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Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. | PSNet

psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18

January 02, 2017 - Study Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. Citation Text: Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…

Organizational climate determinants of resident safety culture in nursing homes. | PSNet

psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes

June 24, 2020 - Study Organizational climate determinants of resident safety culture in nursing homes. Citation Text: Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053.…

Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. | PSNet

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May 27, 2011 - Study Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Citation Text: Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…

Novel analysis of clinically relevant diagnostic errors in point-of-care devices. | PSNet

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June 21, 2016 - Study Novel analysis of clinically relevant diagnostic errors in point-of-care devices. Citation Text: Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7…

The cost of opioid–related adverse drug events. | PSNet

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August 30, 2017 - Review The cost of opioid–related adverse drug events. Citation Text: Kane-Gill SL, Rubin EC, Smithburger PL, et al. The cost of opioid-related adverse drug events. J Pain Palliat Care Pharmacother. 2014;28(3):282-93. doi:10.3109/15360288.2014.938889. Copy Citation Format: …

A framework for engaging physicians in quality and safety. | PSNet

psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety

July 10, 2008 - Study Classic A framework for engaging physicians in quality and safety. Citation Text: Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167. Copy Citation …

Promising roles for pharmacists in addressing the U.S. opioid crisis. | PSNet

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May 19, 2021 - Commentary Promising roles for pharmacists in addressing the U.S. opioid crisis. Citation Text: Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. Copy…

Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study

August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

Educational targets to reduce medication errors by general surgery residents. | PSNet

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October 19, 2022 - Study Educational targets to reduce medication errors by general surgery residents. Citation Text: Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009. C…

The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness. | PSNet

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January 19, 2012 - Study The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness. Citation Text: Rainey H, Ehrich K, Mackintosh N, et al. The role of patients and their relatives in 'speaking up' about their own safety - a qualitative study of a…

Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015

June 10, 2020 - Study Vital signs: changes in opioid prescribing in the United States, 2006-2015. Citation Text: Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4. Copy…

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use

February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study

November 21, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Citation Text: Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. …

Alterations in Spanish language interpretation during pediatric critical care family meetings. | PSNet

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April 24, 2018 - Study Alterations in Spanish language interpretation during pediatric critical care family meetings. Citation Text: Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. do…

Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-operating-theatre-and-perioperative-care-obstacles-interventions-and

April 21, 2015 - Review Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. Citation Text: Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…

Effect of hospital follow-up appointment on clinical event outcomes and mortality. | PSNet

psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality

April 24, 2018 - Study Effect of hospital follow-up appointment on clinical event outcomes and mortality. Citation Text: Grafft CA, McDonald FS, Ruud KL, et al. Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med. 2010;170(11):955-60. doi:10.1001/archinternm…

Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. | PSNet

psnet.ahrq.gov/issue/effect-us-drug-enforcement-administrations-rescheduling-hydrocodone-combination-analgesic

August 04, 2021 - Study Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. Citation Text: Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of Hydrocodone Combination Anal…

Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement

April 24, 2018 - Commentary Organizational response to known medical errors: does peer review protection impede improvement? Citation Text: Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…

The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet

psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study

April 06, 2022 - Study The role of feedback in emergency ambulance services: a qualitative interview study. Citation Text: Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet

psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis

March 23, 2012 - Study Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. Citation Text: Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge su…

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