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Elimination of emergency department medication errors due to estimated weights. | PSNet

psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights

July 08, 2020 - Commentary Elimination of emergency department medication errors due to estimated weights. Citation Text: Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5…

The global burden of diagnostic errors in primary care. | PSNet

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May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

Increasing patient safety and efficiency in transfusion therapy using formal process definitions. | PSNet

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September 23, 2020 - Study Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Citation Text: Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet

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June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

Quality, patient safety, and the cardiac surgical team. | PSNet

psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team

October 07, 2013 - Review Quality, patient safety, and the cardiac surgical team. Citation Text: Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

The effects of on-screen, point of care computer reminders on processes and outcomes of care. | PSNet

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September 20, 2011 - Review The effects of on-screen, point of care computer reminders on processes and outcomes of care. Citation Text: Shojania KG, Jennings A, Mayhew A, et al. The effects of on-screen, point of care computer reminders on processes and outcomes of care. Cochrane Database Syst Rev. 2009;(3…

Risk management, or just a different risk? | PSNet

psnet.ahrq.gov/issue/risk-management-or-just-different-risk

April 12, 2011 - Study Risk management, or just a different risk? Citation Text: Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

The sterile cockpit: an effective approach to reducing medication errors? | PSNet

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April 24, 2018 - Commentary The sterile cockpit: an effective approach to reducing medication errors? Citation Text: Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. Copy Ci…

Simulation training in obstetrics. | PSNet

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September 02, 2015 - Review Simulation training in obstetrics. Citation Text: Gavin NR, Satin AJ. Simulation Training in Obstetrics. Clin Obstet Gynecol. 2017;60(4):802-810. doi:10.1097/GRF.0000000000000322. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives. | PSNet

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June 17, 2009 - Study Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives. Citation Text: Brickell TA, McLean C. Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspe…

The case for simulation as part of a comprehensive patient safety program. | PSNet

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September 02, 2015 - Review The case for simulation as part of a comprehensive patient safety program. Citation Text: Argani CH, Eichelberger M, Deering S, et al. The case for simulation as part of a comprehensive patient safety program. Am J Obstet Gynecol. 2012;206(6):451-5. doi:10.1016/j.ajog.2011.09.01…

Use of simulation to test systems and prepare staff for a new hospital transition. | PSNet

psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition

May 31, 2017 - Study Use of simulation to test systems and prepare staff for a new hospital transition. Citation Text: Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.000000000000…

Increasing physician reporting of diagnostic learning opportunities. | PSNet

psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities

March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care

June 30, 2021 - Review Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. Citation Text: Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…

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. …

Systems approaches to surgical quality and safety: from concept to measurement. | PSNet

psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement

January 19, 2016 - Review Systems approaches to surgical quality and safety: from concept to measurement. Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: …

Analgesic prescribing errors and associated medication characteristics. | PSNet

psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics

November 01, 2003 - Study Analgesic prescribing errors and associated medication characteristics. Citation Text: Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…

The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet

psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths

January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…

Impact of patient safety mandates on medical education in the United States. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states

June 01, 2011 - Review Impact of patient safety mandates on medical education in the United States. Citation Text: Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5. Copy Citation…

Reasons for after-hours calls by hospital floor nurses to on-call physicians. | PSNet

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March 21, 2017 - Study Reasons for after-hours calls by hospital floor nurses to on-call physicians. Citation Text: Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. Copy Citation F…

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