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  1. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
    November 16, 2022 - Study Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Citation Text: Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695.…

  2. Parents' perspectives on navigating the work of speaking up in the NICU. | PSNet

    psnet.ahrq.gov/issue/parents-perspectives-navigating-work-speaking-nicu
    December 04, 2016 - Study Parents' perspectives on navigating the work of speaking up in the NICU. Citation Text: Lyndon A, Wisner K, Holschuh C, et al. Parents' Perspectives on Navigating the Work of Speaking Up in the NICU. J Obstet Gynecol Neonatal Nurs. 2017;46(5):716-726. doi:10.1016/j.jogn.2017.06.009…

  3. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. | PSNet

    psnet.ahrq.gov/issue/digital-maturity-predictor-quality-and-safety-outcomes-us-hospitals-cross-sectional
    September 04, 2024 - Study Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational study. Citation Text: Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in US hospitals: cross-sectional observational…

  4. Perceptions of working conditions and safety concerns in community pharmacy. | PSNet

    psnet.ahrq.gov/issue/perceptions-working-conditions-and-safety-concerns-community-pharmacy
    September 01, 2015 - Study Perceptions of working conditions and safety concerns in community pharmacy. Citation Text: Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.0…

  5. Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. | PSNet

    psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated
    June 14, 2019 - Study Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. Citation Text: Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better …

  6. Understanding diagnostic errors in medicine: a lesson from aviation. | PSNet

    psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
    December 30, 2014 - Study Understanding diagnostic errors in medicine: a lesson from aviation. Citation Text: Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. Copy Citation Format: Google Scholar Pu…

  7. Multi-dose drug dispensing and inappropriate drug use: a nationwide register-based study of over 700 000 elderly. | PSNet

    psnet.ahrq.gov/issue/multi-dose-drug-dispensing-and-inappropriate-drug-use-nationwide-register-based-study-over
    October 04, 2011 - Study Multi-dose drug dispensing and inappropriate drug use: a nationwide register-based study of over 700 000 elderly. Citation Text: Johnell K, Fastbom J. Multi-dose drug dispensing and inappropriate drug use: A nationwide register-based study of over 700,000 elderly. Scand J Prim He…

  8. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. | PSNet

    psnet.ahrq.gov/issue/perceptions-risk-patient-safety-pediatric-icu-study-american-pediatric-intensivists
    August 28, 2017 - Study Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Citation Text: Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. d…

  9. Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
    November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …

  10. Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
    March 09, 2022 - Study Transforming team performance through reimplementation of the surgical safety checklist. Citation Text: Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…

  11. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. | PSNet

    psnet.ahrq.gov/issue/empowering-frontline-nurses-structured-intervention-enables-nurses-improve-medication
    March 13, 2012 - Study Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. Citation Text: Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accur…

  12. Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. | PSNet

    psnet.ahrq.gov/issue/stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-multisite
    March 13, 2019 - Study Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. Citation Text: DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary st…

  13. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. | PSNet

    psnet.ahrq.gov/issue/preventing-diagnostic-errors-ambulatory-care-electronic-notification-tool-incomplete
    April 22, 2013 - Study Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Citation Text: Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. …

  14. A 60-year-old man with delayed care for a renal mass. | PSNet

    psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
    January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  15. One-stop diagnostic breast clinics: how often are breast cancers missed? | PSNet

    psnet.ahrq.gov/issue/one-stop-diagnostic-breast-clinics-how-often-are-breast-cancers-missed
    August 04, 2021 - Study One-stop diagnostic breast clinics: how often are breast cancers missed? Citation Text: Britton P, Duffy SW, Sinnatamby R, et al. One-stop diagnostic breast clinics: how often are breast cancers missed? Br J Cancer. 2009;100(12). doi:10.1038/sj.bjc.6605082. Copy Citation Fo…

  16. Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. | PSNet

    psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population
    May 06, 2009 - Study Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. Citation Text: Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteri…

  17. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
    October 14, 2020 - Study Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Citation Text: M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth …

  18. Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-and-opportunities-medication-errors-comparison-tradition
    April 02, 2008 - Study Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. Citation Text: Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to traditi…

  19. Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. | PSNet

    psnet.ahrq.gov/issue/shape-matters-neglected-feature-medication-safety-why-regulating-shape-medication-containers
    December 09, 2020 - Commentary Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. Citation Text: Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…

  20. Use of professional interpreters for patients with limited English proficiency undergoing surgery. | PSNet

    psnet.ahrq.gov/issue/use-professional-interpreters-patients-limited-english-proficiency-undergoing-surgery
    October 19, 2022 - Study Use of professional interpreters for patients with limited English proficiency undergoing surgery. Citation Text: Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014.…
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