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  1. The dangers of ignoring the Beers criteria—the prescribing cascade. | PSNet

    psnet.ahrq.gov/issue/dangers-ignoring-beers-criteria-prescribing-cascade
    October 10, 2018 - Commentary The dangers of ignoring the Beers criteria—the prescribing cascade. Citation Text: DeRhodes KH. The Dangers of Ignoring the Beers Criteria-The Prescribing Cascade. JAMA Intern Med. 2019;179(7):863-864. doi:10.1001/jamainternmed.2019.1288. Copy Citation Format: DO…

  2. Safety with nebulized medications requires an interdisciplinary team approach. | PSNet

    psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
    December 27, 2018 - Newspaper/Magazine Article Safety with nebulized medications requires an interdisciplinary team approach. Citation Text: Safety with nebulized medications requires an interdisciplinary team approach. ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. Copy Ci…

  3. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. | PSNet

    psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
    May 11, 2016 - Study A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. Citation Text: Castner J, Foltz-Ramos K, Schwartz DG, et al. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. J Nurs Adm. 2012;42(10):467-47…

  4. Near misses: paradoxical realities in everyday clinical practice. | PSNet

    psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
    May 04, 2012 - Study Near misses: paradoxical realities in everyday clinical practice. Citation Text: Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. Copy Citation Fo…

  5. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. | PSNet

    psnet.ahrq.gov/issue/silence-unblown-whistle-nevada-hepatitis-c-public-health-crisis
    July 19, 2023 - Commentary The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Citation Text: Leary E, Diers D. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Yale J Biol Med. 2013;86(1):79-87. Copy Citation Format: Google Sch…

  6. Preventing medication errors at small and rural hospitals. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
    May 19, 2021 - Newspaper/Magazine Article Preventing medication errors at small and rural hospitals. Citation Text: Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. Copy Citatio…

  7. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  8. Safe medication management at ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
    December 14, 2016 - Commentary Safe medication management at ambulatory surgery centers. Citation Text: Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  9. Themed Issue on Innovations in Medication Safety. | PSNet

    psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
    August 30, 2017 - Special or Theme Issue Themed Issue on Innovations in Medication Safety. Citation Text: Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2…

  10. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

    psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
    February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

  11. Characteristics of medical professional liability claims in patients with cardiovascular diseases. | PSNet

    psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
    August 02, 2015 - Study Characteristics of medical professional liability claims in patients with cardiovascular diseases. Citation Text: Oetgen WJ, Parikh D, Cacchione JG, et al. Characteristics of medical professional liability claims in patients with cardiovascular diseases. Am J Cardiol. 2010;105(5):…

  12. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
    July 03, 2014 - Study Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. Citation Text: Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6). doi:10…

  13. Using fault trees to advance understanding of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
    November 11, 2020 - Commentary Using fault trees to advance understanding of diagnostic errors. Citation Text: Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007. Copy Citation F…

  14. Using "near misses" analysis to prevent wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
    April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. Citation Text: Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037. Copy Citation Format: DOI Google Scho…

  15. The costs of developing, implementing, and operating a safety learning system in community practice. | PSNet

    psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
    March 21, 2012 - Study The costs of developing, implementing, and operating a safety learning system in community practice. Citation Text: O'Beirne M, Reid R, Zwicker K, et al. The costs of developing, implementing, and operating a safety learning system in community practice. J Patient Saf. 2013;9(4):2…

  16. The content and context of change of shift report on medical and surgical units. | PSNet

    psnet.ahrq.gov/issue/content-and-context-change-shift-report-medical-and-surgical-units
    September 24, 2016 - Study The content and context of change of shift report on medical and surgical units. Citation Text: Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a. Copy Citatio…

  17. Examining the diagnostic justification abilities of fourth-year medical students. | PSNet

    psnet.ahrq.gov/issue/examining-diagnostic-justification-abilities-fourth-year-medical-students
    December 21, 2014 - Study Examining the diagnostic justification abilities of fourth-year medical students. Citation Text: Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students. Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff. Copy Citation…

  18. Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. | PSNet

    psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare
    June 01, 2012 - Study Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. Citation Text: Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38. doi:10.1…

  19. Nursing handoffs: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
    January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…

  20. Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study. | PSNet

    psnet.ahrq.gov/issue/nurses-perception-shift-handovers-europe-results-european-nurses-early-exit-study
    September 24, 2016 - Study Nurses' perception of shift handovers in Europe - results from the European Nurses' Early Exit Study. Citation Text: Meissner A, Hasselhorn H-M, Estryn-Behar M, et al. Nurses' perception of shift handovers in Europe: results from the European Nurses' Early Exit Study. J Adv Nurs.…
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