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  1. Root cause analysis for hospital-acquired pressure injury. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - Review Root cause analysis for hospital-acquired pressure injury. Citation Text: Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs. 2019;46(4):298-304. doi:10.1097/WON.0000000000000546. Copy Citation Format: DOI Google Schol…

  2. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric-inpatients
    March 04, 2015 - Study Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Citation Text: Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;…

  3. The impact of mobile technology on teamwork and communication in hospitals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review
    January 29, 2020 - Review Emerging Classic The impact of mobile technology on teamwork and communication in hospitals: a systematic review. Citation Text: Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…

  4. Patterns of error in interpretive pathology. | PSNet

    psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
    April 07, 2021 - Study Patterns of error in interpretive pathology. Citation Text: Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  5. Autopsy as a quality control measure for radiology, and vice versa. | PSNet

    psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa
    April 24, 2018 - Study Autopsy as a quality control measure for radiology, and vice versa. Citation Text: Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. Copy Citation Fo…

  6. Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. | PSNet

    psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain
    August 08, 2018 - Study Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. Citation Text: Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016…

  7. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. | PSNet

    psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
    September 27, 2017 - Commentary Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward. Citation Text: Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…

  8. Closing the loop: follow-up and feedback in a patient safety program. | PSNet

    psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-patient-safety-program
    January 04, 2017 - Study Closing the loop: follow-up and feedback in a patient safety program. Citation Text: Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. Copy Citation Format: …

  9. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
    January 12, 2022 - Study Diagnostic error in the emergency department: learning from national patient safety incident report analysis. Citation Text: Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…

  10. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. | PSNet

    psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse
    March 10, 2011 - Study Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. Citation Text: Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse pr…

  11. Errors in nurse-led triage: an observational study. | PSNet

    psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
    August 20, 2018 - Study Errors in nurse-led triage: an observational study. Citation Text: Ausserhofer D, Zaboli A, Pfeifer N, et al. Errors in nurse-led triage: an observational study. Int J Nurs Stud. 2020;113:103788. doi:10.1016/j.ijnurstu.2020.103788. Copy Citation Format: DOI Google Sch…

  12. Quality and safety practices among academic obstetrics and gynecology departments. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
    October 19, 2022 - Study Quality and safety practices among academic obstetrics and gynecology departments. Citation Text: Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…

  13. Effect of clinical decision-support systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
    September 23, 2020 - Review Effect of clinical decision-support systems: a systematic review. Citation Text: Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. Copy Citatio…

  14. Impact of the nurse shortage on hospital patient care: comparative perspectives. | PSNet

    psnet.ahrq.gov/issue/impact-nurse-shortage-hospital-patient-care-comparative-perspectives
    March 23, 2011 - Study Impact of the nurse shortage on hospital patient care: comparative perspectives. Citation Text: Buerhaus P, Donelan K, Ulrich BT, et al. Impact of the nurse shortage on hospital patient care: comparative perspectives. Health Aff (Millwood). 2007;26(3):853-62. Copy Citation …

  15. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet

    psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
    February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…

  16. The effect of work hours on adverse events and errors in health care. | PSNet

    psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
    August 20, 2014 - Study The effect of work hours on adverse events and errors in health care. Citation Text: Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002. Copy Citation Format: DOI Go…

  17. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
    April 20, 2022 - Study A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies. Citation Text: Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergen…

  18. Drug administration errors in hospital inpatients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-hospital-inpatients-systematic-review
    September 01, 2016 - Review Drug administration errors in hospital inpatients: a systematic review. Citation Text: Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. Copy Citation …

  19. Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet

    psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
    May 04, 2022 - Study Simulation-based education enhances patient safety behaviors during central venous catheter placement. Citation Text: Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors during central venous catheter placement. J Patient Saf. 2021;…

  20. Spreading a medication administration intervention organizationwide in six hospitals. | PSNet

    psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
    January 03, 2017 - Study Spreading a medication administration intervention organizationwide in six hospitals. Citation Text: Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. Copy C…
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