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  1. Interventions for reducing medication errors in children in hospital. | PSNet

    psnet.ahrq.gov/issue/interventions-reducing-medication-errors-children-hospital
    May 19, 2018 - Review Interventions for reducing medication errors in children in hospital. Citation Text: Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3. …

  2. Roadmap for patient safety research: approaches and roadforks. | PSNet

    psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
    July 17, 2019 - Review Roadmap for patient safety research: approaches and roadforks. Citation Text: Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168. Copy Citation Format: DOI Google S…

  3. 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 …

  4. The need for organizational change in patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
    May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…

  5. 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…

  6. Legality of technicians' involvement in medication reconciliation not clear. | PSNet

    psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear
    June 13, 2011 - Newspaper/Magazine Article Legality of technicians' involvement in medication reconciliation not clear. Citation Text: Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the A…

  7. Medical errors education: a prospective study of a new educational tool. | PSNet

    psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
    March 20, 2024 - Study Medical errors education: a prospective study of a new educational tool. Citation Text: Paxton JH, Rubinfeld IS. Medical errors education: A prospective study of a new educational tool. Am J Med Qual. 2010;25(2):135-42. doi:10.1177/1062860609353345. Copy Citation Format: …

  8. Seeking high reliability in primary care: leadership, tools, and organization. | PSNet

    psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization
    October 13, 2018 - Study Seeking high reliability in primary care: leadership, tools, and organization. Citation Text: Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022. Copy Citation F…

  9. Nursing student medication errors: a case study using root cause analysis. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
    November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…

  10. Weekend versus weekday admission and mortality from myocardial infarction. | PSNet

    psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
    February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

  11. Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
    August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…

  12. Use of health information technology to reduce diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/use-health-information-technology-reduce-diagnostic-errors
    April 30, 2014 - Review Use of health information technology to reduce diagnostic errors. Citation Text: El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. Copy Citation Format: …

  13. Same-hospital readmission rates as a measure of pediatric quality of care. | PSNet

    psnet.ahrq.gov/issue/same-hospital-readmission-rates-measure-pediatric-quality-care
    September 18, 2024 - Study Same-hospital readmission rates as a measure of pediatric quality of care. Citation Text: Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129. …

  14. The checklist--a tool for error management and performance improvement. | PSNet

    psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
    June 29, 2011 - Review The checklist--a tool for error management and performance improvement. Citation Text: Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

  15. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
    December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

  16. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. | PSNet

    psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
    March 18, 2011 - Study Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. Citation Text: White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory stu…

  17. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet

    psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
    April 06, 2022 - Study Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Citation Text: Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…

  18. Medication errors and response bias: the tip of the iceberg. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
    February 07, 2024 - Study Medication errors and response bias: the tip of the iceberg. Citation Text: Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

  19. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
    April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

  20. How can the criminal law support the provision of quality in healthcare? | PSNet

    psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quality-healthcare
    December 19, 2018 - Review How can the criminal law support the provision of quality in healthcare? Citation Text: Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. Copy Citation Format: D…
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