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Errors in the medication process: frequency, type, and potential clinical consequences. | PSNet

psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences

July 21, 2021 - Study Errors in the medication process: frequency, type, and potential clinical consequences. Citation Text: Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22. Copy Citation …

A comparison of the effects of different typographical methods on the recognizability of printed drug names. | PSNet

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May 31, 2011 - Study A comparison of the effects of different typographical methods on the recognizability of printed drug names. Citation Text: Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of printed drug names. Drug Saf. 2014;37(5):351-9. doi:1…

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(…

The effects of bar-coding technology on medication errors: a systematic literature review. | PSNet

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March 20, 2024 - Review The effects of bar-coding technology on medication errors: a systematic literature review. Citation Text: Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…

Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. | PSNet

psnet.ahrq.gov/issue/managed-care-penetration-and-other-factors-affecting-computerized-physician-order-entry

October 06, 2011 - Study Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. Citation Text: Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…

Resident physicians' advice seeking and error making: a social networks approach. | PSNet

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July 13, 2010 - Study Resident physicians' advice seeking and error making: a social networks approach. Citation Text: Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333. …

Costs associated with surgical site infections in Veterans Affairs hospitals. | PSNet

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June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …

Using an MET service to manage hemorrhage post-percutaneous liver biopsy. | PSNet

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January 05, 2017 - Study Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Citation Text: Jones D, Bellomo R, Leong T. Using an MET service to manage hemorrhage post-percutaneous liver biopsy. Jt Comm J Qual Patient Saf. 2006;32(8):459-62, 417. Copy Citation Format: Go…

What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

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November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

Please reconcile, not wait a while. | PSNet

psnet.ahrq.gov/issue/please-reconcile-not-wait-while

April 19, 2023 - Commentary Please reconcile, not wait a while. Citation Text: Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. Copy Citation Format: DOI Google Scholar BibTe…

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…

Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? | PSNet

psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal

January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…

Abdominal pain in the emergency department: missed diagnoses. | PSNet

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September 16, 2020 - Commentary Abdominal pain in the emergency department: missed diagnoses. Citation Text: Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005. Copy Citation Format: …

Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. | PSNet

psnet.ahrq.gov/issue/patient-safety-numerical-skills-and-drug-calculation-abilities-nursing-students-and

July 08, 2020 - Study Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. Citation Text: McMullan M, Jones R, Lea S. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. J Adv Nurs. 2010;66(4). …

Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure

August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet

psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases

June 19, 2019 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

Rapid response systems in the Netherlands. | PSNet

psnet.ahrq.gov/issue/rapid-response-systems-netherlands

November 20, 2015 - Study Rapid response systems in the Netherlands. Citation Text: Ludikhuize J, Hamming A, De Jonge E, et al. Rapid Response Systems in the Netherlands. Jt Comm J Qual Patient Saf. 2016;37(3):138-149. doi:10.1016/s1553-7250(11)37017-1. Copy Citation Format: DOI Google Schol…

Development of an instrument to measure the unintended consequences of EHRs. | PSNet

psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs

June 22, 2011 - Commentary Development of an instrument to measure the unintended consequences of EHRs. Citation Text: Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/019394591557608…

Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet

psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales

August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making

June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

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