Wound-care teams for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2015;9:CD011011. doi:10.1002/14651858.CD011011.pub2. Copy Citation Format:…

  14. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. | PSNet

    psnet.ahrq.gov/issue/relationship-between-leapfrog-safe-practices-survey-and-outcomes-trauma
    August 02, 2015 - Study Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Citation Text: Glance LG, Dick AW, Osler T, et al. Relationship between Leapfrog Safe Practices Survey and outcomes in trauma. Arch Surg. 2011;146(10):1170-7. doi:10.1001/archsurg.2011.247. Copy Citation …

  15. A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. | PSNet

    psnet.ahrq.gov/issue/guide-evaluation-quality-improvement-and-patient-safety-educational-programs-lessons-va-chief
    February 26, 2020 - Commentary A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program. Citation Text: Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…

  16. Defining health information technology–related errors: new developments since To Err Is Human. | PSNet

    psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
    December 06, 2023 - Commentary Classic Defining health information technology–related errors: new developments since To Err Is Human. Citation Text: Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med.…

  17. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. | PSNet

    psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre
    July 20, 2022 - Study Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. Citation Text: Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a…

  18. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. | PSNet

    psnet.ahrq.gov/issue/anaesthesia-and-patient-safety-socio-technical-operating-theatre-narrative-review-spanning
    April 10, 2024 - Review Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Citation Text: Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Ana…

  19. Team safety and innovation by learning from errors in long-term care settings. | PSNet

    psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings
    March 05, 2010 - Study Team safety and innovation by learning from errors in long-term care settings. Citation Text: Buljac-Samardzic M, van Woerkom M, Paauwe J. Team safety and innovation by learning from errors in long-term care settings. Health Care Manage Rev. 2012;37(3):280-91. doi:10.1097/HMR.0b0…

  20. Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and
    November 16, 2022 - Study Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. Citation Text: Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferen…
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