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  1. How to prevent the top 4 medication errors. | PSNet

    psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
    May 20, 2020 - Newspaper/Magazine Article How to prevent the top 4 medication errors. Citation Text: How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018. Copy Citation Save Save to your library Print Download PDF Share …

  2. What's the difference between a hospital and a bottling factory? | PSNet

    psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
    October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

  3. The culture of safety: results of an organization-wide survey in 15 California hospitals. | PSNet

    psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
    November 18, 2009 - Study Classic The culture of safety: results of an organization-wide survey in 15 California hospitals. Citation Text: Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…

  4. The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. | PSNet

    psnet.ahrq.gov/issue/acgmes-final-duty-hour-standards-special-pgy-1-limits-and-strategic-napping
    December 09, 2020 - Commentary The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping. Citation Text: Iglehart JK. The ACGME's final duty-hour standards—special PGY-1 limits and strategic napping. N Engl J Med. 2010;363(17):1589-1591. Copy Citation Format: Google Sc…

  5. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. | PSNet

    psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
    August 15, 2018 - Study Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. Citation Text: Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. B…

  6. 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…

  7. Enhancing pediatric perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
    January 28, 2015 - Commentary Enhancing pediatric perioperative patient safety. Citation Text: Johnson Q, McVey J. Enhancing Pediatric Perioperative Patient Safety. AORN J. 2017;106(5):434-442. doi:10.1016/j.aorn.2017.09.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  8. The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-dedicated-medication-nurses-medication-administration-error-rate-randomized-controlled
    September 24, 2010 - Study Classic The impact of dedicated medication nurses on the medication administration error rate: a randomized controlled trial. Citation Text: Greengold NL, Shane R, Schneider PJ, et al. The impact of dedicated medication nurses on the medication administr…

  9. An examination of technical efficiency, quality, and patient safety in acute care nursing units. | PSNet

    psnet.ahrq.gov/issue/examination-technical-efficiency-quality-and-patient-safety-acute-care-nursing-units
    December 21, 2017 - Study An examination of technical efficiency, quality, and patient safety in acute care nursing units. Citation Text: Mark BA, Jones CB, Lindley L, et al. An examination of technical efficiency, quality, and patient safety in acute care nursing units. Policy Polit Nurs Pract. 2009;10(3…

  10. Retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - Study Retained foreign bodies after surgery. Citation Text: Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  11. Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. | PSNet

    psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
    February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…

  12. Effect of surgical safety checklists on pediatric surgical complications in Ontario. | PSNet

    psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
    December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …

  13. Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet

    psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …

  14. Effective surgical safety checklist implementation. | PSNet

    psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
    July 30, 2014 - Study Effective surgical safety checklist implementation. Citation Text: Conley DM, Singer SJ, Edmondson L, et al. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873-9. doi:10.1016/j.jamcollsurg.2011.01.052. Copy Citation Format: DOI Googl…

  15. Creating a safer operating room: groups, team dynamics and crew resource management principles. | PSNet

    psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
    June 11, 2008 - Review Emerging Classic Creating a safer operating room: groups, team dynamics and crew resource management principles. Citation Text: Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…

  16. Obstetric medical emergency teams are a step forward in maternal safety! | PSNet

    psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
    November 04, 2020 - Review Obstetric medical emergency teams are a step forward in maternal safety! Citation Text: Al Kadri HMF. Obstetric medical emergency teams are a step forward in maternal safety!. J Emerg Trauma Shock. 2010;3(4):337-341. doi:10.4103/0974-2700.70755. Copy Citation Format: …

  17. AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. | PSNet

    psnet.ahrq.gov/issue/ahrqs-hospital-survey-patient-safety-culture-psychometric-analyses
    February 18, 2011 - Study AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. Citation Text: Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e. Copy Cita…

  18. ASHP guidelines on preventing medication errors in hospitals. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
    May 09, 2014 - Organizational Policy/Guidelines Emerging Classic ASHP guidelines on preventing medication errors in hospitals. Citation Text: Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Phar…

  19. Rapid response teams: qualitative analysis of their effectiveness. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
    November 02, 2010 - Study Rapid response teams: qualitative analysis of their effectiveness. Citation Text: Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990. Copy Citation Format: DOI Google Schol…

  20. Antecedents of severe and nonsevere medication errors. | PSNet

    psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
    February 15, 2011 - Study Antecedents of severe and nonsevere medication errors. Citation Text: Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh. 2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x. Copy Citation Format: DOI Google Scholar PubMed …
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