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  1. Time-out and checklists: a survey of rural and urban operating room personnel. | PSNet

    psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
    January 09, 2014 - Study Time-out and checklists: a survey of rural and urban operating room personnel. Citation Text: Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. Copy Citation Format: Google Scholar…

  2. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
    February 08, 2017 - Study A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Citation Text: Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…

  3. Medication dosing errors for patients with renal insufficiency in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/medication-dosing-errors-patients-renal-insufficiency-ambulatory-care
    July 31, 2008 - Study Medication dosing errors for patients with renal insufficiency in ambulatory care. Citation Text: Yap C, Dunham D, Thompson JA, et al. Medication Dosing Errors for Patients with Renal Insufficiency in Ambulatory Care. The Joint Commission Journal on Quality and Patient Safety. 2016…

  4. Safety culture: an integration of existing models and a framework for understanding its development. | PSNet

    psnet.ahrq.gov/issue/safety-culture-integration-existing-models-and-framework-understanding-its-development
    December 21, 2017 - Review Classic Safety culture: an integration of existing models and a framework for understanding its development. Citation Text: Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a framework for understanding its …

  5. The computerized rounding report: implementation of a model system to support transitions of care. | PSNet

    psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
    October 19, 2022 - Study The computerized rounding report: implementation of a model system to support transitions of care. Citation Text: Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…

  6. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. | PSNet

    psnet.ahrq.gov/issue/impact-obstetrical-hospitalist-program-safety-events-mid-sized-obstetrical-unit
    April 03, 2019 - Study Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. Citation Text: Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181.…

  7. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. | PSNet

    psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
    January 27, 2016 - Study Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Citation Text: Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. Copy Cita…

  8. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. | PSNet

    psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting
    September 27, 2010 - Study Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. Citation Text: Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam M…

  9. Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. | PSNet

    psnet.ahrq.gov/issue/pharmacy-clarification-prescriptions-ordered-primary-care-report-applied-strategies-improving
    March 28, 2011 - Commentary Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. Citation Text: Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary ca…

  10. Adverse drug events in general practice patients in Australia. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-general-practice-patients-australia
    March 04, 2020 - Study Adverse drug events in general practice patients in Australia. Citation Text: Miller GC, Britth HC, Valenti L. Adverse drug events in general practice patients in Australia. Med J Aust. 2006;184(7):321-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  11. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

    psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
    January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

  12. The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
    November 26, 2014 - Study The association between night or weekend admission and hospitalization-relevant patient outcomes. Citation Text: Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…

  13. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. | PSNet

    psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals
    October 16, 2019 - Study A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. Citation Text: Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…

  14. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet

    psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
    August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Citation Text: Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…

  15. The safe day call: reducing silos in health care through frontline risk assessment. | PSNet

    psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
    May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

  16. Prescribing decision making by medical residents on night shifts: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/prescribing-decision-making-medical-residents-night-shifts-qualitative-study
    April 14, 2021 - Study Prescribing decision making by medical residents on night shifts: a qualitative study. Citation Text: Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14…

  17. Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. | PSNet

    psnet.ahrq.gov/issue/raising-alarm-cross-sectional-study-exploring-factors-affecting-patients-willingness-escalate
    September 12, 2016 - Study Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. Citation Text: Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness…

  18. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. | PSNet

    psnet.ahrq.gov/issue/effect-crew-resource-management-diabetes-care-and-patient-outcomes-inner-city-primary-care
    November 24, 2010 - Study Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. Citation Text: Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. …

  19. Longitudinal evaluation of a programme for safety culture change in a mental health service. | PSNet

    psnet.ahrq.gov/issue/longitudinal-evaluation-programme-safety-culture-change-mental-health-service
    January 24, 2018 - Study Longitudinal evaluation of a programme for safety culture change in a mental health service. Citation Text: Dickens GL, Salamonson Y, Johnson A, et al. Longitudinal evaluation of a programme for safety culture change in a mental health service. J Nurs Manag. 2021;29(4):690-698. doi…

  20. Hospital rules-based system: the next generation of medical informatics for patient safety. | PSNet

    psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety
    April 21, 2010 - Study Hospital rules-based system: the next generation of medical informatics for patient safety. Citation Text: Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. C…
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