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  1. Spreading a medication administration intervention organizationwide in six hospitals. | PSNet

    psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
    January 03, 2017 - Study Spreading a medication administration intervention organizationwide in six hospitals. Citation Text: Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. Copy C…

  2. Dispensing errors and counseling quality in 100 pharmacies. | PSNet

    psnet.ahrq.gov/issue/dispensing-errors-and-counseling-quality-100-pharmacies
    December 24, 2008 - Study Dispensing errors and counseling quality in 100 pharmacies. Citation Text: Flynn EA, Barker KN, Berger BA, et al. Dispensing errors and counseling quality in 100 pharmacies. J Am Pharm Assoc (2003). 2009;49(2):171-80. doi:10.1331/JAPhA.2009.08130. Copy Citation Format: …

  3. Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. | PSNet

    psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
    May 18, 2022 - Study Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. Citation Text: Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;…

  4. Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/effects-individual-nurse-and-hospital-characteristics-patient-adverse-events-and-quality-care
    February 08, 2019 - Study Effects of individual nurse and hospital characteristics on patient adverse events and quality of care: a multilevel analysis. Citation Text: Lee SE, Vincent C, Dahinten S, et al. Effects of Individual Nurse and Hospital Characteristics on Patient Adverse Events and Quality of Care…

  5. The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

    psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
    January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

  6. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. | PSNet

    psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
    August 25, 2011 - Study Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Citation Text: Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…

  7. Machine learning to enhance electronic detection of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
    December 18, 2024 - Commentary Machine learning to enhance electronic detection of diagnostic errors. Citation Text: Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. Copy Cit…

  8. Information transfer and communication in surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
    September 26, 2012 - Review Information transfer and communication in surgery: a systematic review. Citation Text: Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. Copy Citation For…

  9. Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet

    psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
    August 21, 2019 - Study Evaluating an evidence-based bundle for preventing surgical site infection. Citation Text: Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.20…

  10. Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-anesthetic-care-survey-physician-anesthesiologists
    March 15, 2016 - Study Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Citation Text: Estrada Alamo CE, Diatta F, Monsell SE, et al. Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Anesth Analg. 2024;138(5):938-950. doi:10.1213/ane…

  11. Crisis recovery in surgery: error management and problem solving in safety-critical situations. | PSNet

    psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
    November 30, 2022 - Study Crisis recovery in surgery: error management and problem solving in safety-critical situations. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …

  12. Prevalence and nature of adverse medical device events in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
    October 05, 2011 - Study Prevalence and nature of adverse medical device events in hospitalized children. Citation Text: Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. Copy …

  13. Where are my instruments? Hazards in delivery of surgical instruments. | PSNet

    psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
    September 25, 2008 - Study Where are my instruments? Hazards in delivery of surgical instruments. Citation Text: Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. Copy Citat…

  14. Information flow during pediatric trauma care transitions: things falling through the cracks. | PSNet

    psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
    February 16, 2022 - Study Information flow during pediatric trauma care transitions: things falling through the cracks. Citation Text: Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…

  15. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. | PSNet

    psnet.ahrq.gov/issue/unveiling-hidden-struggle-healthcare-students-second-victims-through-systematic-review
    September 06, 2023 - Review Unveiling the hidden struggle of healthcare students as second victims through a systematic review. Citation Text: Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):3…

  16. Adverse events in emergency department boarding: a systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-emergency-department-boarding-systematic-review
    March 02, 2022 - Review Adverse events in emergency department boarding: a systematic review. Citation Text: Rocha HM, Farre AGM, Santana Filho VJ. Adverse events in emergency department boarding: a systematic review. J Nurs Scholarsh. 2021;53(4):458-467. doi:10.1111/jnu.12653. Copy Citation Format…

  17. ESPEN guideline on hospital nutrition. | PSNet

    psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
    February 17, 2015 - Organizational Policy/Guidelines ESPEN guideline on hospital nutrition. Citation Text: Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039. Copy Citation Format: DOI Google Schola…

  18. Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. | PSNet

    psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
    August 25, 2021 - Study Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. Citation Text: Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …

  19. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet

    psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
    September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. Citation Text: Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 20…

  20. Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice. | PSNet

    psnet.ahrq.gov/issue/change-shift-nursing-handoff-interruptions-implications-evidence-based-practice
    July 19, 2023 - Study Change‐of‐shift nursing handoff interruptions: implications for evidence‐based practice. Citation Text: Rhudy LM, Johnson MR, Krecke CA, et al. Change-of-Shift Nursing Handoff Interruptions: Implications for Evidence-Based Practice. Worldviews Evid Based Nurs. 2019;16(5):362-370. d…
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