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  1. Evaluation of parenteral nutrition errors in an era of drug shortages. | PSNet

    psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
    October 02, 2013 - Study Evaluation of parenteral nutrition errors in an era of drug shortages. Citation Text: Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820. Copy Citation For…

  2. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet

    psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
    June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

  3. Improving patient safety: patient-focused, high-reliability team training. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
    January 07, 2011 - Commentary Improving patient safety: patient-focused, high-reliability team training. Citation Text: McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. …

  4. The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. | PSNet

    psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-pilot-pediatric-teaching-institution
    December 20, 2023 - Study The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. Citation Text: Wagner D, Pasko D, Glenn D, et al. The Medication Manager. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181cb43b4. Copy Citation Format: DOI G…

  5. Understanding patient safety and quality outcome data. | PSNet

    psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
    July 19, 2023 - Commentary Understanding patient safety and quality outcome data. Citation Text: Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  6. Influence of language barriers on outcomes of hospital care for general medicine inpatients. | PSNet

    psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
    May 16, 2012 - Study Influence of language barriers on outcomes of hospital care for general medicine inpatients. Citation Text: Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…

  7. Medical librarians supporting information systems project lifecycles toward improved patient safety. | PSNet

    psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient
    March 27, 2024 - Commentary Medical librarians supporting information systems project lifecycles toward improved patient safety. Citation Text: Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians …

  8. Examining markers of safety in homecare using the international classification for patient safety. | PSNet

    psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
    March 02, 2016 - Review Examining markers of safety in homecare using the international classification for patient safety. Citation Text: Macdonald M, Lang A, Storch J, et al. Examining markers of safety in homecare using the international classification for patient safety. BMC Health Serv Res. 2013;13:…

  9. Epidemiology of medication-related adverse events in nursing homes. | PSNet

    psnet.ahrq.gov/issue/epidemiology-medication-related-adverse-events-nursing-homes
    March 28, 2012 - Review Epidemiology of medication-related adverse events in nursing homes. Citation Text: Handler S, Wright RM, Ruby CM, et al. Epidemiology of medication-related adverse events in nursing homes. Am J Geriatr Pharmacother. 2006;4(3):264-72. Copy Citation Format: Google Sc…

  10. Classification and detection of errors in minimally invasive surgery. | PSNet

    psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
    June 17, 2014 - Review Classification and detection of errors in minimally invasive surgery. Citation Text: Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068. Copy Citation…

  11. Missed steps in the preanesthetic set-up. | PSNet

    psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
    June 26, 2019 - Study Missed steps in the preanesthetic set-up. Citation Text: DeMaria S, Blasius K, Neustein SM. Missed steps in the preanesthetic set-up. Anesth Analg. 2011;113(1):84-8. doi:10.1213/ANE.0b013e318219645e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  12. Facing our mistakes. | PSNet

    psnet.ahrq.gov/issue/facing-our-mistakes
    September 23, 2020 - Commentary Classic Facing our mistakes. Citation Text: Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  13. Trends in anesthesia-related liability and lessons learned. | PSNet

    psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
    August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. Citation Text: Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. Copy Citation Format: DOI Go…

  14. The value of inking breast cores to reduce specimen mix-up. | PSNet

    psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
    January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  15. Surgical ward round quality and impact on variable patient outcomes. | PSNet

    psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
    June 17, 2015 - Study Surgical ward round quality and impact on variable patient outcomes. Citation Text: Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376. Copy Citation Format: …

  16. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet

    psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
    June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

  17. Clinical nurse specialists as leaders in rapid response. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
    July 19, 2023 - Commentary Clinical nurse specialists as leaders in rapid response. Citation Text: Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. Copy Citation Format: DOI Google Schola…

  18. Attitudes and practices related to clinical alarms. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms
    April 18, 2018 - Study Attitudes and practices related to clinical alarms. Citation Text: Funk M, Clark T, Bauld TJ, et al. Attitudes and practices related to clinical alarms. Am J Crit Care. 2014;23(3):e9-e18. doi:10.4037/ajcc2014315. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  19. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
    July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…

  20. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. | PSNet

    psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
    March 03, 2011 - Study A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. Citation Text: Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer servi…
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