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Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet

psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot

November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

Medical error reduction and tort reform through private contractually-based quality medicine societies. | PSNet

psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine

October 13, 2010 - Commentary Medical error reduction and tort reform through private contractually-based quality medicine societies. Citation Text: MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…

Attitudes of health sciences faculty members towards interprofessional teamwork and education. | PSNet

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March 02, 2011 - Study Attitudes of health sciences faculty members towards interprofessional teamwork and education. Citation Text: Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896. Copy Cit…

Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. | PSNet

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September 08, 2021 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. Citation Text: Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obst…

Reason's accident causation model: application to adverse events in acute care. | PSNet

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October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

Failure to rescue as a process measure to evaluate fetal safety during labor. | PSNet

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October 19, 2022 - Study Failure to rescue as a process measure to evaluate fetal safety during labor. Citation Text: Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. Copy Citat…

A model for developing high-reliability teams. | PSNet

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September 01, 2018 - Commentary A model for developing high-reliability teams. Citation Text: Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x. Copy Citation Format: DOI Google Scholar Pub…

Enhancing communication in surgery through team training interventions: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/enhancing-communication-surgery-through-team-training-interventions-systematic-literature

August 11, 2021 - Review Enhancing communication in surgery through team training interventions: a systematic literature review. Citation Text: Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):6…

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. | PSNet

psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic

October 28, 2009 - Study Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Citation Text: Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…

Incidence, staff awareness and mortality of patients at risk on general wards. | PSNet

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November 15, 2023 - Study Incidence, staff awareness and mortality of patients at risk on general wards. Citation Text: Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…

Health literacy and mortality among elderly persons. | PSNet

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April 24, 2018 - Study Health literacy and mortality among elderly persons. Citation Text: Baker DW, Wolf MS, Feinglass J, et al. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

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…

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet

psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production

April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Citation Text: Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…

Effect of barcode-assisted medication administration on emergency department medication errors. | PSNet

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May 19, 2014 - Study Effect of barcode-assisted medication administration on emergency department medication errors. Citation Text: Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6.…

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. | PSNet

psnet.ahrq.gov/issue/scoping-review-exploring-confidence-healthcare-professionals-assessing-all-skin-tones

July 17, 2019 - Review A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Citation Text: Harrison J. A scoping review exploring the confidence of healthcare professionals in assessing all skin tones. Br Paramed J. 2023;8(2):18-28. doi:10.29045/14784726.202…

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 road to zero preventable birth injuries. | PSNet

psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries

January 05, 2012 - Commentary The road to zero preventable birth injuries. Citation Text: Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

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…

Diagnostic reasoning in cardiovascular medicine. | PSNet

psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine

October 27, 2021 - Review Diagnostic reasoning in cardiovascular medicine. Citation Text: Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

Safety huddles in the PACU: when a patient self-medicates. | PSNet

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December 14, 2016 - Commentary Safety huddles in the PACU: when a patient self-medicates. Citation Text: Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010. Copy Citation Format: DOI Google Sc…

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