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Incidence of medication errors and adverse drug events in the ICU: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review

October 16, 2019 - Review Incidence of medication errors and adverse drug events in the ICU: a systematic review. Citation Text: Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…

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…

Improving quality through effective implementation of information technology in healthcare. | PSNet

psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare

October 17, 2016 - Study Improving quality through effective implementation of information technology in healthcare. Citation Text: Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…

Algorithmic prediction of failure modes in healthcare. | PSNet

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September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…

Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit

May 31, 2023 - Study Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis. Citation Text: Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…

Understanding medical errors and adverse events in ICU patients. | PSNet

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March 20, 2015 - Commentary Understanding medical errors and adverse events in ICU patients. Citation Text: Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. Copy Citation F…

Competence and certification of registered nurses and safety of patients in intensive care units. | PSNet

psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units

May 01, 2006 - Study Competence and certification of registered nurses and safety of patients in intensive care units. Citation Text: Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…

Communication about harm reduction with patients who have opioid use disorder. | PSNet

psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder

January 02, 2017 - Commentary Communication about harm reduction with patients who have opioid use disorder. Citation Text: Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307. Copy Citation Form…

Opioid medication discontinuation and risk of adverse opioid-related health care events. | PSNet

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November 16, 2022 - Study Classic Opioid medication discontinuation and risk of adverse opioid-related health care events. Citation Text: Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…

Managing and mitigating conflict in healthcare teams: an integrative review. | PSNet

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July 19, 2023 - Review Managing and mitigating conflict in healthcare teams: an integrative review. Citation Text: Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. Copy Citati…

Measuring to improve medication reconciliation in a large subspecialty outpatient practice. | PSNet

psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice

February 02, 2011 - Study Measuring to improve medication reconciliation in a large subspecialty outpatient practice. Citation Text: Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…

Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based

October 19, 2022 - Study Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. Citation Text: Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…

Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. | PSNet

psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease

December 21, 2022 - Press Release/Announcement Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention. Citation Text: Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …

Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. | PSNet

psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system

January 12, 2022 - Commentary Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Citation Text: Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patien…

Hospital and procedure incidence of pediatric retained surgical items. | PSNet

psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items

December 02, 2020 - Study Hospital and procedure incidence of pediatric retained surgical items. Citation Text: Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. Copy Citation Format:…

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. | PSNet

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December 16, 2011 - Study Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. Citation Text: Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …

Perceived value of ward-based pharmacists from the perspective of physicians and nurses. | PSNet

psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses

February 15, 2011 - Study Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Citation Text: Gillespie U, Mörlin C, Hammarlund-Udenaes M, et al. Perceived value of ward-based pharmacists from the perspective of physicians and nurses. Int J Clin Pharm. 2012;34(1):127-35…

Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. | PSNet

psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses

July 05, 2017 - Commentary Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. Citation Text: Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…

The effect of evidence in crisis learning: based on a perspective integration framework. | PSNet

psnet.ahrq.gov/issue/effect-evidence-crisis-learning-based-perspective-integration-framework

March 24, 2019 - Commentary The effect of evidence in crisis learning: based on a perspective integration framework. Citation Text: Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…

French national survey of inpatient adverse events prospectively assessed with ward staff. | PSNet

psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward-staff

March 06, 2005 - Study French national survey of inpatient adverse events prospectively assessed with ward staff. Citation Text: Michel P, Quenon JL, Djihoud A, et al. French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care. 2007;16(5):369-77. C…

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