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  1. Reversing the rise in maternal mortality. | PSNet

    psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
    January 18, 2017 - Commentary Reversing the rise in maternal mortality. Citation Text: Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  2. Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. | PSNet

    psnet.ahrq.gov/issue/distractions-anesthesia-work-environment-impact-patient-safety-report-meeting-sponsored
    July 24, 2024 - Commentary Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. Citation Text: van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a M…

  3. No interruptions please: impact of a no interruption zone on medication safety in intensive care units. | PSNet

    psnet.ahrq.gov/issue/no-interruptions-please-impact-no-interruption-zone-medication-safety-intensive-care-units
    July 19, 2023 - Study No interruptions please: impact of a no interruption zone on medication safety in intensive care units. Citation Text: Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010…

  4. A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. | PSNet

    psnet.ahrq.gov/issue/network-collaboration-implementing-technology-improve-medication-dispensing-and
    December 15, 2010 - Study A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. Citation Text: Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administrati…

  5. The impact of incident disclosure behaviors on medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
    September 27, 2023 - Study The impact of incident disclosure behaviors on medical malpractice claims. Citation Text: Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342. Copy Citatio…

  6. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. | PSNet

    psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
    April 28, 2021 - Commentary Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. Citation Text: Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.000000…

  7. Opioid prescribing trends and the physician’s role in responding to the public health crisis. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-trends-and-physicians-role-responding-public-health-crisis
    November 20, 2015 - Commentary Opioid prescribing trends and the physician’s role in responding to the public health crisis. Citation Text: Adams JM, Giroir BP. Opioid Prescribing Trends and the Physician's Role in Responding to the Public Health Crisis. JAMA Intern Med. 2019;179(4):476-478. doi:10.1001/jam…

  8. Medication errors in nursing—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
    March 23, 2016 - Commentary Medication errors in nursing—part 1 and part 2. Citation Text: Leufer T, Cleary-Holdforth J. Let's do no harm: medication errors in nursing: part 1. Nurse Educ Pract. 2013;13(3):213-216. doi:10.1016/j.nepr.2013.01.013. Copy Citation Format: DOI Google Scholar P…

  9. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  10. Diagnostic error as a result of drug-laboratory test interactions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
    November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

  11. Voluntarily reported emergency department errors. | PSNet

    psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
    June 20, 2011 - Study Voluntarily reported emergency department errors. Citation Text: Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12. Copy Citation Format: DOI Google…

  12. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  13. Teamwork on inpatient medical units: assessing attitudes and barriers. | PSNet

    psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
    June 11, 2010 - Study Teamwork on inpatient medical units: assessing attitudes and barriers. Citation Text: O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795. Copy Cita…

  14. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

    psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
    February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

  15. Medication errors recovered by emergency department pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-errors-recovered-emergency-department-pharmacists
    December 31, 2014 - Study Medication errors recovered by emergency department pharmacists. Citation Text: Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012. Copy Citatio…

  16. Injectable Opioid Shortages: Suggestions for Management and Conservation. | PSNet

    psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation
    May 20, 2020 - Fact Sheet/FAQs Injectable Opioid Shortages: Suggestions for Management and Conservation. Citation Text: Injectable Opioid Shortages: Suggestions for Management and Conservation. University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. Copy Cita…

  17. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet

    psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
    June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

  18. Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. | PSNet

    psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
    October 13, 2018 - Commentary Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. Citation Text: Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471. Copy Citation Format: …

  19. New technology, new errors: how to prime an upgrade of an insulin infusion pump. | PSNet

    psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
    July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…

  20. Measurement for improvement: a survey of current practice in Australian public hospitals. | PSNet

    psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
    December 29, 2014 - Study Measurement for improvement: a survey of current practice in Australian public hospitals. Citation Text: Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. Copy Citation…
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