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  1. Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate
    June 14, 2023 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…

  2. Like night and day — shedding light on off-hours care. | PSNet

    psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
    July 05, 2006 - Commentary Like night and day — shedding light on off-hours care. Citation Text: Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  3. Expanded surgical time out: a key to real-time data collection and quality improvement. | PSNet

    psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
    November 30, 2005 - Study Expanded surgical time out: a key to real-time data collection and quality improvement. Citation Text: Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32. Copy Cita…

  4. Integrating simulation in surgery as a teaching tool and credentialing standard. | PSNet

    psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
    July 02, 2008 - Commentary Integrating simulation in surgery as a teaching tool and credentialing standard. Citation Text: Rehrig ST, Powers K, Jones DB. Integrating simulation in surgery as a teaching tool and credentialing standard. J Gastrointest Surg. 2008;12(2):222-33. Copy Citation Format:…

  5. Public reporting of surgical outcomes: surgeons, hospitals, or both? | PSNet

    psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
    October 24, 2012 - Commentary Public reporting of surgical outcomes: surgeons, hospitals, or both? Citation Text: Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429-1430. doi:10.1001/jama.2017.13815. Copy Citation Format: DOI Google Scholar Pu…

  6. Implementing peer evaluation of handoffs: associations with experience and workload. | PSNet

    psnet.ahrq.gov/issue/implementing-peer-evaluation-handoffs-associations-experience-and-workload
    January 23, 2013 - Study Implementing peer evaluation of handoffs: associations with experience and workload. Citation Text: Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. …

  7. Hand-off Communications. | PSNet

    psnet.ahrq.gov/issue/hand-communications
    March 27, 2005 - Multi-use Website Hand-off Communications. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Jt Comm J Qual Improv. 2002;28(5):248-267, 209. Co…

  8. Antimicrobial stewardship and patient safety. | PSNet

    psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
    March 08, 2023 - Commentary Antimicrobial stewardship and patient safety. Citation Text: Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  9. Plan for quality to improve patient safety at the point of care. | PSNet

    psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
    August 01, 2007 - Review Plan for quality to improve patient safety at the point of care. Citation Text: Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203. Copy Citation Format: DOI Google Scholar BibTeX End…

  10. Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. | PSNet

    psnet.ahrq.gov/issue/safeguarding-medication-administration-understanding-pre-registration-nursing-students-survey
    June 27, 2012 - Study Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. Citation Text: Andrew S, Mansour M. Safeguarding in medication administration: understanding pre-registration nursing students' s…

  11. Risk models to improve safety of dispensing high-alert medications in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
    December 02, 2020 - Study Risk models to improve safety of dispensing high-alert medications in community pharmacies. Citation Text: Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-6…

  12. Clinical dilemmas and a review of strategies to manage drug shortages. | PSNet

    psnet.ahrq.gov/issue/clinical-dilemmas-and-review-strategies-manage-drug-shortages
    August 04, 2021 - Review Clinical dilemmas and a review of strategies to manage drug shortages. Citation Text: Rider AE, Templet DJ, Daley MJ, et al. Clinical dilemmas and a review of strategies to manage drug shortages. J Pharm Pract. 2013;26(3):183-91. doi:10.1177/0897190013482332. Copy Citation F…

  13. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet

    psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
    July 07, 2021 - Commentary Patient safety 2.0: slaying dragons, not just investigating them. Citation Text: Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. Copy Citation Format: DOI Google Schol…

  14. Physicians' practice of dispensing medicines: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
    November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…

  15. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). | PSNet

    psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
    January 13, 2010 - Study Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Citation Text: Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …

  16. ASHP guidelines on remote medication order processing. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    March 21, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

  17. Nurse-physician communication during labor and birth: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/nurse-physician-communication-during-labor-and-birth-implications-patient-safety
    October 28, 2009 - Study Nurse-physician communication during labor and birth: implications for patient safety. Citation Text: Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56. Copy Cit…

  18. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. | PSNet

    psnet.ahrq.gov/issue/improving-code-team-performance-and-survival-outcomes-implementation-pediatric-resuscitation
    November 21, 2007 - Study Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. Citation Text: Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. C…

  19. Lost in translation: medication labeling for immigrant families. | PSNet

    psnet.ahrq.gov/issue/lost-translation-medication-labeling-immigrant-families
    May 31, 2017 - Commentary Lost in translation: medication labeling for immigrant families. Citation Text: Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002. Copy Citation Forma…

  20. Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
    August 26, 2015 - Review Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Citation Text: Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. Copy Citati…
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