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psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
April 29, 2020 - Study
Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.
Citation Text:
Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…
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psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
October 16, 2012 - Study
Improving general practice computer systems for patient safety: qualitative study of key stakeholders.
Citation Text:
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety: qualitative study of key stakeholders. Qual Saf Health Ca…
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psnet.ahrq.gov/issue/response-practicing-chiropractors-during-early-phase-covid-19-pandemic-descriptive-report
September 23, 2020 - Commentary
Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report.
Citation Text:
Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report.…
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psnet.ahrq.gov/issue/evaluation-effectiveness-and-safety-pharmacist-independent-prescribers-care-homes-cluster
December 15, 2021 - Study
Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.
Citation Text:
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster…
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psnet.ahrq.gov/issue/effects-resident-work-hours-sleep-duration-and-work-experience-randomized-order-safety-trial
March 10, 2021 - Study
Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS).
Citation Text:
Barger LK, Sullivan JP, Blackwell T, et al. Effects on resident work hours, sleep duration, and work experience in…
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psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
October 27, 2021 - Review
Dedicated teams to optimize quality and safety of surgery: a systematic review.
Citation Text:
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…
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psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients
September 20, 2011 - Study
Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.
Citation Text:
de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/…
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psnet.ahrq.gov/issue/impact-full-personal-protective-equipment-alertness-healthcare-workers-prospective-study
August 24, 2022 - Study
Impact of full personal protective equipment on alertness of healthcare workers: a prospective study.
Citation Text:
Wells HJ, Raithatha M, Elhag S, et al. Impact of full personal protective equipment on alertness of healthcare workers: a prospective study. BMJ Open Qual. 2022;11(1…
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil
March 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/33984/psn-pdf
April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and
Dose Designations.
April 17, 2024
Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
A handy list for medical personnel to ensure and implement safe…
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psnet.ahrq.gov/node/39939/psn-pdf
June 27, 2018 - Hospitals collaborate to prevent wrong-site surgery.
June 27, 2018
Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.
https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
This article describes a wrong-site surgery prevention program and how it was succ…
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psnet.ahrq.gov/node/35513/psn-pdf
February 22, 2010 - Utility of an online medication-error-reporting system.
February 22, 2010
Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J
Health Syst Pharm. 2005;62(21):2265-70.
https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
The investigators survey…
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psnet.ahrq.gov/node/36897/psn-pdf
August 31, 2011 - Characterization of prescribing errors in an internal
medicine clinic.
August 31, 2011
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal
medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
https://psnet.ahrq.gov/issue/characterization-prescribing-errors…
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psnet.ahrq.gov/node/41825/psn-pdf
November 21, 2012 - Supporting a psychiatric hospital culture of safety.
November 21, 2012
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr
Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
https://psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safe…
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psnet.ahrq.gov/node/42035/psn-pdf
February 13, 2013 - Using Safety Cases in Industry and Healthcare.
February 13, 2013
London, UK: Health Foundation; December 2012. ISBN: 9781906461430.
https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare
This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor
…
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psnet.ahrq.gov/node/36857/psn-pdf
January 22, 2017 - Eliminating perioperative adverse events at Ascension
Health.
January 22, 2017
Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt
Comm J Qual Patient Saf. 2007;33(5):256-66.
https://psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
The…
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psnet.ahrq.gov/node/36010/psn-pdf
January 02, 2017 - Operating room briefings: working on the same page.
January 2, 2017
Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt
Comm J Qual Patient Saf. 2006;32(6):351-5.
https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
The authors describe a tool fo…
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psnet.ahrq.gov/node/35425/psn-pdf
June 17, 2014 - Have you M.E.T. the future of better patient safety?
June 17, 2014
Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing
boards. 2005;58(8):6-10, 1.
https://psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety
This article recaps the origins of the me…
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psnet.ahrq.gov/node/35653/psn-pdf
June 25, 2010 - Effective strategies to increase reporting of medication
errors in hospitals.
June 25, 2010
Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in
hospitals. J Nurs Adm. 2006;36(1):34-41.
https://psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medicati…
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psnet.ahrq.gov/node/40330/psn-pdf
March 30, 2011 - Smart pumps: implications for nurse leaders.
March 30, 2011
Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118.
doi:10.1097/NAQ.0b013e31820fbdc0.
https://psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
This commentary discusses the benefits and limitatio…