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Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada

September 24, 2018 - Commentary Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. Citation Text: Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…

Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records

January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet

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November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet

psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric

April 13, 2011 - Study Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. Citation Text: Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…

Barcode medication administration work-arounds: a systematic review and implications for nurse executives. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse

January 10, 2017 - Review Barcode medication administration work-arounds: a systematic review and implications for nurse executives. Citation Text: Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…

Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. | PSNet

psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation

October 23, 2024 - Study Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. Citation Text: Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementat…

Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-intelligent-intravenous-infusion-devices-experience-specialty

January 07, 2015 - Study Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. Citation Text: Wood JL, Burnette JS. Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac hospital. Heart & Lun…

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. | PSNet

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December 15, 2010 - Study A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. Citation Text: Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administrati…

Does an insulin double-checking procedure improve patient safety? | PSNet

psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety

April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

Medical errors recovered by critical care nurses. | PSNet

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June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery

May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis

September 23, 2020 - Commentary Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. Citation Text: Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…

Do safety checklists improve teamwork and communication in the operating room? A systematic review. | PSNet

psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review

January 19, 2016 - Review Do safety checklists improve teamwork and communication in the operating room? A systematic review. Citation Text: Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …

Medication errors in a pharmacy-based bar-code-repackaging center. | PSNet

psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center

June 28, 2010 - Study Medication errors in a pharmacy-based bar-code-repackaging center. Citation Text: Cina J, Fanikos J, Mitton P, et al. Medication errors in a pharmacy-based bar-code-repackaging center. Am J Health Syst Pharm. 2006;63(2):165-8. Copy Citation Format: Google Scholar Pu…

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 …

What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet

psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning

November 16, 2022 - Commentary What is an ethically informed approach to managing patient safety risk during discharge planning? Citation Text: West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…

A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. | PSNet

psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation

September 24, 2010 - Study A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. Citation Text: Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification a…

Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet

psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric

September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…

Pediatric rapid response teams in the academic medical center. | PSNet

psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center

November 21, 2016 - Study Pediatric rapid response teams in the academic medical center. Citation Text: Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. Copy Citation Format: …

Learning from every death. | PSNet

psnet.ahrq.gov/issue/learning-every-death

June 28, 2011 - Commentary Learning from every death. Citation Text: Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

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