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Medication errors in injured patients. | PSNet

psnet.ahrq.gov/issue/medication-errors-injured-patients

April 03, 2019 - Study Medication errors in injured patients. Citation Text: Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. | PSNet

psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students

November 15, 2023 - Commentary Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. Citation Text: Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …

Do first opinions affect second opinions? | PSNet

psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions

October 07, 2020 - Study Do first opinions affect second opinions? Citation Text: Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. | PSNet

psnet.ahrq.gov/issue/anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections

January 07, 2015 - Study Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. Citation Text: Gargiulo DA, Sheridan J, Webster CS, et al. Anaesthetic drug …

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. | PSNet

psnet.ahrq.gov/issue/oral-outpatient-chemotherapy-medication-errors-children-acute-lymphoblastic-leukemia

August 12, 2020 - Study Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Citation Text: Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia. Cancer. 2006;107(6):1400-6. Copy Cita…

Diagnostic error in a national incident reporting system in the UK. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk

February 15, 2013 - Study Diagnostic error in a national incident reporting system in the UK. Citation Text: Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x. Copy Citati…

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. | PSNet

psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region

September 29, 2010 - Study Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. Citation Text: Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…

Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet

psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention

July 22, 2020 - Review Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. Citation Text: Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…

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…

Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet

psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales

August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. | PSNet

psnet.ahrq.gov/issue/patient-assessments-hypothetical-medical-error-effects-health-outcome-disclosure-and-staff

February 24, 2011 - Study Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. Citation Text: Cleopas A, Villaveces A, Charvet A, et al. Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff re…

Nurses' experiences of drug administration errors. | PSNet

psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors

October 14, 2020 - Study Nurses' experiences of drug administration errors. Citation Text: Schelbred A-B, Nord R. Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. | PSNet

psnet.ahrq.gov/issue/time-out-impact-physician-burnout-patient-care-quality-and-safety-perioperative-medicine

November 03, 2021 - Commentary Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. Citation Text: Shin P, Desai V, Conte AH, et al. Time out: the impact of physician burnout on patient care quality and safety in perioperative medicine. Perm J. 2023;27(2):1…

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…

Adverse drug events in surgical patients: an observational multicentre study. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-surgical-patients-observational-multicentre-study

January 18, 2013 - Government Resource Adverse drug events in surgical patients: an observational multicentre study. Citation Text: de Boer M, Boeker EB, Ramrattan MA, et al. Adverse drug events in surgical patients: an observational multicentre study. Int J Clin Pharm. 2013;35(5):744-52. doi:10.1007/s110…

Medication safety in the neonatal intensive care unit: big measures for our smallest patients. | PSNet

psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients

September 18, 2024 - Commentary Medication safety in the neonatal intensive care unit: big measures for our smallest patients. Citation Text: Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.00…

Perceptions of time spent on safety tasks in surgical operations: a focus group study. | PSNet

psnet.ahrq.gov/issue/perceptions-time-spent-safety-tasks-surgical-operations-focus-group-study

November 03, 2015 - Study Perceptions of time spent on safety tasks in surgical operations: a focus group study. Citation Text: Høyland S, Haugen AS, Thomassen Ø. Perceptions of time spent on safety tasks in surgical operations: A focus group study. Saf Sci. 2014;70. doi:10.1016/j.ssci.2014.05.009. Copy C…

Resident duty hours and medical education policy—raising the evidence bar. | PSNet

psnet.ahrq.gov/issue/resident-duty-hours-and-medical-education-policy-raising-evidence-bar

August 20, 2018 - Commentary Resident duty hours and medical education policy—raising the evidence bar. Citation Text: Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690. Copy Citatio…

Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic

March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

Morbidity and mortality: delays in my patient’s cancer care. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care

July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

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