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Rx for medication errors. | PSNet

psnet.ahrq.gov/issue/rx-medication-errors

July 19, 2023 - Newspaper/Magazine Article Rx for medication errors. Citation Text: Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8. Copy …

Reason's accident causation model: application to adverse events in acute care. | PSNet

psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care

October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

Cognitive and system factors contributing to diagnostic errors in radiology. | PSNet

psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology

October 29, 2012 - Review Cognitive and system factors contributing to diagnostic errors in radiology. Citation Text: Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375. Copy Cita…

Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. | PSNet

psnet.ahrq.gov/issue/doctors-charged-manslaughter-course-medical-practice-1795-2005-literature-review

June 22, 2009 - Review Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. Citation Text: Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. J R Soc Med. 2006;99(6):309-314. Cop…

A framework for encouraging patient engagement in medical decision making. | PSNet

psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making

September 17, 2010 - Commentary A framework for encouraging patient engagement in medical decision making. Citation Text: Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e. Copy C…

Strategies to improve the patient safety outcome indicator: preventing or reducing falls. | PSNet

psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls

March 24, 2021 - Commentary Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Citation Text: Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36. Copy Citation Format: …

Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. | PSNet

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January 11, 2017 - Book/Report Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Citation Text: Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Fingar KR, Barrett ML, Elixhauser A, et al. HCUP Statistical Brief …

Speaking up: an ethical action exercise. | PSNet

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February 13, 2014 - Commentary Speaking up: an ethical action exercise. Citation Text: Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

Resilience in healthcare and clinical handover. | PSNet

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August 19, 2009 - Commentary Resilience in healthcare and clinical handover. Citation Text: Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163. Copy Citation Format: DOI Google Scholar Pu…

Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. | PSNet

psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci

April 15, 2015 - Commentary Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. Citation Text: Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…

Implementation of a modified bedside handoff for a postpartum unit. | PSNet

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November 16, 2022 - Commentary Implementation of a modified bedside handoff for a postpartum unit. Citation Text: Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. Copy Cit…

Interventions for postsurgical opioid prescribing: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review

October 03, 2012 - Review Emerging Classic Interventions for postsurgical opioid prescribing: a systematic review. Citation Text: Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. Copy Cit…

Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. | PSNet

psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency

June 22, 2009 - Review Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Citation Text: Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…

Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet

psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration

June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

Adverse event protocol for interventional pain medicine: the importance of an organized response. | PSNet

psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response

January 12, 2022 - Study Adverse event protocol for interventional pain medicine: the importance of an organized response. Citation Text: Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…

Venous thromboembolism after trauma: a never event? | PSNet

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January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …

Leading a highly visible hospital through a serious reportable event. | PSNet

psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event

February 15, 2023 - Commentary Leading a highly visible hospital through a serious reportable event. Citation Text: Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. Copy Citation Format: DOI Googl…

A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. | PSNet

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April 08, 2011 - Commentary A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Citation Text: Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Heal…

Patient safety: this is public health. | PSNet

psnet.ahrq.gov/issue/patient-safety-public-health

July 19, 2023 - Commentary Patient safety: this is public health. Citation Text: Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. | PSNet

psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high

October 03, 2011 - Review The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. Citation Text: Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…

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