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  1. A safe practice standard for barcode technology. | PSNet

    psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology
    September 21, 2022 - Review A safe practice standard for barcode technology. Citation Text: Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf. 2015;11(2):89-99. doi:10.1097/PTS.0000000000000049. Copy Citation Format: DOI Google Scholar PubMed …

  2. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. | PSNet

    psnet.ahrq.gov/issue/how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-response-teams
    June 19, 2013 - Study How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Citation Text: Leach LS, Mayo A, O'Rourke M. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Qual Saf Health Care. 2010;19(5):e1…

  3. Decreasing surgical site infections by developing a high reliability culture. | PSNet

    psnet.ahrq.gov/issue/decreasing-surgical-site-infections-developing-high-reliability-culture
    July 05, 2017 - Commentary Decreasing surgical site infections by developing a high reliability culture. Citation Text: Pettis AM. Decreasing Surgical Site Infections by Developing a High Reliability Culture. AORN J. 2018;108(6):644-650. doi:10.1002/aorn.12416. Copy Citation Format: DOI Go…

  4. Surgical site infection prevention: a review. | PSNet

    psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
    February 15, 2023 - Review Surgical site infection prevention: a review. Citation Text: Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  5. Associations between perceived crisis mode work climate and poor information exchange within hospitals. | PSNet

    psnet.ahrq.gov/issue/associations-between-perceived-crisis-mode-work-climate-and-poor-information-exchange-within
    October 19, 2022 - Study Associations between perceived crisis mode work climate and poor information exchange within hospitals. Citation Text: Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med. 2015;10(3):1…

  6. Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
    March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

  7. Adverse drug events in a paediatric intensive care unit: a prospective cohort. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-paediatric-intensive-care-unit-prospective-cohort
    April 24, 2018 - Study Adverse drug events in a paediatric intensive care unit: a prospective cohort. Citation Text: Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868. Co…

  8. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet

    psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
    August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Citation Text: Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…

  9. Rapid response systems in adult academic medical centers. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
    February 16, 2011 - Study Rapid response systems in adult academic medical centers. Citation Text: Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. Copy Citation Format: Google Scholar PubMed BibTeX E…

  10. A piece of my mind. Hard times and hard stops. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops
    December 11, 2024 - Commentary A piece of my mind. Hard times and hard stops. Citation Text: Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  11. Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream
    April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

  12. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet

    psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological
    October 19, 2022 - Study Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. Citation Text: Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…

  13. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. | PSNet

    psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
    October 19, 2022 - Study Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. Citation Text: Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with h…

  14. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. | PSNet

    psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
    May 15, 2024 - Study An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Citation Text: Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…

  15. Common predictors of nurse-reported quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
    March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…

  16. Time motion study in a pediatric emergency department before and after computer physician order entry. | PSNet

    psnet.ahrq.gov/issue/time-motion-study-pediatric-emergency-department-and-after-computer-physician-order-entry
    October 19, 2022 - Study Time motion study in a pediatric emergency department before and after computer physician order entry. Citation Text: Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4)…

  17. Medicare nonpayment, hospital falls, and unintended consequences. | PSNet

    psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
    October 19, 2022 - Commentary Medicare nonpayment, hospital falls, and unintended consequences. Citation Text: Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963. Copy Citation Format: …

  18. Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
    February 13, 2019 - Commentary Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment. Citation Text: Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in a Pharmacy Benefit Management Environment…

  19. Adverse effects of computers during bedside rounds in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/adverse-effects-computers-during-bedside-rounds-critical-care-unit
    August 02, 2015 - Study Adverse effects of computers during bedside rounds in a critical care unit. Citation Text: Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752. Copy …

  20. Radiology research in quality and safety: current trends and future needs. | PSNet

    psnet.ahrq.gov/issue/radiology-research-quality-and-safety-current-trends-and-future-needs
    November 16, 2022 - Review Radiology research in quality and safety: current trends and future needs. Citation Text: Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021. Copy …
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