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  1. Improving medication management through the redesign of the hospital code cart medication drawer. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
    October 31, 2018 - Study Improving medication management through the redesign of the hospital code cart medication drawer. Citation Text: Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…

  2. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. | PSNet

    psnet.ahrq.gov/issue/team-training-neonatal-resuscitation-program-interns-teamwork-and-quality-resuscitations
    November 16, 2022 - Study Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Citation Text: Thomas EJ, Williams AL, Reichman EF, et al. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Pediatrics.…

  3. Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. | PSNet

    psnet.ahrq.gov/issue/understanding-test-results-follow-ambulatory-setting-analysis-multiple-perspectives
    May 20, 2019 - Study Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. Citation Text: Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44…

  4. How are medication errors defined? A systematic literature review of definitions and characteristics. | PSNet

    psnet.ahrq.gov/issue/how-are-medication-errors-defined-systematic-literature-review-definitions-and
    May 30, 2012 - Review How are medication errors defined? A systematic literature review of definitions and characteristics. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How are medication errors defined? A systematic literature review of definitions and characteristics. International Journal f…

  5. Improving end of life care: an information systems approach to reducing medical errors. | PSNet

    psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
    November 04, 2015 - Study Improving end of life care: an information systems approach to reducing medical errors. Citation Text: Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104. Copy C…

  6. An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
    March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

  7. Does user-centred design affect the efficiency, usability and safety of CPOE order sets? | PSNet

    psnet.ahrq.gov/issue/does-user-centred-design-affect-efficiency-usability-and-safety-cpoe-order-sets
    October 31, 2011 - Study Does user-centred design affect the efficiency, usability and safety of CPOE order sets? Citation Text: Chan J, Shojania KG, Easty AC, et al. Does user-centred design affect the efficiency, usability and safety of CPOE order sets? J Am Med Inform Assoc. 2011;18(3):276-81. doi:10.…

  8. Usability evaluation of order sets in a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/usability-evaluation-order-sets-computerized-provider-order-entry-system
    May 04, 2011 - Study Usability evaluation of order sets in a computerized provider order entry system. Citation Text: Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021…

  9. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within
    February 08, 2017 - Study A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Citation Text: Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…

  10. Safe care for pediatric patients: a scoping review across multiple health care settings. | PSNet

    psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings
    August 03, 2022 - Review Safe care for pediatric patients: a scoping review across multiple health care settings. Citation Text: Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.11…

  11. Medication dosing errors for patients with renal insufficiency in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/medication-dosing-errors-patients-renal-insufficiency-ambulatory-care
    July 31, 2008 - Study Medication dosing errors for patients with renal insufficiency in ambulatory care. Citation Text: Yap C, Dunham D, Thompson JA, et al. Medication Dosing Errors for Patients with Renal Insufficiency in Ambulatory Care. The Joint Commission Journal on Quality and Patient Safety. 2016…

  12. The efficacy of computer-enabled discharge communication interventions: a systematic review. | PSNet

    psnet.ahrq.gov/issue/efficacy-computer-enabled-discharge-communication-interventions-systematic-review
    November 16, 2022 - Review The efficacy of computer-enabled discharge communication interventions: a systematic review. Citation Text: Motamedi SM, Posadas-Calleja J, Straus SE, et al. The efficacy of computer-enabled discharge communication interventions: a systematic review. BMJ Qual Saf. 2011;20(5):403…

  13. The ins and outs of change of shift handoffs between nurses: a communication challenge. | PSNet

    psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge
    October 19, 2022 - Study The ins and outs of change of shift handoffs between nurses: a communication challenge. Citation Text: Carroll JS, Williams M, Gallivan TM. The ins and outs of change of shift handoffs between nurses: a communication challenge. BMJ Qual Saf. 2012;21(7):586-93. doi:10.1136/bmjqs-2…

  14. Assessment of a simulated case-based measurement of physician diagnostic performance. | PSNet

    psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
    May 20, 2019 - Study Assessment of a simulated case-based measurement of physician diagnostic performance. Citation Text: Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…

  15. Communicating critical test results: safe practice recommendations. | PSNet

    psnet.ahrq.gov/issue/communicating-critical-test-results-safe-practice-recommendations
    June 13, 2011 - Study Communicating critical test results: safe practice recommendations. Citation Text: Hanna D, Griswold P, Leape L, et al. Communicating critical test results: safe practice recommendations. Jt Comm J Qual Patient Saf. 2005;31(2):68-80. Copy Citation Format: Google Schol…

  16. Improving safety in the operating room: a systematic literature review of retained surgical sponges. | PSNet

    psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges
    March 05, 2025 - Review Improving safety in the operating room: a systematic literature review of retained surgical sponges. Citation Text: Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…

  17. Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. | PSNet

    psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among
    July 18, 2016 - Study Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. Citation Text: Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…

  18. Patient safety and quality improvement: reducing risk of harm. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
    November 15, 2011 - Review Patient safety and quality improvement: reducing risk of harm. Citation Text: Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. Copy Citation Format: DOI Google Scholar Pu…

  19. Adverse events detected by clinical surveillance on an obstetric service. | PSNet

    psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
    September 11, 2009 - Study Adverse events detected by clinical surveillance on an obstetric service. Citation Text: Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83. Copy Citation Format: Google…

  20. Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - Study Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. Citation Text: Lai JS, Yokoyama G, Louie C, et al. Impact of Computerized Prescriber Order Entry (CPOE) on Clinical Pharmacy Practice: A Hypothesis-Generating Study. H…
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