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  1. Surgical never events and contributing human factors. | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
    August 20, 2018 - Study Classic Surgical never events and contributing human factors. Citation Text: Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. Copy Citation Format:…

  2. Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. | PSNet

    psnet.ahrq.gov/issue/beliefs-ambulatory-care-physicians-about-accuracy-patient-medication-records-and-technology
    December 03, 2014 - Study Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. Citation Text: Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technolo…

  3. Doctors and dentists still flooding U.S. with opioid prescriptions. | PSNet

    psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
    October 13, 2018 - Newspaper/Magazine Article Doctors and dentists still flooding U.S. with opioid prescriptions. Citation Text: Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17. Copy Citation Format: Google Scholar BibTeX EndNote…

  4. Paediatric dosing errors before and after electronic prescribing. | PSNet

    psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing
    February 13, 2008 - Study Paediatric dosing errors before and after electronic prescribing. Citation Text: Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068. Copy Citation Format: …

  5. Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
    April 20, 2016 - Commentary Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. Citation Text: Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…

  6. Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication
    September 23, 2020 - Study Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). Citation Text: Ryan GJ, Caudle JM, Rhee MK, et al. Medication reconciliation: comparing a customized medication history form to a standard medi…

  7. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. | PSNet

    psnet.ahrq.gov/issue/moral-distress-compassion-fatigue-and-perceptions-about-medication-errors-certified-critical
    November 09, 2015 - Study Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Citation Text: Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimens C…

  8. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
    December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

  9. Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. | PSNet

    psnet.ahrq.gov/issue/opioid-related-inpatient-stays-and-emergency-department-visits-state-2009-2014
    May 11, 2016 - Book/Report Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. Citation Text: Opioid-Related Inpatient Stays and Emergency Department Visits by State, 2009–2014. Weiss AJ, Elixhauser A, Barrett ML, Steiner CA, Bailey MK, O'Malley L. HCUP Statistical Brief…

  10. Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet

    psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
    October 19, 2022 - Study Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. Citation Text: Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…

  11. Unexpected hypoglycemia in a critically ill patient. | PSNet

    psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
    July 25, 2018 - Study Classic Unexpected hypoglycemia in a critically ill patient. Citation Text: Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  12. Complexity of medication-related verbal orders. | PSNet

    psnet.ahrq.gov/issue/complexity-medication-related-verbal-orders
    November 17, 2010 - Study Complexity of medication-related verbal orders. Citation Text: Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  13. Nursing interruptions in a trauma intensive care unit: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study
    November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…

  14. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

    psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
    April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…

  15. Accuracy of radiographic readings in the emergency department. | PSNet

    psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department
    November 18, 2016 - Study Accuracy of radiographic readings in the emergency department. Citation Text: Petinaux B, Bhat R, Boniface K, et al. Accuracy of radiographic readings in the emergency department. Am J Emerg Med. 2011;29(1):18-25. doi:10.1016/j.ajem.2009.07.011. Copy Citation Format: …

  16. Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

    psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
    October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

  17. Surgical specimen identification errors: a new measure of quality in surgical care. | PSNet

    psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
    June 16, 2011 - Study Surgical specimen identification errors: a new measure of quality in surgical care. Citation Text: Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5. Copy Citation Format:…

  18. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. | PSNet

    psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
    January 04, 2010 - Study Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. Citation Text: McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…

  19. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

    psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
    September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

  20. Understanding safety culture in long-term care: a case study. | PSNet

    psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
    April 19, 2011 - Study Understanding safety culture in long-term care: a case study. Citation Text: Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. Copy Citation Format: …
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