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Evaluating a handheld decision support device in pediatric intensive care settings. | PSNet

psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings

January 18, 2023 - Study Evaluating a handheld decision support device in pediatric intensive care settings. Citation Text: Evaluating a handheld decision support device in pediatric intensive care settings. Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. Copy Citation …

Facing our mistakes. | PSNet

psnet.ahrq.gov/issue/facing-our-mistakes

September 23, 2020 - Commentary Classic Facing our mistakes. Citation Text: Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

The value of inking breast cores to reduce specimen mix-up. | PSNet

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January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

Nursing student medication errors involving tubing and catheters: a descriptive study. | PSNet

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July 14, 2010 - Study Nursing student medication errors involving tubing and catheters: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.200…

The organizational and intraorganizational development of disasters. | PSNet

psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters

May 12, 2021 - Review Classic The organizational and intraorganizational development of disasters. Citation Text: Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. Copy Citation Format: …

Learning from samples of one or fewer. | PSNet

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December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…

Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet

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February 28, 2024 - Commentary Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. Citation Text: Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…

Using clinical simulation to teach patient safety in an acute/critical care nursing course. | PSNet

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July 13, 2022 - Commentary Using clinical simulation to teach patient safety in an acute/critical care nursing course. Citation Text: Henneman EA, Cunningham H. Using clinical simulation to teach patient safety in an acute/critical care nursing course. Nurse Educ. 2005;30(4):172-177. Copy Citation …

The outcomes card: development of a systems-based practice educational tool. | PSNet

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July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet

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April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…

Causes of preventable drug-related hospital admissions: a qualitative study. | PSNet

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October 16, 2012 - Study Causes of preventable drug-related hospital admissions: a qualitative study. Citation Text: Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681. Copy Ci…

The reliability of AHRQ Common Format Harm Scales in rating patient safety events. | PSNet

psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events

January 23, 2017 - Study The reliability of AHRQ Common Format Harm Scales in rating patient safety events. Citation Text: Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…

Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. | PSNet

psnet.ahrq.gov/issue/building-capacity-and-capability-patient-safety-education-train-trainers-programme-senior

January 15, 2014 - Study Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. BMJ…

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

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March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. | PSNet

psnet.ahrq.gov/issue/serious-adverse-events-accidental-ingestion-children-over-counter-eye-drops-and-nasal-sprays

November 03, 2009 - Press Release/Announcement Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. Citation Text: Serious adverse events from accidental ingestion by children of over-the-counter eye drops and nasal sprays. MedWatch Safety Alert. S…

Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. | PSNet

psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose

June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…

Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory

October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? | PSNet

psnet.ahrq.gov/issue/just-ekgs-should-eegs-undergo-confirmatory-interpretation-clinical-neurophysiologist

November 09, 2022 - Commentary "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Citation Text: Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1…

10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet

psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage

August 12, 2020 - Newspaper/Magazine Article 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. Citation Text: 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…

Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. | PSNet

psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician

February 12, 2020 - Commentary Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. Citation Text: Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course aimed at addressing dis…

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