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  1. Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet

    psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
    September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …

  2. Gaps in pediatric clinician communication and opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
    March 24, 2011 - Study Gaps in pediatric clinician communication and opportunities for improvement. Citation Text: Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54. Copy Citation Format: Goog…

  3. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve
    December 11, 2024 - Review Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Citation Text: Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr…

  4. Diagnostic errors and the bedside clinical examination. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
    August 20, 2018 - Review Emerging Classic Diagnostic errors and the bedside clinical examination. Citation Text: Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. Copy…

  5. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. | PSNet

    psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
    February 04, 2009 - Commentary OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Citation Text: Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…

  6. Human factors engineering in patient safety. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
    September 13, 2017 - Commentary Human factors engineering in patient safety. Citation Text: Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  7. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. | PSNet

    psnet.ahrq.gov/issue/rules-and-guidelines-clinical-practice-qualitative-study-operating-theatres-doctors-and
    January 06, 2018 - Study Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Citation Text: McDonald R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Quality and Safety in…

  8. Towards a new paradigm in laboratory medicine: the five rights. | PSNet

    psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
    November 18, 2016 - Commentary Towards a new paradigm in laboratory medicine: the five rights. Citation Text: Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med. 2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848. Copy Citation Format: DOI Google Schola…

  9. A medication safety education program to reduce the risk of harm caused by medication errors. | PSNet

    psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
    June 27, 2018 - Commentary A medication safety education program to reduce the risk of harm caused by medication errors. Citation Text: Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84. Copy Citation Fo…

  10. Drill down with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/drill-down-root-cause-analysis
    June 15, 2016 - Commentary Drill down with root cause analysis. Citation Text: McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  11. Three simple rules to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
    March 11, 2020 - Commentary Three simple rules to improve medication safety. Citation Text: Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  12. To err is human: use of simulation to enhance training and patient safety in anaesthesia. | PSNet

    psnet.ahrq.gov/issue/err-human-use-simulation-enhance-training-and-patient-safety-anaesthesia
    January 18, 2023 - Review To err is human: use of simulation to enhance training and patient safety in anaesthesia. Citation Text: Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex3…

  13. A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

    psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
    June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

  14. Changing how we think about healthcare improvement. | PSNet

    psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
    October 09, 2024 - Commentary Classic Changing how we think about healthcare improvement. Citation Text: Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. Copy Citation Format: DOI Google Scholar PubMed Bib…

  15. Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  | PSNet

    psnet.ahrq.gov/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation
    April 29, 2020 - Study Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  Citation Text: Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Int J Med Inform. 2008;77(8):546-54. Copy Citation …

  16. Development of an "infusion pump safety score". | PSNet

    psnet.ahrq.gov/issue/development-infusion-pump-safety-score
    January 06, 2017 - Commentary Development of an "infusion pump safety score". Citation Text: Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421. Copy Citation Format: DOI Google Scholar PubMed BibT…

  17. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes
    November 12, 2014 - Study Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Citation Text: Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(…

  18. Cost of medication-related problems at a university hospital. | PSNet

    psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
    January 13, 2021 - Study Classic Cost of medication-related problems at a university hospital. Citation Text: Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE Copy Citation Save Save to yo…

  19. Reducing pediatric medication errors: children are especially at risk for medication errors. | PSNet

    psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
    May 18, 2022 - Commentary Reducing pediatric medication errors: children are especially at risk for medication errors. Citation Text: Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim. Cop…

  20. You can't blame the wreck on the train. | PSNet

    psnet.ahrq.gov/issue/you-cant-blame-wreck-train
    March 03, 2011 - Commentary You can't blame the wreck on the train. Citation Text: Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…
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