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8241. Medication errors and patient complications with continuous renal replacement therapy. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-patient-complications-continuous-renal-replacement-therapy
      June 25, 2009 - Study Medication errors and patient complications with continuous renal replacement therapy. Citation Text: Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5. Copy Cita…

8242. Incidence, nature and impact of error in surgery. | PSNet
      psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
      December 16, 2020 - Study Incidence, nature and impact of error in surgery. Citation Text: Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

8243. The role of chief executive officers in a quality improvement: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/role-chief-executive-officers-quality-improvement-qualitative-study
      September 17, 2014 - Study The role of chief executive officers in a quality improvement: a qualitative study. Citation Text: Parand A, Dopson S, Vincent CA. The role of chief executive officers in a quality improvement : a qualitative study. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-001731. Copy Citat…

8244. The impact of introducing medical emergency team system on the documentations of vital signs. | PSNet
      psnet.ahrq.gov/issue/impact-introducing-medical-emergency-team-system-documentations-vital-signs
      January 18, 2011 - Study The impact of introducing medical emergency team system on the documentations of vital signs. Citation Text: Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/…

8245. An education-service partnership to achieve safety and quality improvement competencies in nursing. | PSNet
      psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
      August 30, 2023 - Commentary An education-service partnership to achieve safety and quality improvement competencies in nursing. Citation Text: Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12).…

8246. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. | PSNet
      psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
      January 12, 2022 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Citation Text: Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12. Cop…

8247. Medication reconciliation in a rural trauma population. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
      April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…

8248. Continuous improvement as an ideal in health care. | PSNet
      psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
      August 04, 2021 - Commentary Classic Continuous improvement as an ideal in health care. Citation Text: Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

8249. Generative artificial intelligence, patient safety and healthcare quality: a review. | PSNet
      psnet.ahrq.gov/issue/generative-artificial-intelligence-patient-safety-and-healthcare-quality-review
      November 16, 2022 - Review Generative artificial intelligence, patient safety and healthcare quality: a review. Citation Text: Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf. 2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690. Copy Citation …

8250. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. | PSNet
      psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
      August 17, 2005 - Study Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Citation Text: Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7. Copy Citation For…

8251. America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. | PSNet
      psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2017
      November 27, 2018 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017. Copy Citation …

8252. State of science: human factors and ergonomics in healthcare. | PSNet
      psnet.ahrq.gov/issue/state-science-human-factors-and-ergonomics-healthcare
      April 01, 2015 - Commentary State of science: human factors and ergonomics in healthcare. Citation Text: Hignett S, Carayon P, Buckle P, et al. State of science: human factors and ergonomics in healthcare. Ergonomics. 2013;56(10):1491-503. doi:10.1080/00140139.2013.822932. Copy Citation Format: …

8253. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
      psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
      April 06, 2016 - Book/Report Systems Analysis of Critical Incidents: the London Protocol. Citation Text: Systems Analysis of Critical Incidents: the London Protocol. Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024. Copy …

8254. Understanding and responding to adverse events. | PSNet
      psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
      July 19, 2019 - Commentary Classic Understanding and responding to adverse events. Citation Text: Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-1056. doi:10.1056/nejmhpr020760. Copy Citation Format: DOI Google Scho…

8255. Identification and Prioritization of Health IT Patient Safety Measures. | PSNet
      psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
      September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …

8256. Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet
      psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
      October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…

8257. Network of Patient Safety Databases Chartbook, 2019 | PSNet
      psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019
      October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook, 2019 Citation Text: Network of Patient Safety Databases Chartbook, 2019 Rockville, MD: Agency for Healthcare Research and Quality; December 2019. AHRQ Pub No 20-0023. Copy Citation Save Save to your librar…

8258. Nursing strategies to increase medication safety in inpatient settings. | PSNet
      psnet.ahrq.gov/issue/nursing-strategies-increase-medication-safety-inpatient-settings
      September 21, 2016 - Study Nursing strategies to increase medication safety in inpatient settings. Citation Text: Bravo K, Cochran GL, Barrett R. Nursing Strategies to Increase Medication Safety in Inpatient Settings. J Nurs Care Qual. 2016;31(4):335-41. doi:10.1097/NCQ.0000000000000181. Copy Citation …

8259. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric
      September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…

8260. Technical mistakes during the acquisition of the electrocardiogram. | PSNet
      psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
      March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…