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  1. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
    April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

  2. Designing Consumer Reporting Systems for Patient Safety Events: Project Overview (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
    July 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Project Overview Advancing Excellence in Health Care • www.ahrq.gov Agency for Healthcare Research and Quality PATIENT SAFETY Designing Consumer Reporting Systems for Patient Safety Events Background It’s been nearly a decade since the Institute of M…

  3. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening
    August 18, 2010 - Study Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Citation Text: van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…

  4. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. | PSNet

    psnet.ahrq.gov/issue/electronic-medical-record-balancing-act-patient-safety-privacy-and-health-care-delivery
    December 21, 2014 - Review Electronic medical record: a balancing act of patient safety, privacy and health care delivery. Citation Text: Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243.…

  5. FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pumps-intrathecal-administration-medicines
    June 20, 2018 - Press Release/Announcement FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. Citation Text: FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management…

  6. ASHP guidelines on perioperative pharmacy services. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
    December 21, 2014 - Review ASHP guidelines on perioperative pharmacy services. Citation Text: Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. Copy Citation Format: DOI Google Sc…

  7. An IDEA: safety training to improve critical thinking by individuals and teams. | PSNet

    psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams
    May 25, 2016 - Commentary An IDEA: safety training to improve critical thinking by individuals and teams. Citation Text: Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/106286061882068…

  8. Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet

    psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
    April 03, 2024 - Commentary Using medicolegal data to support safe medical care: a contributing factor coding framework. Citation Text: McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…

  9. Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. | PSNet

    psnet.ahrq.gov/issue/psychometric-properties-hospital-survey-patient-safety-culture-findings-uk
    March 22, 2023 - Study Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. Citation Text: Waterson P, Griffiths P, Stride C, et al. Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. Qual Saf Health Care. 2010;19(5…

  10. Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet

    psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
    July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…

  11. In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
    March 13, 2013 - Review In-facility delirium programs as a patient safety strategy: a systematic review. Citation Text: Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158…

  12. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

    psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient
    April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…

  13. Who makes prescribing decisions in hospital inpatients? An observational study. | PSNet

    psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
    January 30, 2013 - Study Who makes prescribing decisions in hospital inpatients? An observational study. Citation Text: Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…

  14. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

    psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…

  15. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet

    psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
    July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…

  16. Improving Weekend Out Of Hours Surgical Handover (WOOSH). | PSNet

    psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
    May 27, 2011 - Commentary Improving Weekend Out Of Hours Surgical Handover (WOOSH). Citation Text: Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. Copy Citation Format: DOI G…

  17. Implementing human factors in clinical practice. | PSNet

    psnet.ahrq.gov/issue/implementing-human-factors-clinical-practice
    June 28, 2023 - Study Implementing human factors in clinical practice. Citation Text: Timmons S, Baxendale B, Buttery A, et al. Implementing human factors in clinical practice. Emerg Med J. 2015;32(5):368-72. doi:10.1136/emermed-2013-203203. Copy Citation Format: DOI Google Scholar PubMed …

  18. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
    June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…

  19. PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. | PSNet

    psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
    November 16, 2022 - Study PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. Citation Text: Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…

  20. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
    January 07, 2015 - Study E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Citation Text: Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…
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