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  1. Potential medication errors associated with computer prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/potential-medication-errors-associated-computer-prescriber-order-entry
    May 05, 2014 - Study Potential medication errors associated with computer prescriber order entry. Citation Text: Villamañán E, Larrubia Y, Ruano M, et al. Potential medication errors associated with computer prescriber order entry. Int J Clin Pharm. 2013;35(4):577-83. doi:10.1007/s11096-013-9771-2. …

  2. Using portable digital technology for clinical care and critical incidents: a new model. | PSNet

    psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
    June 29, 2011 - Commentary Using portable digital technology for clinical care and critical incidents: a new model. Citation Text: Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305. Copy Citation…

  3. Retained foreign bodies: risk and outcomes at the national level. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-risk-and-outcomes-national-level
    May 29, 2019 - Study Retained foreign bodies: risk and outcomes at the national level. Citation Text: Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015. Copy Citation…

  4. Incorporating medication indications into the prescribing process. | PSNet

    psnet.ahrq.gov/issue/incorporating-medication-indications-prescribing-process
    May 01, 2019 - Commentary Emerging Classic Incorporating medication indications into the prescribing process. Citation Text: Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.…

  5. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

    psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
    December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

  6. Patient safety culture in primary care: developing a theoretical framework for practical use. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-primary-care-developing-theoretical-framework-practical-use
    September 06, 2017 - Study Patient safety culture in primary care: developing a theoretical framework for practical use. Citation Text: Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.…

  7. Crisis preparedness: a systems-based framework for avoiding harm in surgery. | PSNet

    psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery
    September 14, 2022 - Study Crisis preparedness: a systems-based framework for avoiding harm in surgery. Citation Text: Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.00000000000003…

  8. Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

    psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural
    May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

  9. Human factors and simulation in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine
    November 16, 2022 - Commentary Human factors and simulation in emergency medicine. Citation Text: Hayden EM, Wong AH, Ackerman J, et al. Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018;25(2):221-229. doi:10.1111/acem.13315. Copy Citation Format: DOI Google Scholar PubM…

  10. Medical errors in orthopaedics. Results of an AAOS member survey. | PSNet

    psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
    August 04, 2021 - Study Medical errors in orthopaedics. Results of an AAOS member survey. Citation Text: Wong DA, Herndon JH, Canale T, et al. Medical errors in orthopaedics. Results of an AAOS member survey. J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439. Copy Citation Format: …

  11. Preventable anesthesia mishaps: a study of human factors. | PSNet

    psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
    June 23, 2015 - Study Classic Preventable anesthesia mishaps: a study of human factors. Citation Text: Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. Copy Citation Format: Goo…

  12. Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

    psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
    September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

  13. Overview of adverse events related to invasive procedures in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
    November 29, 2023 - Study Overview of adverse events related to invasive procedures in the intensive care unit. Citation Text: Pottier V, Daubin C, Lerolle N, et al. Overview of adverse events related to invasive procedures in the intensive care unit. Am J Infect Control. 2012;40(3):241-6. doi:10.1016/j.a…

  14. Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
    October 19, 2022 - Commentary Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. Citation Text: Kozakiewicz JM, Benis LJ, Fisher SM, et al. Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber o…

  15. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. | PSNet

    psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
    June 13, 2011 - Study Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. Citation Text: van Tilburg CM, Leistikow IP, Rademaker CMA, et al. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology w…

  16. Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

    psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
    December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

  17. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reliability-teledermatology-systematic-review-and-meta-analysis
    September 23, 2020 - Review Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. Citation Text: Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-0…

  18. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. | PSNet

    psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
    July 23, 2010 - Commentary Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. Citation Text: Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …

  19. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. | PSNet

    psnet.ahrq.gov/issue/use-safety-climate-questionnaire-uk-health-care-factor-structure-reliability-and-usability
    June 15, 2011 - Study Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Citation Text: Hutchinson A, Cooper KL, Dean JE, et al. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care…

  20. Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. | PSNet

    psnet.ahrq.gov/issue/impact-participation-california-healthcare-associated-infection-prevention-initiative
    September 28, 2011 - Study Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. Citation Text: Hal…
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