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ASPEN Safe Practices for Enteral Nutrition Therapy. | PSNet

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June 12, 2018 - Organizational Policy/Guidelines ASPEN Safe Practices for Enteral Nutrition Therapy. Citation Text: Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. Copy Citation…

Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? | PSNet

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October 14, 2020 - Commentary Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? Citation Text: Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JA…

Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet

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July 22, 2020 - Review Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. Citation Text: Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…

Unintended consequences of the electronic health record and cognitive load in emergency department nurses. | PSNet

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June 22, 2011 - Study Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Citation Text: Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …

Diffusing aviation innovations in a hospital in the Netherlands. | PSNet

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August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…

Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet

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September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet

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August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

Fostering patient safety competencies using multiple-patient simulation experiences. | PSNet

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January 12, 2022 - Study Fostering patient safety competencies using multiple-patient simulation experiences. Citation Text: Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. | PSNet

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April 14, 2011 - Study Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. Citation Text: Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidan…

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality

August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

Feedback from incident reporting: information and action to improve patient safety. | PSNet

psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety

August 26, 2009 - Study Feedback from incident reporting: information and action to improve patient safety. Citation Text: Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…

Violations of behavioral practices revealed in closed claims reviews. | PSNet

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August 26, 2011 - Study Violations of behavioral practices revealed in closed claims reviews. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. Copy Citatio…

Making care better in the pediatric intensive care unit. | PSNet

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September 02, 2020 - Review Making care better in the pediatric intensive care unit. Citation Text: Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-274. doi:10.21037/tp.2018.09.10. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. | PSNet

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February 12, 2014 - Study Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Citation Text: Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…

The patient's right to safety—improving the quality of care through litigation against hospitals. | PSNet

psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals

February 17, 2011 - Commentary The patient's right to safety—improving the quality of care through litigation against hospitals. Citation Text: Annas GJ. The patient's right to safety--improving the quality of care through litigation against hospitals. N Engl J Med. 2006;354(19):2063-2066. Copy Citation…

Using simulation to identify sources of medical diagnostic error in child physical abuse. | PSNet

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January 12, 2022 - Study Using simulation to identify sources of medical diagnostic error in child physical abuse. Citation Text: Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.…

Older veterans and emergency department discharge information. | PSNet

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March 02, 2011 - Study Older veterans and emergency department discharge information. Citation Text: Hastings S, Stechuchak K, Oddone E, et al. Older veterans and emergency department discharge information. BMJ Qual Saf. 2012;21(10):835-42. Copy Citation Format: Google Scholar PubMed BibT…

Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. | PSNet

psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information

June 23, 2009 - Study Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. Citation Text: Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure throug…

Disseminating innovations in health care. | PSNet

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August 04, 2021 - Commentary Classic Disseminating innovations in health care. Citation Text: Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

Patient safety features of clinical computer systems: questionnaire survey of GP views. | PSNet

psnet.ahrq.gov/issue/patient-safety-features-clinical-computer-systems-questionnaire-survey-gp-views

May 31, 2011 - Study Patient safety features of clinical computer systems: questionnaire survey of GP views. Citation Text: Morris CJ, Savelyich BSP, Avery A, et al. Patient safety features of clinical computer systems: questionnaire survey of GP views. Qual Saf Health Care. 2005;14(3):164-8. Copy …

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