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Quality-monitoring program for bar-code–assisted medication administration. | PSNet

psnet.ahrq.gov/issue/quality-monitoring-program-bar-code-assisted-medication-administration

November 16, 2022 - Study Quality-monitoring program for bar-code–assisted medication administration. Citation Text: Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172. Copy…

Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet

psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events

September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records

September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers

May 01, 2024 - Review Emerging Classic Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. Citation Text: Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…

Detecting clinical medication errors with AI enabled wearable cameras. | PSNet

psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras

August 03, 2022 - Study Detecting clinical medication errors with AI enabled wearable cameras. Citation Text: Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. Copy Citation Format: …

Perceptions of effective and ineffective nurse–physician communication in hospitals. | PSNet

psnet.ahrq.gov/issue/perceptions-effective-and-ineffective-nurse-physician-communication-hospitals

June 28, 2017 - Study Perceptions of effective and ineffective nurse–physician communication in hospitals. Citation Text: Robinson P, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum. 2010;45(3):206-16. doi:10.1111/j.1744-6198…

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet

psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention

May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

Transfer of accountability: transforming shift handover to enhance patient safety. | PSNet

psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety

April 24, 2018 - Commentary Transfer of accountability: transforming shift handover to enhance patient safety. Citation Text: Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. Copy Citation …

Computer physician order entry: benefits, costs, and issues. | PSNet

psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues

May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Computerized physician order entry in the critical care environment: a review of current literature. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature

September 19, 2012 - Review Computerized physician order entry in the critical care environment: a review of current literature. Citation Text: Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…

Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing

July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

Algorithmic prediction of failure modes in healthcare. | PSNet

psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare

September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…

Passing the "Yo' Mama" test. | PSNet

psnet.ahrq.gov/issue/passing-yo-mama-test

February 15, 2023 - Commentary Passing the "Yo' Mama" test. Citation Text: Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. Copy Citation Format: …

Accidental iatrogenic pneumothorax in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients

April 03, 2005 - Study Accidental iatrogenic pneumothorax in hospitalized patients. Citation Text: Zhan C, Smith M, Stryer D. Accidental iatrogenic pneumothorax in hospitalized patients. Med Care. 2006;44(2):182-186. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. | PSNet

psnet.ahrq.gov/issue/adverse-events-among-hospital-medicare-patients-2021-and-2022

November 20, 2024 - Book/Report Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. Citation Text: Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. …

Clinical handovers between prehospital and hospital staff: literature review. | PSNet

psnet.ahrq.gov/issue/clinical-handovers-between-prehospital-and-hospital-staff-literature-review

March 23, 2022 - Review Clinical handovers between prehospital and hospital staff: literature review. Citation Text: Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165. Copy C…

Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. | PSNet

psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college

April 24, 2018 - Commentary Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. Citation Text: Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …

Medication prescribing errors in a teaching hospital. | PSNet

psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital

December 23, 2008 - Study Classic Medication prescribing errors in a teaching hospital. Citation Text: Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. Copy Citation Format: Google Scholar P…

Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay

December 22, 2008 - Commentary Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. Citation Text: Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…

Crib of horrors: one hospital's approach to promoting a culture of safety. | PSNet

psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety

December 22, 2018 - Commentary Crib of horrors: one hospital's approach to promoting a culture of safety. Citation Text: Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. Copy Citation …

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