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  1. psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
    May 17, 2018 - Study A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. Citation Text: Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…
  2. psnet.ahrq.gov/issue/development-and-validation-surgical-patient-safety-system-surpass-checklist
    March 23, 2011 - Study Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Citation Text: de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:1…
  3. psnet.ahrq.gov/issue/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry
    April 08, 2011 - Study Case not closed: prescription errors 12 years after computerized physician order entry implementation. Citation Text: Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;19…
  4. psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
    November 17, 2021 - Study The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. Citation Text: Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of gre…
  5. psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety
    December 29, 2014 - Study Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Citation Text: Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…
  6. psnet.ahrq.gov/issue/challenges-nurses-efforts-retrieving-documenting-and-communicating-patient-care-information
    November 18, 2016 - Study Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. Citation Text: Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 2013…
  7. psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
    July 03, 2016 - Study Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. Citation Text: Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…
  8. psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
    April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
  9. psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
    October 19, 2022 - Study Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. Citation Text: Scherr K, Wilson DM, Wagner J, et al. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. AACN Adv Crit Care. 2012;23(1):32-42. doi:10.1097/NCI.0b013e31824…
  10. psnet.ahrq.gov/issue/communication-vital-signs-emergency-department-handoff-opportunities-improvement
    May 16, 2012 - Study Communication of vital signs at emergency department handoff: opportunities for improvement. Citation Text: Venkatesh AK, Curley D, Chang Y, et al. Communication of Vital Signs at Emergency Department Handoff: Opportunities for Improvement. Ann Emerg Med. 2015;66(2):125-30. doi:10.…
  11. psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medication-safety-pediatrics-avoid-study
    October 28, 2015 - Study Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Citation Text: Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res P…
  12. psnet.ahrq.gov/issue/acetaminophen-icon-helps-reduce-medication-decision-errors-experimental-setting
    January 12, 2022 - Study An acetaminophen icon helps reduce medication decision errors in an experimental setting. Citation Text: Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4…
  13. psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
    August 17, 2016 - Study The nature and causes of unintended events reported at 10 internal medicine departments. Citation Text: Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
  14. psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
    August 02, 2017 - Study Preoperative site marking: are we adhering to good surgical practice? Citation Text: Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. Copy Citation Format: DOI Google Scholar BibT…
  15. psnet.ahrq.gov/issue/preparing-clinicians-transitioning-patients-across-care-settings-and-home-through-simulation
    August 04, 2021 - Commentary Preparing clinicians for transitioning patients across care settings and into the home through simulation. Citation Text: Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation. Home …
  16. psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral
    September 27, 2023 - Commentary Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. Citation Text: Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…
  17. psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome
    January 28, 2010 - Study ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. Citation Text: Jäderling G, Bell M, Martling C-R, et al. ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. Crit Care Med. 2013…
  18. psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
    July 01, 2017 - Commentary Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model. Citation Text: Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…
  19. psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
    July 10, 2024 - Study Dynamic pocket card for implementing ISBAR in shift handover communication. Citation Text: Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. …
  20. psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
    April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…

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