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  1. Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet

    psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
    November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…

  2. Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

    psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
    October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

  3. Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet

    psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
    November 12, 2014 - Commentary Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. Citation Text: Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…

  4. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet

    psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
    December 12, 2012 - Study Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Citation Text: Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. d…

  5. Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. | PSNet

    psnet.ahrq.gov/issue/patterns-dementia-treatment-and-frank-prescribing-errors-older-adults-parkinson-disease
    September 18, 2024 - Study Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. Citation Text: Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49.…

  6. Patient safety in the operating room—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
    October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

  7. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. | PSNet

    psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related
    July 06, 2011 - Study Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. Citation Text: McCormick F, Kadzielski J, Landrigan CP, et al. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predic…

  8. Classification of adverse events occurring in a surgical intensive care unit. | PSNet

    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - Study Classification of adverse events occurring in a surgical intensive care unit. Citation Text: Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. Copy Citation Format: Goog…

  9. Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
    January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …

  10. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/characteristics-unsafe-undergraduate-nursing-students-clinical-practice-integrative
    May 10, 2013 - Review Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. Citation Text: Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nur…

  11. Optimizing transitions of care to reduce rehospitalizations. | PSNet

    psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
    November 04, 2015 - Review Optimizing transitions of care to reduce rehospitalizations. Citation Text: Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. Copy Citation Format: DOI Google Schol…

  12. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
    June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

  13. Implementation of standardized dosing units for I.V. medications. | PSNet

    psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
    May 11, 2014 - Study Implementation of standardized dosing units for I.V. medications. Citation Text: Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046. Copy Citation Format: …

  14. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
    October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

  15. Deploying Six Sigma in a health care system as a work in progress. | PSNet

    psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
    March 04, 2011 - Study Deploying Six Sigma in a health care system as a work in progress. Citation Text: Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. Copy Citation Format: Goo…

  16. Adoption of order entry with decision support for chronic care by physician organizations. | PSNet

    psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
    October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations. Citation Text: Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9. Copy …

  17. Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. | PSNet

    psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-review-include-look-alike-packaging-additional-safety-check
    March 24, 2021 - Study Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. Citation Text: McCoy LK. Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. Jt Comm J Qual Patient Saf. 2005;31(1):47-53. Copy Citation…

  18. Inadequate preoperative team briefings lead to more intraoperative adverse events. | PSNet

    psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
    June 07, 2023 - Study Inadequate preoperative team briefings lead to more intraoperative adverse events. Citation Text: Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. Cop…

  19. Nursing home safety: does financial performance matter? | PSNet

    psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
    November 05, 2008 - Study Nursing home safety: does financial performance matter? Citation Text: Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  20. Proactive risk assessment of surgical site infections in ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
    April 13, 2022 - Study Proactive risk assessment of surgical site infections in ambulatory surgery centers. Citation Text: Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
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