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Do medication samples jeopardize patient safety? | PSNet

psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety

November 16, 2022 - Study Do medication samples jeopardize patient safety? Citation Text: Franks AS, Ray S' M, Wallace LS, et al. Do medication samples jeopardize patient safety? Ann Pharmacother. 2009;43(1):51-6. doi:10.1345/aph.1L362. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Managing the care of patients discharged from home health: a quiet threat to patient safety? | PSNet

psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety

October 16, 2012 - Study Managing the care of patients discharged from home health: a quiet threat to patient safety? Citation Text: Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90. Copy Citation Format: …

"Tech-check-tech": a review of the evidence on its safety and benefits. | PSNet

psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits

September 23, 2020 - Review "Tech-check-tech": a review of the evidence on its safety and benefits. Citation Text: Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022. Copy Citation …

Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. | PSNet

psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk

May 16, 2018 - Book/Report Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Citation Text: Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…

Safety checklist compliance and a false sense of safety: new directions for research. | PSNet

psnet.ahrq.gov/issue/safety-checklist-compliance-and-false-sense-safety-new-directions-research

December 29, 2014 - Commentary Safety checklist compliance and a false sense of safety: new directions for research. Citation Text: Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-0021…

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. | PSNet

psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety

December 09, 2020 - Study Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. Citation Text: Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …

Incidence, staff awareness and mortality of patients at risk on general wards. | PSNet

psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards

November 15, 2023 - Study Incidence, staff awareness and mortality of patients at risk on general wards. Citation Text: Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…

The underappreciated role of habit in highly reliable healthcare. | PSNet

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April 25, 2016 - Commentary The underappreciated role of habit in highly reliable healthcare. Citation Text: Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512. Copy Citation Format: DOI Goog…

The limits of clinician vigilance as an AI safety bulwark. | PSNet

psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark

September 07, 2022 - Commentary The limits of clinician vigilance as an AI safety bulwark. Citation Text: Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620. Copy Citation Format: DOI G…

Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. | PSNet

psnet.ahrq.gov/issue/occupational-health-and-organizational-culture-within-healthcare-setting-challenges

December 08, 2021 - Book/Report Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. Citation Text: Occupational Health and Organizational Culture within a Healthcare Setting: Challenges, Complexities, and Dynamics. Tran Y, Ellis LA, Clay-Willia…

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. | PSNet

psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic

October 28, 2009 - Study Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Citation Text: Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…

Evaluation of an inpatient computerized medication reconciliation system. | PSNet

psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system

February 15, 2011 - Study Evaluation of an inpatient computerized medication reconciliation system. Citation Text: Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561. Copy C…

Patient safety in the NICU: a comprehensive review. | PSNet

psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review

September 12, 2016 - Review Patient safety in the NICU: a comprehensive review. Citation Text: Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-132. doi:10.1097/JPN.0b013e31821693b2. Copy Citation Format: DOI Google S…

National Patient Safety Agency: combining stories with statistics to minimise harm. | PSNet

psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm

November 18, 2020 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …

Administering and monitoring high-alert medications in acute care. | PSNet

psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care

February 01, 2017 - Commentary Administering and monitoring high-alert medications in acute care. Citation Text: Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. Copy Citation Format: DOI Google Scholar…

Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events

July 14, 2010 - Study Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. Citation Text: Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …

Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-responses-alleged-serious-events

February 18, 2009 - Government Resource Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Citation Text: Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspecto…

Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. | PSNet

psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals

October 16, 2012 - Government Resource Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Citation Text: Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January…

Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention

October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…

Operating room fires. | PSNet

psnet.ahrq.gov/issue/operating-room-fires

March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

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