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Clinical alarms: improving efficiency and effectiveness. | PSNet

psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness

February 22, 2010 - Study Clinical alarms: improving efficiency and effectiveness. Citation Text: Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Pediatric medical errors part 1: the case. A pediatric drug overdose case. | PSNet

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April 22, 2020 - Study Pediatric medical errors part 1: the case. A pediatric drug overdose case. Citation Text: Dowdell EB. Pediatric medical errors part 1: the case. A pediatric drug overdose case. Pediatr Nurs. 2004;30(4):328-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Weekend versus weekday admission and mortality from myocardial infarction. | PSNet

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February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. | PSNet

psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care

January 02, 2017 - Commentary John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. Citation Text: Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …

A 2-year study of patient safety competency assessment in 29 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories

December 14, 2016 - Study A 2-year study of patient safety competency assessment in 29 clinical laboratories. Citation Text: Reed RC, Kim S, Farquharson K, et al. A 2-Year Study of Patient Safety Competency Assessment in 29 Clinical Laboratories. Am J Clin Pathol. 2008;129(6). doi:10.1309/bm8jje1auca408tq…

Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery. | PSNet

psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery

October 05, 2022 - Study Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery. Citation Text: Hamilton EC, Pham DH, Minzenmayer AN, et al. Are we missing the near misses in the OR?-underreporting of safety incidents in pediatric surgery. J Surg Res. 2018;221:336…

Creating a just culture: the Ottawa Hospital's experience. | PSNet

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July 10, 2024 - Commentary Creating a just culture: the Ottawa Hospital's experience. Citation Text: Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. Copy Citation Format: …

Enhancing patient safety: improving the patient handoff process through appreciative inquiry. | PSNet

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April 10, 2024 - Commentary Enhancing patient safety: improving the patient handoff process through appreciative inquiry. Citation Text: Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104. C…

Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet

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April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

Causes of preventable drug-related hospital admissions: a qualitative study. | PSNet

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October 16, 2012 - Study Causes of preventable drug-related hospital admissions: a qualitative study. Citation Text: Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681. Copy Ci…

Management of adverse surgical events: a structured education module for residents. | PSNet

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August 26, 2011 - Study Management of adverse surgical events: a structured education module for residents. Citation Text: Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. Copy Citation Form…

John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. | PSNet

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March 02, 2011 - Commentary John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Citation Text: Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…

How we cut drug errors. | PSNet

psnet.ahrq.gov/issue/how-we-cut-drug-errors

August 19, 2020 - Newspaper/Magazine Article How we cut drug errors. Citation Text: Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. | PSNet

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January 15, 2014 - Study Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. BMJ…

Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? | PSNet

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May 18, 2022 - Review Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? Citation Text: Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…

Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

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February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma

March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. | PSNet

psnet.ahrq.gov/issue/serious-adverse-events-accidental-ingestion-children-over-counter-eye-drops-and-nasal-sprays

November 03, 2009 - Press Release/Announcement Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. Citation Text: Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. MedWatch Safety Alert. S…

Antibiotic prescribing in ambulatory pediatrics in the United States. | PSNet

psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states

May 25, 2016 - Study Antibiotic prescribing in ambulatory pediatrics in the United States. Citation Text: Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337. Copy Citation Format:…

Implementing a commercial rule base as a medication order safety net. | PSNet

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January 03, 2017 - Study Implementing a commercial rule base as a medication order safety net. Citation Text: Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9. Copy Citation Format: Google…

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