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  1. Epidemiology of medical error. | PSNet

    psnet.ahrq.gov/issue/epidemiology-medical-error
    March 29, 2012 - Commentary Classic Epidemiology of medical error. Citation Text: Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  2. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. | PSNet

    psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
    September 03, 2011 - Study Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. Citation Text: Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …

  3. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and
    August 04, 2021 - Study Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Citation Text: Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 201…

  4. Rescue me: saving the vulnerable non-ICU patient population. | PSNet

    psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
    June 01, 2011 - Study Rescue me: saving the vulnerable non-ICU patient population. Citation Text: Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205. Copy Citation Format: Google Scholar PubMed Bib…

  5. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

    psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
    June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

  6. Usability evaluation of order sets in a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/usability-evaluation-order-sets-computerized-provider-order-entry-system
    May 04, 2011 - Study Usability evaluation of order sets in a computerized provider order entry system. Citation Text: Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021…

  7. Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system. | PSNet

    psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns
    November 15, 2018 - Study Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns using a new observation system. Citation Text: Manser T, Howard SK, Gaba DM. Adaptive coordination in cardiac anaesthesia: a study of situational changes in coordination patterns…

  8. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. | PSNet

    psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
    October 04, 2011 - Study Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. Citation Text: Starling J, Thosani MK, Coldiron BM. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. …

  9. A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. | PSNet

    psnet.ahrq.gov/issue/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational
    December 20, 2017 - Study A comparison of error rates between intravenous push methods: a prospective, multisite, observational study. Citation Text: Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational Study. J Patient …

  10. Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

    psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
    June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

  11. Uncharted territory: measuring costs of diagnostic errors outside the medical record. | PSNet

    psnet.ahrq.gov/issue/uncharted-territory-measuring-costs-diagnostic-errors-outside-medical-record
    September 20, 2011 - Study Uncharted territory: measuring costs of diagnostic errors outside the medical record. Citation Text: Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-…

  12. Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older
    February 14, 2017 - Study Classic Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. Citation Text: Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational…

  13. A comparison of voluntarily reported medication errors in intensive care and general care units. | PSNet

    psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
    October 26, 2010 - Study A comparison of voluntarily reported medication errors in intensive care and general care units. Citation Text: Kane-Gill SL, Kowiatek JG, Weber RJ. A comparison of voluntarily reported medication errors in intensive care and general care units. Qual Saf Health Care. 2010;19(1):5…

  14. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    September 29, 2017 - Review Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…

  15. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  16. Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

    psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
    September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

  17. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. | PSNet

    psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
    April 11, 2018 - Commentary Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Citation Text: De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…

  18. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. | PSNet

    psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
    January 25, 2023 - Commentary Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. Citation Text: Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…

  19. Neonatal intensive care unit safety culture varies widely. | PSNet

    psnet.ahrq.gov/issue/neonatal-intensive-care-unit-safety-culture-varies-widely
    April 18, 2012 - Study Neonatal intensive care unit safety culture varies widely. Citation Text: Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635. Copy Citati…

  20. Evaluation of contextual influences on the medication administration practice of paediatric nurses. | PSNet

    psnet.ahrq.gov/issue/evaluation-contextual-influences-medication-administration-practice-paediatric-nurses
    January 20, 2021 - Study Evaluation of contextual influences on the medication administration practice of paediatric nurses. Citation Text: Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. …
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