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  1. An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet

    psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
    August 11, 2010 - Study An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Citation Text: Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…

  2. Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. | PSNet

    psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
    February 22, 2019 - Study Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. Citation Text: Kellogg KM, Puthumana JS, Fong A, et al. Understanding the Types and Effects of Clinical Interruptions and Distractions Recorde…

  3. Reducing medical error in the Military Health System: how can team training help? | PSNet

    psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
    March 29, 2007 - Commentary Reducing medical error in the Military Health System: how can team training help? Citation Text: Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.101…

  4. Structured handover in general surgery: an audit of current practice. | PSNet

    psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
    August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

  5. An observational study of medication administration errors in old-age psychiatric inpatients. | PSNet

    psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients
    September 27, 2017 - Study An observational study of medication administration errors in old-age psychiatric inpatients. Citation Text: Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6. Copy Ci…

  6. Improving pediatric electronic health record usability and safety through certification: seize the day. | PSNet

    psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
    November 28, 2018 - Commentary Improving pediatric electronic health record usability and safety through certification: seize the day. Citation Text: Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 201…

  7. From HRO to HERO: making health equity a core system capability. | PSNet

    psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
    September 30, 2020 - Commentary From HRO to HERO: making health equity a core system capability. Citation Text: Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. Copy Citation Format: …

  8. Defining and classifying terminology for medication harm: a call for consensus. | PSNet

    psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
    June 22, 2022 - Review Defining and classifying terminology for medication harm: a call for consensus. Citation Text: Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…

  9. Improving hospital safety culture for falls prevention through interdisciplinary health education. | PSNet

    psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
    December 16, 2011 - Study Improving hospital safety culture for falls prevention through interdisciplinary health education. Citation Text: Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…

  10. Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
    June 19, 2024 - Review Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. Citation Text: Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…

  11. Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

    psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
    February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

  12. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. | PSNet

    psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
    September 28, 2010 - Study Classic Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Col…

  13. Changes in nursing practice: associations with responses to and coping with errors. | PSNet

    psnet.ahrq.gov/issue/changes-nursing-practice-associations-responses-and-coping-errors
    October 19, 2022 - Study Changes in nursing practice: associations with responses to and coping with errors. Citation Text: Karga M, Kiekkas P, Aretha D, et al. Changes in nursing practice: associations with responses to and coping with errors. J Clin Nurs. 2011;20(21-22):3246-55. doi:10.1111/j.1365-2702…

  14. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. | PSNet

    psnet.ahrq.gov/issue/context-sensitive-decision-support-infobuttons-electronic-health-records-systematic-review
    August 23, 2023 - Review Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. Citation Text: Cook DA, Teixeira MT, Heale BS, et al. Context-sensitive decision support (infobuttons) in electronic health records: a systematic review. J Am Med Inform Assoc. 2017…

  15. Considerations for the design of safe and effective consumer health IT applications in the home. | PSNet

    psnet.ahrq.gov/issue/considerations-design-safe-and-effective-consumer-health-it-applications-home
    September 24, 2016 - Study Considerations for the design of safe and effective consumer health IT applications in the home. Citation Text: Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67.…

  16. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. | PSNet

    psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
    March 08, 2023 - Study Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Citation Text: Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …

  17. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
    April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…

  18. Reducing inappropriate diagnostic practice through education and decision support. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
    December 13, 2013 - Study Reducing inappropriate diagnostic practice through education and decision support. Citation Text: Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093…

  19. Safety in home care: a mapping review of the international literature. | PSNet

    psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
    February 10, 2012 - Review Safety in home care: a mapping review of the international literature. Citation Text: Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027. Copy C…

  20. Simulation-based education to ensure provider competency within the healthcare system. | PSNet

    psnet.ahrq.gov/issue/simulation-based-education-ensure-provider-competency-within-healthcare-system
    May 02, 2018 - Commentary Simulation-based education to ensure provider competency within the healthcare system. Citation Text: Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10…
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