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  1. Interruptions in a level one trauma center: a case study. | PSNet

    psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study
    January 02, 2017 - Study Interruptions in a level one trauma center: a case study. Citation Text: Brixey J, Tang Z, Robinson DJ, et al. Interruptions in a level one trauma center: a case study. Int J Med Inform. 2008;77(4):235-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  2. Chemotherapy drug shortages in pediatric oncology: a consensus statement. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-drug-shortages-pediatric-oncology-consensus-statement
    March 15, 2017 - Organizational Policy/Guidelines Chemotherapy drug shortages in pediatric oncology: a consensus statement. Citation Text: Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.201…

  3. Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. | PSNet

    psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
    August 29, 2018 - Review Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. Citation Text: Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…

  4. The top 10 list for a safe and effective sign-out. | PSNet

    psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
    April 12, 2019 - Commentary The top 10 list for a safe and effective sign-out. Citation Text: Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008. Copy Citation Format: DOI Google Scholar P…

  5. I-PASS, a mnemonic to standardize verbal handoffs. | PSNet

    psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
    November 12, 2014 - Commentary I-PASS, a mnemonic to standardize verbal handoffs. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. Copy Citation Format: DOI Google Scholar…

  6. Challenges faced in providing safe care in rural perinatal settings. | PSNet

    psnet.ahrq.gov/issue/challenges-faced-providing-safe-care-rural-perinatal-settings
    June 14, 2017 - Study Challenges faced in providing safe care in rural perinatal settings. Citation Text: Jukkala AM, Kirby RS. Challenges faced in providing safe care in rural perinatal settings. MCN Am J Matern Child Nurs. 2009;34(6):365-371. doi:10.1097/01.NMC.0000363685.20315.0e. Copy Citation …

  7. Association of physician burnout with suicidal ideation and medical errors. | PSNet

    psnet.ahrq.gov/issue/association-physician-burnout-suicidal-ideation-and-medical-errors
    December 02, 2020 - Study Association of physician burnout with suicidal ideation and medical errors. Citation Text: Menon NK, Shanafelt TD, Sinsky CA, et al. Association of Physician Burnout With Suicidal Ideation and Medical Errors. JAMA Netw Open. 2020;3(12):e2028780. doi:10.1001/jamanetworkopen.2020.287…

  8. Resilience and resilience engineering in health care. | PSNet

    psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
    September 19, 2013 - Commentary Resilience and resilience engineering in health care. Citation Text: Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. Copy Citation Format: Google Scholar PubMed BibTeX …

  9. Hospitalist handoffs: a systematic review and task force recommendations. | PSNet

    psnet.ahrq.gov/issue/hospitalist-handoffs-systematic-review-and-task-force-recommendations
    September 09, 2013 - Review Hospitalist handoffs: a systematic review and task force recommendations. Citation Text: Arora VM, Manjarrez E, Dressler DD, et al. Hospitalist handoffs: A systematic review and task force recommendations. J Hosp Med. 2009;4(7). doi:10.1002/jhm.573. Copy Citation Format: …

  10. A systematic review of nursing practice workarounds. | PSNet

    psnet.ahrq.gov/issue/systematic-review-nursing-practice-workarounds
    April 28, 2021 - Review A systematic review of nursing practice workarounds. Citation Text: McCord JL, Lippincott CR, Abreu E, et al. A systematic review of nursing practice workarounds. Dimens Crit Care Nurs. 2022;41(6):347-356. doi:10.1097/dcc.0000000000000549. Copy Citation Format: DOI G…

  11. Peer review of medical practices: missed opportunities to learn. | PSNet

    psnet.ahrq.gov/issue/peer-review-medical-practices-missed-opportunities-learn
    November 16, 2022 - Commentary Peer review of medical practices: missed opportunities to learn. Citation Text: Kadar N. Peer review of medical practices: missed opportunities to learn. Am J Obstet Gynecol. 2014;211(6):596-601. doi:10.1016/j.ajog.2014.08.018. Copy Citation Format: DOI Google Sc…

  12. Reducing continuous intravenous medication errors in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
    September 27, 2016 - Commentary Reducing continuous intravenous medication errors in an intensive care unit. Citation Text: OʼByrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144. Copy …

  13. Bar-code verification: reducing but not eliminating medication errors. | PSNet

    psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
    September 27, 2016 - Study Bar-code verification: reducing but not eliminating medication errors. Citation Text: Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545. Copy Citation…

  14. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
    November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…

  15. Conspicuous by its absence: diagnostic expert testing under uncertainty. | PSNet

    psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
    February 28, 2024 - Commentary Conspicuous by its absence: diagnostic expert testing under uncertainty. Citation Text: Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201. Copy Citation Format: DOI …

  16. Examining nurses' decision process for medication management in home care. | PSNet

    psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
    December 21, 2018 - Commentary Examining nurses' decision process for medication management in home care. Citation Text: Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. Copy Citation Format: …

  17. Dental patient safety in the military health system: joining medicine in the journey to high reliability. | PSNet

    psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
    October 19, 2022 - Study Dental patient safety in the military health system: joining medicine in the journey to high reliability. Citation Text: Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…

  18. Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid
    May 31, 2017 - Study Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. Citation Text: Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategi…

  19. No interruptions please: impact of a no interruption zone on medication safety in intensive care units. | PSNet

    psnet.ahrq.gov/issue/no-interruptions-please-impact-no-interruption-zone-medication-safety-intensive-care-units
    July 19, 2023 - Study No interruptions please: impact of a no interruption zone on medication safety in intensive care units. Citation Text: Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010…

  20. What is the NHS Safety Thermometer? | PSNet

    psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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