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  1. Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. | PSNet

    psnet.ahrq.gov/issue/assessing-impact-anesthesia-medication-template-medication-errors-during-anesthesia
    February 14, 2018 - Study Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. Citation Text: Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospecti…

  2. Hospital rules-based system: the next generation of medical informatics for patient safety. | PSNet

    psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety
    April 21, 2010 - Study Hospital rules-based system: the next generation of medical informatics for patient safety. Citation Text: Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. C…

  3. Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

    psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
    September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

  4. Proposal for a 'surgical checklist' for ambulatory oral surgery. | PSNet

    psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
    January 17, 2012 - Commentary Proposal for a 'surgical checklist' for ambulatory oral surgery. Citation Text: Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…

  5. Patient safety in dentistry: dental care risk management plan. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-risk-management-plan
    March 27, 2013 - Commentary Patient safety in dentistry: dental care risk management plan. Citation Text: Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Patient safety in dentistry: dental care risk management plan. Med Oral Patol Oral Cir Bucal. 2011;16(6):e805-9. Copy Citation Format: …

  6. Inpatient housestaff discontinuity of care and patient adverse events. | PSNet

    psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
    July 02, 2008 - Study Inpatient housestaff discontinuity of care and patient adverse events. Citation Text: Fletcher KE, Singh S, Schapira MM, et al. Inpatient Housestaff Discontinuity of Care and Patient Adverse Events. Am J Med. 2016;129(3):341-7.e21. doi:10.1016/j.amjmed.2015.11.008. Copy Citation …

  7. Patient safety superheroes in training: using a comic book to teach patient safety to residents. | PSNet

    psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents
    May 11, 2022 - Study Patient safety superheroes in training: using a comic book to teach patient safety to residents. Citation Text: Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…

  8. Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. | PSNet

    psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and
    May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…

  9. Effect of critical access hospital conversion on patient safety. | PSNet

    psnet.ahrq.gov/issue/effect-critical-access-hospital-conversion-patient-safety
    October 19, 2022 - Study Effect of critical access hospital conversion on patient safety. Citation Text: Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323. Copy Citation Format: Google…

  10. Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

    psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
    November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

  11. Use of specific indicators to detect warfarin-related adverse events.   | PSNet

    psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
    October 19, 2022 - Study Use of specific indicators to detect warfarin-related adverse events.   Citation Text: Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. Copy Cita…

  12. Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
    March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

  13. Connected care: reducing errors through automated vital signs data upload. | PSNet

    psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload
    September 01, 2018 - Study Connected care: reducing errors through automated vital signs data upload. Citation Text: Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65. Cop…

  14. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. | PSNet

    psnet.ahrq.gov/issue/prospective-cohort-study-medication-reconciliation-using-pharmacy-technicians-emergency
    July 01, 2019 - Study A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. Citation Text: Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharm…

  15. Time-out and checklists: a survey of rural and urban operating room personnel. | PSNet

    psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
    January 09, 2014 - Study Time-out and checklists: a survey of rural and urban operating room personnel. Citation Text: Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. Copy Citation Format: Google Scholar…

  16. Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. | PSNet

    psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen
    July 29, 2020 - Study Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. Citation Text: Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory spec…

  17. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. | PSNet

    psnet.ahrq.gov/issue/response-appd-cops-and-aap-institute-medicine-report-resident-duty-hours
    November 12, 2014 - Commentary The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Citation Text: Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours. Pediatrics. 2010;125(4…

  18. Nursing interruptions in a trauma intensive care unit: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study
    November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…

  19. Developing an action plan for patient radiation safety in adult cardiovascular medicine. | PSNet

    psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine
    August 04, 2021 - Commentary Developing an action plan for patient radiation safety in adult cardiovascular medicine. Citation Text: Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings from the Duke University Clin…

  20. The "July phenomenon": is trauma the exception? | PSNet

    psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
    January 15, 2014 - Study The "July phenomenon": is trauma the exception? Citation Text: Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. Copy Citation Format: DOI Google …
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