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  1. Measuring safety of healthcare: an exercise in futility? | PSNet

    psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
    May 20, 2020 - Commentary Measuring safety of healthcare: an exercise in futility? Citation Text: Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824. Copy Citation Format: DOI Google Schol…

  2. Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/can-you-multitask-evidence-and-limitations-task-switching-and-multitasking-emergency-medicine
    October 19, 2022 - Review Can you multitask? Evidence and limitations of task switching and multitasking in emergency medicine. Citation Text: Skaugset M, Farrell S, Carney M, et al. Can You Multitask? Evidence and Limitations of Task Switching and Multitasking in Emergency Medicine. Ann Emerg Med. 2016;68…

  3. What causes prescribing errors in children? Scoping review. | PSNet

    psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
    September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …

  4. Patient safety outcomes in small urban and small rural hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-outcomes-small-urban-and-small-rural-hospitals
    July 23, 2010 - Study Patient safety outcomes in small urban and small rural hospitals. Citation Text: Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health. 2010;26(1):58-66. doi:10.1111/j.1748-0361.2009.00266.x. Copy Citation Format: …

  5. Reason's accident causation model: application to adverse events in acute care. | PSNet

    psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
    October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

  6. Prescription of teratogenic medications in United States ambulatory practices. | PSNet

    psnet.ahrq.gov/issue/prescription-teratogenic-medications-united-states-ambulatory-practices
    March 23, 2012 - Study Prescription of teratogenic medications in United States ambulatory practices. Citation Text: Schwarz EB, Maselli J, Norton M, et al. Prescription of teratogenic medications in United States ambulatory practices. Am J Med. 2005;118(11):1240-9. Copy Citation Format: …

  7. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. | PSNet

    psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
    June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. Citation Text: Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system er…

  8. 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:…

  9. Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. | PSNet

    psnet.ahrq.gov/issue/doctors-charged-manslaughter-course-medical-practice-1795-2005-literature-review
    June 22, 2009 - Review Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. Citation Text: Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. J R Soc Med. 2006;99(6):309-314. Cop…

  10. Fall prevention in hospitals: an integrative review. | PSNet

    psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
    November 03, 2021 - Review Fall prevention in hospitals: an integrative review. Citation Text: Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1). doi:10.1177/1054773811418106. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  11. Preventing sentinel events caused by family members. | PSNet

    psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
    June 14, 2023 - Commentary Preventing sentinel events caused by family members. Citation Text: Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0. Copy Citation Format: DOI Google Scholar PubMed Bi…

  12. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet

    psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
    August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

  13. Primary care physician communication at hospital discharge reduces medication discrepancies. | PSNet

    psnet.ahrq.gov/issue/primary-care-physician-communication-hospital-discharge-reduces-medication-discrepancies
    May 04, 2010 - Study Primary care physician communication at hospital discharge reduces medication discrepancies. Citation Text: Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10…

  14. Chronic kidney disease adversely influences patient safety. | PSNet

    psnet.ahrq.gov/issue/chronic-kidney-disease-adversely-influences-patient-safety
    July 29, 2020 - Study Chronic kidney disease adversely influences patient safety. Citation Text: Seliger SL, Zhan M, Hsu VD, et al. Chronic kidney disease adversely influences patient safety. J Am Soc Nephrol. 2008;19(12):2414-9. doi:10.1681/ASN.2008010022. Copy Citation Format: DOI Goog…

  15. A piece of my mind. Copy-and-paste. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
    July 01, 2012 - Commentary Classic A piece of my mind. Copy-and-paste. Citation Text: Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  16. Nurse–pharmacist collaboration on medication reconciliation prevents potential harm. | PSNet

    psnet.ahrq.gov/issue/nurse-pharmacist-collaboration-medication-reconciliation-prevents-potential-harm
    August 08, 2018 - Study Nurse–pharmacist collaboration on medication reconciliation prevents potential harm. Citation Text: Feldman LS, Costa LL, Feroli R, et al. Nurse-pharmacist collaboration on medication reconciliation prevents potential harm. J Hosp Med. 2012;7(5):396-401. doi:10.1002/jhm.1921. …

  17. Hand-off Communications. | PSNet

    psnet.ahrq.gov/issue/hand-communications
    January 04, 2017 - Multi-use Website Hand-off Communications. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Copy Citation Format: Google Scholar P…

  18. Description of inpatient medication management using cognitive work analysis. | PSNet

    psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
    October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…

  19. Using information technology to improve the quality and safety of emergency care. | PSNet

    psnet.ahrq.gov/issue/using-information-technology-improve-quality-and-safety-emergency-care
    July 13, 2010 - Commentary Using information technology to improve the quality and safety of emergency care. Citation Text: Handel DA, Wears RL, Nathanson LA, et al. Using Information Technology to Improve the Quality and Safety of Emergency Care. Academic Emergency Medicine. 2011;18(6). doi:10.1111/j…

  20. Bar code technology and medication administration error. | PSNet

    psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
    June 07, 2023 - Review Bar code technology and medication administration error. Citation Text: Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. Copy Citation Format: DOI Google Scho…
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