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  1. Opioid medication discontinuation and risk of adverse opioid-related health care events. | PSNet

    psnet.ahrq.gov/issue/opioid-medication-discontinuation-and-risk-adverse-opioid-related-health-care-events
    November 16, 2022 - Study Classic Opioid medication discontinuation and risk of adverse opioid-related health care events. Citation Text: Mark TL, Parish W. Opioid medication discontinuation and risk of adverse opioid-related health care events. J Subst Abuse Treat. 2019;103:58-63.…

  2. Preventing mistransfusions: an evaluation of institutional knowledge and a response. | PSNet

    psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
    June 06, 2018 - Study Preventing mistransfusions: an evaluation of institutional knowledge and a response. Citation Text: MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…

  3. Sentinel events, serious reportable events, and root cause analysis. | PSNet

    psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
    February 26, 2014 - Commentary Sentinel events, serious reportable events, and root cause analysis. Citation Text: Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672. Copy Citation …

  4. Is there a 'weekend effect' in major trauma? | PSNet

    psnet.ahrq.gov/issue/there-weekend-effect-major-trauma
    September 23, 2020 - Study Is there a 'weekend effect' in major trauma? Citation Text: Metcalfe D, Perry DC, Bouamra O, et al. Is there a 'weekend effect' in major trauma? Emerg Med J. 2016;33(12):836-842. doi:10.1136/emermed-2016-206049. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  5. Patient safety education to change medical students' attitudes and sense of responsibility. | PSNet

    psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility
    January 20, 2021 - Study Patient safety education to change medical students' attitudes and sense of responsibility. Citation Text: Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…

  6. Advancing measurement of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture
    February 14, 2015 - Study Advancing measurement of patient safety culture. Citation Text: Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x. Copy Citation Format: DOI Google Schol…

  7. Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet

    psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
    November 12, 2014 - Commentary Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. Citation Text: Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…

  8. Emergency department discharge prescription interventions by emergency medicine pharmacists. | PSNet

    psnet.ahrq.gov/issue/emergency-department-discharge-prescription-interventions-emergency-medicine-pharmacists
    September 22, 2021 - Study Emergency department discharge prescription interventions by emergency medicine pharmacists. Citation Text: Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214…

  9. A model of disruptive surgeon behavior in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
    February 05, 2020 - Study A model of disruptive surgeon behavior in the perioperative environment. Citation Text: Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. Copy Citation Format…

  10. Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. | PSNet

    psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
    May 18, 2022 - Study Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. Citation Text: Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. McCarthy L, Dolovich L, Haq M, et a…

  11. The evolution of patient safety procedures in an oral surgery department | PSNet

    psnet.ahrq.gov/issue/evolution-patient-safety-procedures-oral-surgery-department
    November 16, 2022 - Commentary The evolution of patient safety procedures in an oral surgery department Citation Text: Graham C, Reid S, Lord TC, et al. The evolution of patient safety procedures in an oral surgery department. Br Dent J. 2019;226(1):32-38. doi:10.1038/sj.bdj.2019.5. Copy Citation Form…

  12. Reducing surgical specimen errors through multidisciplinary quality improvement. | PSNet

    psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
    July 28, 2021 - Study Reducing surgical specimen errors through multidisciplinary quality improvement. Citation Text: Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. …

  13. Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. | PSNet

    psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
    October 17, 2017 - Review Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. Citation Text: Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…

  14. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. | PSNet

    psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
    July 13, 2010 - Review Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Citation Text: Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology. 2002;97(6):1609-17…

  15. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. | PSNet

    psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
    September 11, 2019 - Study Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. Citation Text: Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN …

  16. How often do physicians review medication charts on ward rounds? | PSNet

    psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

  17. The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. | PSNet

    psnet.ahrq.gov/issue/limits-knowledge-management-uk-public-services-modernization-case-patient-safety-and-service
    January 29, 2014 - Study The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. Citation Text: Currie G, Waring J, Finn R. THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES MODERNIZATION: THE CASE OF PATIENT SAFETY AND SERVICE QUAL…

  18. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. | PSNet

    psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
    May 13, 2020 - Study Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. Citation Text: Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…

  19. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. | PSNet

    psnet.ahrq.gov/issue/communication-gaps-and-readmissions-hospital-patients-aged-75-years-and-older-observational
    July 19, 2023 - Study Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Citation Text: Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Hea…

  20. Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? | PSNet

    psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
    March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…
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