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The "physician-led chart audit": engaging providers in fortifying a culture of safety. | PSNet

psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety

November 20, 2013 - Study The "physician-led chart audit": engaging providers in fortifying a culture of safety. Citation Text: Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Barcode medication administration software technology use in the emergency department and medication error rates. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication

November 04, 2015 - Study Barcode medication administration software technology use in the emergency department and medication error rates. Citation Text: Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency department and medication error rates. Comput Inform Nurs.…

Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. | PSNet

psnet.ahrq.gov/issue/teamwork-and-team-performance-multidisciplinary-cancer-teams-development-and-evaluation

August 11, 2010 - Study Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. Citation Text: Lamb BW, Vincent CA, Green JSA, et al. Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an…

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff

December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

The safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel. | PSNet

psnet.ahrq.gov/issue/safety-stand-down-technique-improving-and-sustaining-hand-hygiene-compliance-among-health

August 01, 2018 - Study The safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel. Citation Text: Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and Sustaining Hand Hygiene Compliance Among Health Care …

Making infection prevention and control everyone's business? Hospital staff views on patient involvement. | PSNet

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April 29, 2015 - Study Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Citation Text: Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…

Implementation of safety checklists in surgery: a realist synthesis of evidence. | PSNet

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November 20, 2015 - Review Implementation of safety checklists in surgery: a realist synthesis of evidence. Citation Text: Gillespie BM, Marshall AP. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015;10:137. doi:10.1186/s13012-015-0319-9. Copy Citation …

Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

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August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklists-childrens-surgery-surgeons-attitudes-and-review-literature

October 23, 2019 - Study Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature. Citation Text: Roybal J, Tsao KJ, Rangel S, et al. Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature. Pediatr Qual Saf. 2018;3(5):e10…

Framing patient safety initiatives: working model and case example. | PSNet

psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example

April 05, 2017 - Commentary Framing patient safety initiatives: working model and case example. Citation Text: Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204. Copy Citation Format: Google Scholar PubMed B…

Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet

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July 14, 2010 - Commentary Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. Citation Text: Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…

Wear face masks with no metal during MRI exams. | PSNet

psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams

April 08, 2020 - Press Release/Announcement Wear face masks with no metal during MRI exams. Citation Text: Wear face masks with no metal during MRI exams. FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. Copy Citation …

Patient-centered prescription opioid tapering in community outpatients with chronic pain. | PSNet

psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain

May 17, 2017 - Study Emerging Classic Patient-centered prescription opioid tapering in community outpatients with chronic pain. Citation Text: Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…

An initiative to improve the management of clinically significant test results in a large health care network. | PSNet

psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network

November 26, 2014 - Study An initiative to improve the management of clinically significant test results in a large health care network. Citation Text: Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …

Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. | PSNet

psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles

September 02, 2015 - Study Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. Citation Text: Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.…

2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. | PSNet

psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy

February 15, 2023 - Commentary 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. Citation Text: Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…

Patient falls while under supervision: trends from incident reporting. | PSNet

psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting

January 11, 2023 - Study Patient falls while under supervision: trends from incident reporting. Citation Text: Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. Copy Citation Format: DOI Google S…

Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. | PSNet

psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare

September 24, 2018 - Review Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. Citation Text: Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and health…

Health care worker fatigue. | PSNet

psnet.ahrq.gov/issue/health-care-worker-fatigue

July 08, 2020 - Commentary Health care worker fatigue. Citation Text: Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

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