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  1. Fixed-dose combination antihypertensives and risk of medication errors. | PSNet

    psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
    September 28, 2016 - Study Fixed-dose combination antihypertensives and risk of medication errors. Citation Text: Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492. Copy Citation Format: …

  2. Measuring to improve medication reconciliation in a large subspecialty outpatient practice. | PSNet

    psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
    February 02, 2011 - Study Measuring to improve medication reconciliation in a large subspecialty outpatient practice. Citation Text: Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…

  3. Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. | PSNet

    psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
    May 05, 2021 - Study Impact and culture change after the implementation of a preprocedural checklist in an interventional radiology department. Citation Text: Wong SSN, Cleverly S, Tan KT, et al. Impact and Culture Change After the Implementation of a Preprocedural Checklist in an Interventional Radiol…

  4. People are more error-prone after committing an error. | PSNet

    psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
    June 29, 2011 - Study People are more error-prone after committing an error. Citation Text: Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  5. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. | PSNet

    psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
    June 10, 2020 - Review Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. Citation Text: Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072…

  6. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety
    November 16, 2022 - Study Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Citation Text: Murji A, Luketic L, Sobel ML, et al. Evaluating the effect of distractions in the operating room on clinical decision-making and patient safety. Surg Endosc. 2…

  7. Patient safety in the critical care environment. | PSNet

    psnet.ahrq.gov/issue/patient-safety-critical-care-environment
    November 16, 2022 - Commentary Patient safety in the critical care environment. Citation Text: Rossi PJ, Edmiston CE. Patient safety in the critical care environment. Surg Clin North Am. 2012;92(6):1369-86. doi:10.1016/j.suc.2012.08.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  8. Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. | PSNet

    psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
    March 11, 2009 - Study Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. Citation Text: Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …

  9. Predictors of perceived discrimination in medical settings among Muslim women in the USA. | PSNet

    psnet.ahrq.gov/issue/predictors-perceived-discrimination-medical-settings-among-muslim-women-usa
    November 26, 2012 - Study Predictors of perceived discrimination in medical settings among Muslim women in the USA. Citation Text: Murrar S, Baqai B, Padela AI. Predictors of perceived discrimination in medical settings among Muslim women in the USA. J Racial Ethn Health Disparities. 2024;11(1):150-156. doi…

  10. Long-term reduction in adverse drug events: an evidence-based improvement model. | PSNet

    psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
    August 28, 2024 - Study Long-term reduction in adverse drug events: an evidence-based improvement model. Citation Text: Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. Copy Citation …

  11. Checklists change communication about key elements of patient care. | PSNet

    psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
    November 16, 2022 - Study Checklists change communication about key elements of patient care. Citation Text: Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. …

  12. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. | PSNet

    psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center
    June 03, 2020 - Study Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Citation Text: Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267. Copy Citation …

  13. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. | PSNet

    psnet.ahrq.gov/issue/teaching-structured-tool-improves-clarity-and-content-interprofessional-clinical
    June 28, 2017 - Study The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Citation Text: Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual …

  14. From a blame culture to a just culture in health care. | PSNet

    psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
    January 23, 2017 - Commentary From a blame culture to a just culture in health care. Citation Text: Khatri N, Brown GD, Hicks LL. From a blame culture to a just culture in health care. Health Care Manag Rev. 2009;34(4):312-322. doi:10.1097/HMR.0b013e3181a3b709. Copy Citation Format: DOI Goog…

  15. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  16. Enhanced detection of blood bank sample collection errors with a centralized patient database. | PSNet

    psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
    March 20, 2019 - Study Enhanced detection of blood bank sample collection errors with a centralized patient database. Citation Text: MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…

  17. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. | PSNet

    psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
    October 06, 2016 - Study Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. Citation Text: Klim S, Kelly A-M, Kerr D, et al. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach. …

  18. Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
    March 09, 2022 - Study Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. Citation Text: San José-Saras D, Vicente-Guijarro J, Sousa P, et al. Inappropriate hospital admission as a risk factor for the subsequent development of adve…

  19. High performance teamwork training and systems redesign in outpatient oncology. | PSNet

    psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
    November 16, 2022 - Study High performance teamwork training and systems redesign in outpatient oncology. Citation Text: Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…

  20. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
    May 20, 2020 - Review Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. Citation Text: Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …
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