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Managing medication errors—a qualitative study. | PSNet

psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study

December 06, 2023 - Study Managing medication errors—a qualitative study. Citation Text: Stetina P, Groves M, Pafford L. Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

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July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. | PSNet

psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data

January 06, 2017 - Study Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. Citation Text: Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. Copy Citati…

Geometric probability distribution for modeling of error risk during prescription dispensing. | PSNet

psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing

December 24, 2008 - Study Geometric probability distribution for modeling of error risk during prescription dispensing. Citation Text: Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…

Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams. | PSNet

psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional

January 15, 2025 - Commentary Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams. Citation Text: Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…

Impact of organizations on healthcare-associated infections. | PSNet

psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections

December 11, 2024 - Commentary Impact of organizations on healthcare-associated infections. Citation Text: Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. Copy Citation Format: DOI Googl…

Prioritizing threats to patient safety in rural primary care. | PSNet

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April 23, 2014 - Study Prioritizing threats to patient safety in rural primary care. Citation Text: Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. | PSNet

psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine

February 24, 2021 - Commentary Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. Citation Text: Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Inter…

The problem with incident reporting. | PSNet

psnet.ahrq.gov/issue/problem-incident-reporting

February 28, 2024 - Commentary The problem with incident reporting. Citation Text: Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

Medical Device Use Error: Root Cause Analysis. | PSNet

psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis

January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. Copy Citation Save Save to your library Print Down…

Using medical-error reporting to drive patient safety efforts. | PSNet

psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts

September 18, 2024 - Commentary Using medical-error reporting to drive patient safety efforts. Citation Text: Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

Keeping Patients Safe: Transforming the Work Environment of Nurses. | PSNet

psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses

July 05, 2016 - Book/Report Classic Keeping Patients Safe: Transforming the Work Environment of Nurses. Citation Text: Keeping Patients Safe: Transforming the Work Environment of Nurses. Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Healt…

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. | PSNet

psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america

July 08, 2016 - Book/Report Classic Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Citation Text: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committe…

Preventing unintended retained foreign objects. | PSNet

psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects

January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet

psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs

September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018

February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…

NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. | PSNet

psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid-19-qualitative-analysis-concerns-during-public

February 15, 2023 - Book/Report NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Citation Text: NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. Rockvil…

National Healthcare Quality and Disparities Report Chartbook on Patient Safety. | PSNet

psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0

May 02, 2017 - Book/Report National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Citation Text: National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. Cop…

Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records

January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

Support methods for healthcare professionals who are second victims: an integrative review. | PSNet

psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review

April 27, 2022 - Review Support methods for healthcare professionals who are second victims: an integrative review. Citation Text: Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196. Copy Cit…

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