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  1. psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
    November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…
  2. psnet.ahrq.gov/issue/integrating-quality-and-safety-content-clinical-teaching-acute-care-setting
    September 05, 2018 - Commentary Integrating quality and safety content into clinical teaching in the acute care setting. Citation Text: Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002. Co…
  3. psnet.ahrq.gov/issue/uncharted-territory-measuring-costs-diagnostic-errors-outside-medical-record
    September 20, 2011 - Study Uncharted territory: measuring costs of diagnostic errors outside the medical record. Citation Text: Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-…
  4. psnet.ahrq.gov/issue/quality-improvement-patient-safety-and-continuing-education-qualitative-study-current
    April 03, 2013 - Study Quality improvement, patient safety, and continuing education: a qualitative study of the current boundaries and opportunities for collaboration between these domains. Citation Text: Kitto S, Goldman J, Etchells E, et al. Quality improvement, patient safety, and continuing educatio…
  5. psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
    April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. Citation Text: Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…
  6. psnet.ahrq.gov/issue/expanded-pharmacy-technician-roles-accepting-verbal-prescriptions-and-communicating
    October 05, 2011 - Commentary Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. Citation Text: Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 20…
  7. psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
    June 23, 2015 - Review Classic Effect of outcome on physician judgments of appropriateness of care. Citation Text: Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/vital-sign-abnormalities-rapid-response-and-adverse-outcomes-hospitalized-patients
    December 21, 2014 - Study Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. Citation Text: Fagan K, Sabel A, Mehler PS, et al. Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. Am J Med Qual. 2012;27(6):480-6. doi:10.1177/1062860…
  9. psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems
    April 24, 2018 - Commentary ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. Citation Text: Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…
  10. psnet.ahrq.gov/issue/maths-anxiety-and-medication-dosage-calculation-errors-scoping-review
    September 01, 2016 - Review Maths anxiety and medication dosage calculation errors: a scoping review. Citation Text: Williams B, Davis S. Maths anxiety and medication dosage calculation errors: A scoping review. Nurse Educ Pract. 2016;20:139-46. doi:10.1016/j.nepr.2016.08.005. Copy Citation Format: …
  11. psnet.ahrq.gov/issue/implementation-resident-work-hour-restrictions-associated-reduction-mortality-and-provider
    December 21, 2014 - Study Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients. Citation Text: Privette AR, Shackford SR, Osler T, et al. Implementation of resident …
  12. psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
    February 12, 2014 - Study Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Citation Text: Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…
  13. psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
    August 29, 2018 - Review Fatigue in radiology: a fertile area for future research. Citation Text: Taylor-Phillips S, Stinton C. Fatigue in radiology: a fertile area for future research. Br J Radiol. 2019;92(1099):20190043. doi:10.1259/bjr.20190043. Copy Citation Format: DOI Google Scholar Pu…
  14. psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
    June 12, 2013 - Study Copying and pasting of examinations within the electronic medical record. Citation Text: Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8. Copy Citation Format: Google …
  15. psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
    August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…
  16. psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
    October 11, 2023 - Study Types, prevalence, and potential clinical significance of medication administration errors in assisted living. Citation Text: Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…
  17. psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
    May 11, 2014 - Study Implementation of standardized dosing units for I.V. medications. Citation Text: Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
    September 23, 2020 - Study Risk factors for i.v. compounding errors when using an automated workflow management system. Citation Text: Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
  19. psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
    June 07, 2023 - Commentary Evolution of a rapid response system from voluntary to mandatory activation. Citation Text: Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241. Copy Citation Forma…
  20. psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
    July 14, 2010 - Commentary Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Citation Text: Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…

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