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How many hospital pharmacy medication dispensing errors go undetected? | PSNet

psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispensing-errors-go-undetected

October 25, 2010 - Study How many hospital pharmacy medication dispensing errors go undetected? Citation Text: Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80. Copy Citation Format: G…

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions

September 01, 2016 - Study Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. Citation Text: Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric …

What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/what-evidence-pharmacy-team-working-acute-or-emergency-medicine-department-improves-outcomes

August 10, 2022 - Review What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. Citation Text: Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medic…

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. | PSNet

psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates

May 01, 2019 - Study Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. Citation Text: Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors

July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet

psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements

January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? Citation Text: Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. C…

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. | PSNet

psnet.ahrq.gov/issue/prospective-observational-study-incidence-medication-errors-during-simulated-resuscitation

April 22, 2011 - Study Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. Citation Text: Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…

Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. | PSNet

psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication

May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…

Can communication-and-resolution programs achieve their potential? Five key questions. | PSNet

psnet.ahrq.gov/issue/can-communication-and-resolution-programs-achieve-their-potential-five-key-questions

September 01, 2018 - Commentary Can communication-and-resolution programs achieve their potential? Five key questions. Citation Text: Gallagher TH, Mello MM, Sage WM, et al. Can Communication-And-Resolution Programs Achieve Their Potential? Five Key Questions. Health Aff (Millwood). 2018;37(11):1845-1852. do…

Transformational leadership in nursing and medication safety education: a discussion paper. | PSNet

psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper

September 08, 2021 - Commentary Transformational leadership in nursing and medication safety education: a discussion paper. Citation Text: Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper. J Nurs Manag. 2016;24(7):970-980…

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps

March 28, 2018 - Study Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. Citation Text: Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication with their p…

Systemic failures in nursing home care--a scoping study. | PSNet

psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study

July 17, 2013 - Review Systemic failures in nursing home care--a scoping study. Citation Text: Sturmberg JP, Gainsford L, Goodwin N, et al. Systemic failures in nursing home care—A scoping study. J Eval Clin Pract. 2024. doi:10.1111/jep.13961. Copy Citation Format: DOI Google Scholar BibTe…

Implementing peer evaluation of handoffs: associations with experience and workload. | PSNet

psnet.ahrq.gov/issue/implementing-peer-evaluation-handoffs-associations-experience-and-workload

February 19, 2013 - Study Implementing peer evaluation of handoffs: associations with experience and workload. Citation Text: Arora V, Greenstein EA, Woodruff JN, et al. Implementing peer evaluation of handoffs: associations with experience and workload. J Hosp Med. 2013;8(3):132-6. doi:10.1002/jhm.2002. …

Professionalism in the era of duty hours: time for a shift change? | PSNet

psnet.ahrq.gov/issue/professionalism-era-duty-hours-time-shift-change

September 22, 2010 - Commentary Professionalism in the era of duty hours: time for a shift change? Citation Text: Arora V, Farnan JM, Humphrey HJ. Professionalism in the era of duty hours: time for a shift change? JAMA. 2012;308(21):2195-6. doi:10.1001/jama.2012.14584. Copy Citation Format: D…

Uptake of quality-related event standards of practice by community pharmacies. | PSNet

psnet.ahrq.gov/issue/uptake-quality-related-event-standards-practice-community-pharmacies

November 09, 2016 - Study Uptake of quality-related event standards of practice by community pharmacies. Citation Text: Boyle TA, Bishop A, Overmars C, et al. Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. J Pharm Pract. 2015;28(5):442-9. doi:10.1177/0897190014522066. Copy …

Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety

April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

Structural racism and adverse maternal health outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review

February 15, 2023 - Review Structural racism and adverse maternal health outcomes: a systematic review. Citation Text: Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. …

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet

psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth

July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. | PSNet

psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care

March 10, 2011 - Study Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. Citation Text: Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…

Safe implementation of standard concentration infusions in paediatric intensive care. | PSNet

psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care

June 17, 2014 - Study Safe implementation of standard concentration infusions in paediatric intensive care. Citation Text: Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…

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