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  1. Work interruptions and their contribution to medication administration errors: an evidence review. | PSNet

    psnet.ahrq.gov/issue/work-interruptions-and-their-contribution-medication-administration-errors-evidence-review
    July 22, 2020 - Review Work interruptions and their contribution to medication administration errors: an evidence review. Citation Text: Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs…

  2. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. | PSNet

    psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors
    October 19, 2022 - Study The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. Citation Text: Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140…

  3. Medical error reduction and tort reform through private contractually-based quality medicine societies. | PSNet

    psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine
    October 13, 2010 - Commentary Medical error reduction and tort reform through private contractually-based quality medicine societies. Citation Text: MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…

  4. 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…

  5. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet

    psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
    November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…

  6. Beyond "see one, do one, teach one": toward a different training paradigm. | PSNet

    psnet.ahrq.gov/issue/beyond-see-one-do-one-teach-one-toward-different-training-paradigm
    March 01, 2011 - Commentary Beyond "see one, do one, teach one": toward a different training paradigm. Citation Text: Rodriguez-Paz JM, Kennedy M, Salas E, et al. Beyond "see one, do one, teach one": toward a different training paradigm. Qual Saf Health Care. 2009;18(1):63-8. doi:10.1136/qshc.2007.02…

  7. Failure to rescue as a process measure to evaluate fetal safety during labor. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
    October 19, 2022 - Study Failure to rescue as a process measure to evaluate fetal safety during labor. Citation Text: Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. Copy Citat…

  8. Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient-perceptions
    March 02, 2016 - Study Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. Citation Text: Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.10…

  9. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. | PSNet

    psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
    August 04, 2021 - Commentary Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Citation Text: Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227. Copy …

  10. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet

    psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
    March 15, 2022 - Special or Theme Issue Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. Citation Text: Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…

  11. Global priorities for patient safety research. | PSNet

    psnet.ahrq.gov/issue/global-priorities-patient-safety-research
    April 05, 2017 - Commentary Global priorities for patient safety research. Citation Text: Bates DW, Larizgoitia I, Prasopa-Plaizier N, et al. Global priorities for patient safety research. BMJ. 2009;338:b1775. doi:10.1136/bmj.b1775. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  12. Underreporting of robotic surgery complications. | PSNet

    psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications
    November 21, 2017 - Study Underreporting of robotic surgery complications. Citation Text: Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  13. Imitating incidents: how simulation can improve safety investigation and learning from adverse events. | PSNet

    psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
    February 28, 2024 - Commentary Imitating incidents: how simulation can improve safety investigation and learning from adverse events. Citation Text: Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…

  14. Racism as a Root Cause approach: a new framework. | PSNet

    psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
    December 17, 2020 - Commentary Racism as a Root Cause approach: a new framework. Citation Text: Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. Copy Citation Format: DOI Google Scholar BibTeX En…

  15. Implementing patient safety initiatives in rural hospitals. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-initiatives-rural-hospitals
    September 27, 2010 - Commentary Implementing patient safety initiatives in rural hospitals. Citation Text: Klingner J, Moscovice I, Tupper JB, et al. Implementing Patient Safety Initiatives in Rural Hospitals. J Rural Health. 2009;25(4):352-357. doi:10.1111/j.1748-0361.2009.00243.x. Copy Citation For…

  16. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. | PSNet

    psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
    April 11, 2011 - Study The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Citation Text: Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…

  17. Variation in medication information for elderly patients during initial interventions by emergency department physicians. | PSNet

    psnet.ahrq.gov/issue/variation-medication-information-elderly-patients-during-initial-interventions-emergency
    October 20, 2021 - Study Variation in medication information for elderly patients during initial interventions by emergency department physicians. Citation Text: Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during initial interventions by emergency d…

  18. Communication in critical care environments: mobile telephones improve patient care. | PSNet

    psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
    June 27, 2018 - Study Communication in critical care environments: mobile telephones improve patient care. Citation Text: Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. Copy Citation Format:…

  19. Teaching medical error disclosure to residents using patient-centered simulation training. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
    October 19, 2022 - Study Teaching medical error disclosure to residents using patient-centered simulation training. Citation Text: Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…

  20. Nature of human error: implications for surgical practice. | PSNet

    psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
    March 24, 2021 - Review Nature of human error: implications for surgical practice. Citation Text: Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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