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Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. | PSNet

psnet.ahrq.gov/issue/evolution-intravenous-medication-errors-and-preventive-systemic-defenses-hospital-settings

July 01, 2020 - Review Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. Citation Text: Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital s…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients

April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet

psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider

June 29, 2022 - Review Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. Citation Text: Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on …

What methods are used to apply positive deviance within healthcare organisations? A systematic review. | PSNet

psnet.ahrq.gov/issue/what-methods-are-used-apply-positive-deviance-within-healthcare-organisations-systematic

July 19, 2019 - Review What methods are used to apply positive deviance within healthcare organisations? A systematic review. Citation Text: Baxter R, Taylor N, Kellar I, et al. What methods are used to apply positive deviance within healthcare organisations? A systematic review. BMJ Qual Saf. 2016;25(3…

Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety

February 26, 2025 - Study Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations. Citation Text: Gomes KM, Handley J, Pruitt ZM, et al. Development and evaluation of patient safety interventions: perspectives of operational saf…

Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related

October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. | PSNet

psnet.ahrq.gov/issue/threats-patient-safety-primary-care-reported-older-people-multimorbidity-baseline-findings

November 14, 2018 - Study Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. Citation Text: Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care report…

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. | PSNet

psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality-based-clinical

July 27, 2022 - Study Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Citation Text: Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2…

Medication adverse events in the ambulatory setting: a mixed-methods analysis. | PSNet

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October 21, 2020 - Study Medication adverse events in the ambulatory setting: a mixed-methods analysis. Citation Text: Wong J, Lee S-Y, Sarkar U, et al. Medication adverse events in the ambulatory setting: a mixed-methods analysis. Am J Health Syst Pharm. 2022;79(24):2230-2243. doi:10.1093/ajhp/zxac253. …

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic-review

July 07, 2021 - Review Classic Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. Citation Text: Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic re…

Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. | PSNet

psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer

April 24, 2019 - Review Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. Citation Text: Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Deci…

Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. | PSNet

psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children

December 02, 2020 - Study Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. Citation Text: Verbakel JY, Lemiengre MB, De Burghgraeve T, et al. Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambu…

Diagnostic error in children presenting with acute medical illness to a community hospital. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-children-presenting-acute-medical-illness-community-hospital

September 25, 2011 - Study Diagnostic error in children presenting with acute medical illness to a community hospital. Citation Text: Warrick C, Patel P, Hyer W, et al. Diagnostic error in children presenting with acute medical illness to a community hospital. Int J Qual Health Care. 2014;26(5):538-46. doi:1…

Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors

January 26, 2022 - Study Prevalence of medication transfer errors in nephrology patients and potential risk factors. Citation Text: Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…

Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation

January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

Using safety culture results to guide the merger of four general practices in the UK. | PSNet

psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk

February 01, 2023 - Study Using safety culture results to guide the merger of four general practices in the UK. Citation Text: Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-…

ACGME duty-hour recommendations—a national survey of residency program directors. | PSNet

psnet.ahrq.gov/issue/acgme-duty-hour-recommendations-national-survey-residency-program-directors

December 21, 2014 - Study ACGME duty-hour recommendations—a national survey of residency program directors. Citation Text: Antiel RM, Thompson SM, Reed DA, et al. ACGME duty-hour recommendations - a national survey of residency program directors. N Engl J Med. 2010;363(8):e12. doi:10.1056/NEJMp1008305. …

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. | PSNet

psnet.ahrq.gov/issue/effects-duty-hour-restrictions-core-competencies-education-quality-life-and-burnout-among

December 21, 2014 - Study Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. Citation Text: Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout a…

Hospital staff nurses' shift length associated with safety and quality of care. | PSNet

psnet.ahrq.gov/issue/hospital-staff-nurses-shift-length-associated-safety-and-quality-care

April 23, 2012 - Study Hospital staff nurses' shift length associated with safety and quality of care. Citation Text: Stimpfel AW, Aiken LH. Hospital staff nurses' shift length associated with safety and quality of care. J Nurs Care Qual. 2013;28(2):122-129. doi:10.1097/NCQ.0b013e3182725f09. Copy Cita…

40 years behind the mask: safety revisited. | PSNet

psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited

January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

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