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  1. Surgical adverse events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
    June 01, 2012 - Review Surgical adverse events: a systematic review. Citation Text: Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  2. FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication | PSNet

    psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
    October 28, 2020 - Grant Announcement FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Citation Text: FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019. Copy Citati…

  3. Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. | PSNet

    psnet.ahrq.gov/issue/information-healthcare-professionals-risk-transmission-blood-borne-pathogens-shared-use
    April 08, 2020 - Press Release/Announcement Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. Citation Text: Information for healthcare professionals: risk of transmission of blood-borne pathogens from shared use of insulin pens. FDA …

  4. Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. | PSNet

    psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
    May 25, 2016 - Commentary Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Citation Text: Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…

  5. Communication in the operating theatre. | PSNet

    psnet.ahrq.gov/issue/communication-operating-theatre
    September 29, 2017 - Review Communication in the operating theatre. Citation Text: Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  6. Nurses' perceptions of multidisciplinary team work in acute health-care. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
    January 06, 2017 - Image/Poster Nurses' perceptions of multidisciplinary team work in acute health-care. Citation Text: Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. Copy Citation Format: Google Scholar Pub…

  7. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet

    psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
    June 24, 2020 - Newspaper/Magazine Article Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. Citation Text: Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4. Copy …

  8. Major congenital malformations after first-trimester exposure to ACE inhibitors. | PSNet

    psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
    July 10, 2008 - Study Major congenital malformations after first-trimester exposure to ACE inhibitors. Citation Text: Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. Major Congenital Malformations after First-Trimester Exposure to ACE Inhibitors. New England Journal of Medicine. 2006;354(23). doi:10.…

  9. Critical laboratory value notification: a failure mode effects and criticality analysis. | PSNet

    psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
    June 27, 2018 - Commentary Critical laboratory value notification: a failure mode effects and criticality analysis. Citation Text: Saxena S, Kempf R, Wilcox S, et al. Critical laboratory value notification: a failure mode effects and criticality analysis. Jt Comm J Qual Patient Saf. 2005;31(9):495-506…

  10. Safety skills for clinicians: an essential component of patient safety. | PSNet

    psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
    June 01, 2012 - Review Safety skills for clinicians: an essential component of patient safety. Citation Text: Taylor-Adams S, Brodie A, Vincent CA. Safety Skills for Clinicians. J Patient Saf. 2008;4(3):141-147. doi:10.1097/pts.0b013e3181809631. Copy Citation Format: DOI Google Scholar B…

  11. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. | PSNet

    psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
    August 30, 2017 - Study Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. Citation Text: Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…

  12. Certified pharmacy technicians' views on their medication preparation errors and educational needs. | PSNet

    psnet.ahrq.gov/issue/certified-pharmacy-technicians-views-their-medication-preparation-errors-and-educational
    June 03, 2015 - Study Certified pharmacy technicians' views on their medication preparation errors and educational needs. Citation Text: Desselle SP. Certified pharmacy technicians' views on their medication preparation errors and educational needs. Am J Health Syst Pharm. 2005;62(19):1992-7. Copy Cit…

  13. Common Formats for Patient Safety Data Collection. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
    October 08, 2024 - Press Release/Announcement Common Formats for Patient Safety Data Collection. Citation Text: Common Formats for Patient Safety Data Collection. Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992. Copy Citation Save Save to your li…

  14. Hospital bosses ignored months of doctors' warnings about Lucy Letby. | PSNet

    psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
    September 01, 2010 - Newspaper/Magazine Article Hospital bosses ignored months of doctors' warnings about Lucy Letby. Citation Text: Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023. Copy Citation Save Save…

  15. Speaking up to reduce noise in the OR. | PSNet

    psnet.ahrq.gov/issue/speaking-reduce-noise-or
    July 26, 2023 - Commentary Speaking up to reduce noise in the OR. Citation Text: Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  16. Teaching and medical errors: primary care preceptors' views. | PSNet

    psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
    August 05, 2009 - Study Teaching and medical errors: primary care preceptors' views. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med Educ. 2005;39(10):982-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  17. Chemotherapy dose limits set by users of a computer order entry system. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system
    August 13, 2008 - Study Chemotherapy dose limits set by users of a computer order entry system. Citation Text: Chemotherapy dose limits set by users of a computer order entry system. DuBeshter B; Griggs J; Angel C; Loughner J. Copy Citation Save Save to your library Print …

  18. Medication, allergy, and adverse drug event discrepancies in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care
    July 13, 2022 - Study Medication, allergy, and adverse drug event discrepancies in ambulatory care. Citation Text: Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in ambulatory care. Fam Med. 2008;40(2):107-10. Copy Citation Format: Google S…

  19. Briefings, checklists, geese, and surgical safety. | PSNet

    psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
    August 02, 2015 - Commentary Briefings, checklists, geese, and surgical safety. Citation Text: Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  20. Among the elderly, many mental illnesses go undiagnosed. | PSNet

    psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed
    May 15, 2024 - Commentary Among the elderly, many mental illnesses go undiagnosed. Citation Text: Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727-31. doi:10.1377/hlthaff.2015.0314. Copy Citation Format: DOI Google Scholar PubMed BibTe…
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