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Mary Lanning Memorial Hospital: communication is key. | PSNet

psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key

July 16, 2015 - Award Recipient Mary Lanning Memorial Hospital: communication is key. Citation Text: Lindblad B, Chilcott J, Rolls L. Mary Lanning Memorial Hospital: communication is key. Joint Commission journal on quality and safety. 2004;30(10):551-8. Copy Citation Format: Google Schola…

Eliminating perioperative adverse events at Ascension Health. | PSNet

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November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. | PSNet

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August 16, 2017 - Commentary Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. Citation Text: Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary m…

Munson Medical Center: embedding a culture of safety and QI into the organization. | PSNet

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March 20, 2024 - Commentary Munson Medical Center: embedding a culture of safety and QI into the organization. Citation Text: Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70. Copy Citation Format: …

Checklists to prevent diagnostic errors: a pilot randomized controlled trial. | PSNet

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October 12, 2016 - Study Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Citation Text: Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008. Copy Citation Format: …

Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. | PSNet

psnet.ahrq.gov/issue/development-training-program-bar-code-assisted-medication-administration-inpatient-pharmacy

September 22, 2021 - Commentary Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. Citation Text: Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010…

Using standardized OR checklists and creating extended time-out checklists. | PSNet

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February 15, 2011 - Commentary Using standardized OR checklists and creating extended time-out checklists. Citation Text: Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. Copy Citation Format: …

Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. | PSNet

psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large

January 16, 2019 - Study Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Citation Text: Sacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a…

Decimal numbers and safe interpretation of clinical pathology results. | PSNet

psnet.ahrq.gov/issue/decimal-numbers-and-safe-interpretation-clinical-pathology-results

July 16, 2014 - Study Decimal numbers and safe interpretation of clinical pathology results. Citation Text: Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865. Copy Citation …

Single-patient rooms for safe patient-centered hospitals. | PSNet

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April 01, 2016 - Commentary Single-patient rooms for safe patient-centered hospitals. Citation Text: Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. | PSNet

psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors

October 09, 2013 - Press Release/Announcement Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. Citation Text: Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. …

Nurse prescribing: reflections on safety in practice. | PSNet

psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice

June 21, 2017 - Study Nurse prescribing: reflections on safety in practice. Citation Text: Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

Shifting the learning curve. | PSNet

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March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. | PSNet

psnet.ahrq.gov/issue/colonoscopic-withdrawal-times-and-adenoma-detection-during-screening-colonoscopy

March 19, 2019 - Study Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. Citation Text: Barclay RL, Vicari JJ, Doughty AS, et al. Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N Engl J Med. 2006;355(24):2533-41. Copy Citation For…

Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes. | PSNet

psnet.ahrq.gov/issue/practical-application-high-reliability-principles-healthcare-optimize-quality-and-safety

August 14, 2024 - Commentary Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes. Citation Text: Oster CA, Deakins S. Practical Application of High-Reliability Principles in Healthcare to Optimize Quality and Safety Outcomes. J Nurs Admin. 2017;48(1):…

Accident prevention in day-to-day clinical radiation therapy practice. | PSNet

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February 07, 2018 - Commentary Accident prevention in day-to-day clinical radiation therapy practice. Citation Text: Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001. Copy Citation Format: DOI Google…

Emergency medical and health providers' perceptions of key issues in prehospital patient safety. | PSNet

psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety

January 11, 2017 - Study Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Citation Text: Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. | PSNet

psnet.ahrq.gov/issue/influence-tall-man-lettering-errors-visual-perception-recognition-written-drug-names

December 19, 2017 - Study The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Citation Text: Darker IT, Gerret D, Filik R, et al. The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Ergono…

Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet

psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame

February 02, 2022 - Newspaper/Magazine Article Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Citation Text: Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…

Team training: implications for emergency and critical care pediatrics. | PSNet

psnet.ahrq.gov/issue/team-training-implications-emergency-and-critical-care-pediatrics

May 18, 2016 - Review Team training: implications for emergency and critical care pediatrics. Citation Text: Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3. Copy Citation …

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