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Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. | PSNet

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October 19, 2022 - Study Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Citation Text: Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…

Applying HFMEA to prevent chemotherapy errors. | PSNet

psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors

September 27, 2017 - Study Applying HFMEA to prevent chemotherapy errors. Citation Text: Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. | PSNet

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April 27, 2019 - Commentary Emerging Classic Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. Citation Text: Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…

'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. | PSNet

psnet.ahrq.gov/issue/sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination

July 10, 2024 - Study 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Citation Text: McKinley J, Dempster M, Gormley GJ. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Med Educ. 2015;49(4):427-35. doi:10.1111/me…

The use of a standard design medication room to promote medication safety: organizational implications. | PSNet

psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications

July 27, 2022 - Study The use of a standard design medication room to promote medication safety: organizational implications. Citation Text: Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. | PSNet

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November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…

Connected care: reducing errors through automated vital signs data upload. | PSNet

psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload

September 01, 2018 - Study Connected care: reducing errors through automated vital signs data upload. Citation Text: Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65. Cop…

Running a hospital patient safety campaign: a qualitative study. | PSNet

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May 01, 2015 - Study Running a hospital patient safety campaign: a qualitative study. Citation Text: Ozieranski P, Robins V, Minion J, et al. Running a hospital patient safety campaign: a qualitative study. J Health Organ Manag. 2014;28(4):562-75. Copy Citation Format: Google Scholar PubM…

Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-3-day-patient-safety-curriculum-advance-knowledge-self-efficacy

July 01, 2016 - Study Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students. Citation Text: Aboumatar HJ, Thompson DA, Wu AW, et al. Development and evaluation of a 3-day patient safety curriculum to advance knowl…

The ins and outs of change of shift handoffs between nurses: a communication challenge. | PSNet

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October 19, 2022 - Study The ins and outs of change of shift handoffs between nurses: a communication challenge. Citation Text: Carroll JS, Williams M, Gallivan TM. The ins and outs of change of shift handoffs between nurses: a communication challenge. BMJ Qual Saf. 2012;21(7):586-93. doi:10.1136/bmjqs-2…

Gaps in the continuity of care and progress on patient safety. | PSNet

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January 16, 2017 - Commentary Classic Gaps in the continuity of care and progress on patient safety. Citation Text: Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. Copy Citation Format: Google Sch…

A novel process audit for standardized perioperative handoff protocols. | PSNet

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June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. | PSNet

psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7

July 17, 2019 - Commentary Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Citation Text: Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …

The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes

November 26, 2014 - Study The association between night or weekend admission and hospitalization-relevant patient outcomes. Citation Text: Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…

Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet

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January 29, 2015 - Commentary Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. Citation Text: Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…

Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. | PSNet

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September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…

The computerized ECG: friend and foe. | PSNet

psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe

December 04, 2024 - Review Emerging Classic The computerized ECG: friend and foe. Citation Text: Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. | PSNet

psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized

November 12, 2014 - Commentary Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. Citation Text: Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…

Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

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August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

Comparison of physician and computer diagnostic accuracy. | PSNet

psnet.ahrq.gov/issue/comparison-physician-and-computer-diagnostic-accuracy

November 03, 2015 - Study Comparison of physician and computer diagnostic accuracy. Citation Text: Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy. JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001. Copy Citation Format: …

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