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Reducing pediatric medication errors: children are especially at risk for medication errors. | PSNet

psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors

May 18, 2022 - Commentary Reducing pediatric medication errors: children are especially at risk for medication errors. Citation Text: Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim. Cop…

Critical incident reporting system in emergency medicine. | PSNet

psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine

August 07, 2019 - Review Critical incident reporting system in emergency medicine. Citation Text: Kram R. Critical incident reporting system in emergency medicine. Curr Opin Anaesthesiol. 2008;21(2):240-244. doi:10.1097/ACO.0b013e3282f60d82. Copy Citation Format: DOI Google Scholar PubMed …

Excessive work hours of physicians in training in El Salvador: putting patients at risk. | PSNet

psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk

August 04, 2021 - Commentary Excessive work hours of physicians in training in El Salvador: putting patients at risk. Citation Text: Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205. Copy Citation Format: Google S…

Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. | PSNet

psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link

May 28, 2014 - Study Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. Citation Text: Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…

Patterns in outpatient benzodiazepine prescribing in the United States. | PSNet

psnet.ahrq.gov/issue/patterns-outpatient-benzodiazepine-prescribing-united-states

September 20, 2011 - Study Patterns in outpatient benzodiazepine prescribing in the United States. Citation Text: Agarwal SD, Landon BE. Patterns in Outpatient Benzodiazepine Prescribing in the United States. JAMA Netw Open. 2019;2(1):e187399. doi:10.1001/jamanetworkopen.2018.7399. Copy Citation Format…

Momentary interruptions can derail the train of thought. | PSNet

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May 18, 2022 - Study Momentary interruptions can derail the train of thought. Citation Text: Altmann EM, Trafton G, Hambrick DZ. Momentary interruptions can derail the train of thought. J Exp Psychol Gen. 2014;143(1):215-26. doi:10.1037/a0030986. Copy Citation Format: DOI Google Scholar P…

Impact of nurse peer review on a culture of safety. | PSNet

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November 29, 2023 - Commentary Impact of nurse peer review on a culture of safety. Citation Text: Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. Copy Citation Format: DOI Google Scholar PubMed …

Bullying of junior doctors prevails in Irish health system: a bitter reality. | PSNet

psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality

July 15, 2020 - Study Bullying of junior doctors prevails in Irish health system: a bitter reality. Citation Text: Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275. Copy Citation Format: Google…

Personalised performance feedback reduces narcotic prescription errors in a NICU. | PSNet

psnet.ahrq.gov/issue/personalised-performance-feedback-reduces-narcotic-prescription-errors-nicu

July 13, 2010 - Study Personalised performance feedback reduces narcotic prescription errors in a NICU. Citation Text: Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. C…

Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers. | PSNet

psnet.ahrq.gov/issue/social-and-environmental-conditions-creating-fluctuating-agency-safety-two-urban-academic

August 12, 2019 - Study Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers. Citation Text: Lyndon A. Social and environmental conditions creating fluctuating agency for safety in two urban academic birth centers. J Obstet Gynecol Neonatal Nurs…

Patient involvement in patient safety: what factors influence patient participation and engagement? | PSNet

psnet.ahrq.gov/issue/patient-involvement-patient-safety-what-factors-influence-patient-participation-and

February 15, 2013 - Review Patient involvement in patient safety: what factors influence patient participation and engagement? Citation Text: Davis R, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect. 2007;10(3)…

On-site pharmacists in the ED improve medical errors. | PSNet

psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors

July 19, 2023 - Study On-site pharmacists in the ED improve medical errors. Citation Text: Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002. Copy Citation Format: DOI Google Scho…

The contribution of sociotechnical factors to health information technology–related sentinel events. | PSNet

psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events

September 18, 2024 - Study The contribution of sociotechnical factors to health information technology–related sentinel events. Citation Text: Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2…

Preventing medication errors in the information age. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors-information-age

February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

Reducing medication errors and improving systems reliability using an electronic medication reconciliation system. | PSNet

psnet.ahrq.gov/issue/reducing-medication-errors-and-improving-systems-reliability-using-electronic-medication

January 09, 2013 - Study Reducing medication errors and improving systems reliability using an electronic medication reconciliation system. Citation Text: Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commissio…

Some unintended effects of teamwork in healthcare. | PSNet

psnet.ahrq.gov/issue/some-unintended-effects-teamwork-healthcare

July 02, 2008 - Study Some unintended effects of teamwork in healthcare. Citation Text: Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Soc Sci Med. 2010;70(8):1148-54. doi:10.1016/j.socscimed.2009.12.025. Copy Citation Format: DOI Google Scholar PubMed B…

Electronic prescribing systems in pediatrics: the rationale and functionality requirements. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements

November 25, 2013 - Organizational Policy/Guidelines Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Citation Text: Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Pediatrics. 200…

Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. | PSNet

psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting

January 02, 2017 - Commentary Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. Citation Text: Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…

Eliminating perioperative adverse events at Ascension Health. | PSNet

psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health

November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. | PSNet

psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion

January 12, 2022 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Citation Text: Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12. Cop…

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