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Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. | PSNet

psnet.ahrq.gov/issue/reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order

June 19, 2024 - Study Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. Citation Text: Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.…

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. | PSNet

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;…

Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. | PSNet

psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias

May 19, 2021 - Review Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Citation Text: Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…

Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. | PSNet

psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health

January 30, 2019 - Study Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. Citation Text: Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psych…

Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. | PSNet

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…

Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. | PSNet

psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative

August 04, 2021 - Study Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. Citation Text: Hon HH, Elmously A, Stehly CD, et al. Inappropriate preinjury warfarin use in trauma patients: A call for a safety initiative. J Postgrad Med. 2016;62(2):73-9. doi:10.4103/0022-3…

Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. | PSNet

psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information

December 18, 2014 - Study Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. Citation Text: Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…

Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. | PSNet

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…

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. | PSNet

psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national

July 16, 2008 - Study Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U, Taylor RJ. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the U…

Active surveillance of vaccine safety: a system to detect early signs of adverse events. | PSNet

psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events

March 29, 2010 - Study Active surveillance of vaccine safety: a system to detect early signs of adverse events. Citation Text: Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. Copy Citation …

Exploring organizational context and structure as predictors of medication errors and patient falls. | PSNet

psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls

January 22, 2020 - Study Exploring organizational context and structure as predictors of medication errors and patient falls. Citation Text: Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …

Development of a trigger tool to identify adverse events and harm in emergency medical services. | PSNet

psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services

August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…

Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. | PSNet

psnet.ahrq.gov/issue/clinical-outcomes-and-mortality-associated-weekend-admission-psychiatric-hospital

September 23, 2020 - Study Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Citation Text: Patel R, Chesney E, Cullen AE, et al. Clinical outcomes and mortality associated with weekend admission to psychiatric hospital. Br J Psychiatry. 2016;209(1):29-34. doi:10.1192…

Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. | PSNet

psnet.ahrq.gov/issue/working-influenza-illness-presenteeism-among-us-health-care-personnel-during-2014-2015

July 19, 2023 - Study Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. Citation Text: Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza sea…

Using the rapid response system to provide better oversight of patient care processes. | PSNet

psnet.ahrq.gov/issue/using-rapid-response-system-provide-better-oversight-patient-care-processes

January 07, 2015 - Commentary Using the rapid response system to provide better oversight of patient care processes. Citation Text: Moore MS, Howard SK, Lighthall GK. Using the rapid response system to provide better oversight of patient care processes. Jt Comm J Qual Patient Saf. 2007;33(11):695-8, 645. …

Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring

August 11, 2010 - Review Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. Citation Text: Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…

Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes. | PSNet

psnet.ahrq.gov/issue/graduating-pediatrics-residents-reports-impact-fatigue-over-past-decade-duty-hour-changes

July 21, 2010 - Study Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes. Citation Text: Schumacher DJ, Frintner MP, Winn A, et al. Graduating Pediatrics Residents' Reports on the Impact of Fatigue Over the Past Decade of Duty Hour Changes. Acad P…

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation-patient

November 30, 2016 - Study Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities. Citation Text: Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities…

Debunking the myth that the majority of medical errors are attributed to communication. | PSNet

psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication

February 14, 2024 - Journal Article Debunking the myth that the majority of medical errors are attributed to communication. Citation Text: Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. Copy C…

Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-initiate-endoscopic-evaluation-colorectal-cancer-diagnosis

February 15, 2011 - Study Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Citation Text: Singh H, Daci K, Petersen L, et al. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Am J Gastroenterol. 2009;104(10):2543-2554. doi:10.103…

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