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  1. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. | PSNet

    psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
    March 24, 2021 - Commentary Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Citation Text: Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36. Copy Citation Format: …

  2. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

  3. Safe medication management at ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
    December 14, 2016 - Commentary Safe medication management at ambulatory surgery centers. Citation Text: Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  4. The pharmacist-physician relationship in the detection of ambulatory medication errors. | PSNet

    psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors
    September 30, 2020 - Study The pharmacist-physician relationship in the detection of ambulatory medication errors. Citation Text: Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24. Copy Citation Fo…

  5. Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED. | PSNet

    psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
    October 19, 2022 - Commentary Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED. Citation Text: Gottlieb LK, Stone EM, Stone D, et al. Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. Health Aff. 2005;…

  6. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. | PSNet

    psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
    August 30, 2023 - Commentary Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Citation Text: Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad…

  7. Sidelining safety — the FDA's inadequate response to the IOM. | PSNet

    psnet.ahrq.gov/issue/sidelining-safety-fdas-inadequate-response-iom
    November 13, 2009 - Commentary Sidelining safety — the FDA's inadequate response to the IOM. Citation Text: Smith SW. Sidelining safety--the FDA's inadequate response to the IOM. N Engl J Med. 2007;357(10):960-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  8. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. | PSNet

    psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent
    July 15, 2009 - Commentary Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. Citation Text: Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…

  9. Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. | PSNet

    psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci
    April 15, 2015 - Commentary Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. Citation Text: Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…

  10. Variation in medication information for elderly patients during initial interventions by emergency department physicians. | PSNet

    psnet.ahrq.gov/issue/variation-medication-information-elderly-patients-during-initial-interventions-emergency
    October 20, 2021 - Study Variation in medication information for elderly patients during initial interventions by emergency department physicians. Citation Text: Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during initial interventions by emergency d…

  11. Speaking up—when doctors navigate medical hierarchy. | PSNet

    psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
    August 19, 2020 - Commentary Speaking up—when doctors navigate medical hierarchy. Citation Text: Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  12. Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. | PSNet

    psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient
    February 03, 2011 - Commentary Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. Citation Text: Staveski S, Leong K, Graham K, et al. Nursing Mortality and Morbidity and Journal Club Cycles. AACN Adv Crit Care. 2012;2…

  13. Retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - Study Retained foreign bodies after surgery. Citation Text: Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  14. Apparent cause analysis: a safety tool. | PSNet

    psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
    June 27, 2018 - Study Apparent cause analysis: a safety tool. Citation Text: Parikh K, Hochberg E, Cheng JJ, et al. Apparent cause analysis: a safety tool. Pediatrics. 2020;145(5):e20191819. doi:10.1542/peds.2019-1819. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

  15. One hospital's initiatives to encourage safe opioid use. | PSNet

    psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
    October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

  16. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
    July 03, 2014 - Study Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. Citation Text: Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6). doi:10…

  17. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet

    psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
    August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

  18. Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? | PSNet

    psnet.ahrq.gov/issue/improving-sleep-hygiene-medical-interns-can-sleep-alertness-and-fatigue-education-residency
    February 03, 2011 - Study Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? Citation Text: Arora V, Georgitis E, Woodruff JN, et al. Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency…

  19. Handing over patient care: is it just the old broken telephone game? | PSNet

    psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
    March 01, 2017 - Study Handing over patient care: is it just the old broken telephone game? Citation Text: Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. Copy Citation Form…

  20. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. | PSNet

    psnet.ahrq.gov/issue/determining-patients-comfort-inquiring-about-healthcare-providers-hand-washing-behavior
    September 03, 2011 - Study Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. Citation Text: Clare CA, Afzal O, Knapp K, et al. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. J Patient Saf. 2013;9(2):68-74. doi:10.…
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