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  1. The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

    psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department
    November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

  2. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

    psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
    August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

  3. Operating room organization and surgical performance: a systematic review. | PSNet

    psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
    March 05, 2025 - Review Operating room organization and surgical performance: a systematic review. Citation Text: Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. Copy Cit…

  4. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study
    December 30, 2014 - Study An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. Citation Text: Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. …

  5. Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

    psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
    November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

  6. 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…

  7. 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.…

  8. 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…

  9. 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.…

  10. 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…

  11. A case of the birth and death of a high reliability healthcare organisation. | PSNet

    psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
    June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation. Citation Text: Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. Copy Citation Format:…

  12. Optimizing situation awareness to reduce emergency transfers in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/optimizing-situation-awareness-reduce-emergency-transfers-hospitalized-children
    January 19, 2022 - Study Optimizing situation awareness to reduce emergency transfers in hospitalized children. Citation Text: Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2…

  13. Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet

    psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
    March 16, 2022 - Commentary Qualitative content analysis: a framework for the substantive review of hospital incident reports. Citation Text: Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/…

  14. Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. | PSNet

    psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
    December 29, 2014 - Study Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. Citation Text: Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …

  15. Relationship between quality of care and negligence litigation in nursing homes. | PSNet

    psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes
    September 07, 2011 - Study Relationship between quality of care and negligence litigation in nursing homes. Citation Text: Studdert DM, Spittal MJ, Mello MM, et al. Relationship between quality of care and negligence litigation in nursing homes. N Engl J Med. 2011;364(13):1243-1250. doi:10.1056/nejmsa100933…

  16. Fentanyl transdermal system (marketed as Duragesic) information. | PSNet

    psnet.ahrq.gov/issue/safety-warnings-regarding-use-fentanyl-transdermal-skin-patches
    August 12, 2015 - Government Resource Fentanyl transdermal system (marketed as Duragesic) information. Citation Text: Fentanyl transdermal system (marketed as Duragesic) information. US Food and Drug Administration. MedWatch. July 10, 2015. Copy Citation Save Save to your library…

  17. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review
    February 14, 2024 - Review Evaluation of outpatient computerized physician medication order entry systems: a systematic review. Citation Text: Eslami S, Abu-Hanna A, de Keizer NF. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. J Am Med Inform Assoc. 20…

  18. Evidence-based organization and patient safety strategies in European hospitals. | PSNet

    psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
    January 20, 2016 - Study Evidence-based organization and patient safety strategies in European hospitals. Citation Text: Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…

  19. Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

    psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
    February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

  20. The influence of bullying on nursing practice errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
    January 30, 2019 - Review The influence of bullying on nursing practice errors: a systematic review. Citation Text: Johnson AH, Benham‐Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923. Copy Citation Format: DOI …
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