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  1. psnet.ahrq.gov/issue/development-and-implementation-suicide-prevention-checklist-create-safe-environment
    August 04, 2021 - Study Development and implementation of a suicide prevention checklist to create a safe environment. Citation Text: Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160…
  2. psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
    December 23, 2020 - Study Content analysis of nurses' reflections on medication errors in a regional hospital. Citation Text: Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.222043…
  3. psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
    March 09, 2019 - Study Closing the loop: a process evaluation of inpatient care team communication. Citation Text: Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580. Copy Cita…
  4. psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
    September 23, 2020 - Study Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. Citation Text: Stainsby D, Jones H, Wells AW, et al. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards …
  5. psnet.ahrq.gov/issue/safety-checklists-emergency-response-driving-and-patient-transport-experiences-emergency
    August 10, 2022 - Study Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. Citation Text: Jakonen A, Mänty M, Nordquist H. Safety checklists for emergency response driving and patient transport: experiences from emergency medical services. …
  6. psnet.ahrq.gov/issue/inequities-quality-and-safety-outcomes-hospitalized-children-intellectual-disability
    June 15, 2022 - Study Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Citation Text: Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(…
  7. psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers
    February 03, 2015 - Study The dilemma of patient safety work: perceptions of hospital middle managers. Citation Text: Sanner M, Halford C, Vengberg S, et al. The dilemma of patient safety work: Perceptions of hospital middle managers. J Healthc Risk Manag. 2018;38(2):47-55. doi:10.1002/jhrm.21325. Copy Ci…
  8. psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-review-ihi-response
    March 13, 2013 - Commentary Classic Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. Citation Text: Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. Copy Cit…
  9. psnet.ahrq.gov/issue/impact-introduction-electronic-prescribing-staff-perceptions-patient-safety-and
    June 17, 2015 - Study Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. Citation Text: Davies J, Pucher PH, Ibrahim H, et al. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organization…
  10. psnet.ahrq.gov/issue/underlying-risk-factors-prescribing-errors-long-term-aged-care-qualitative-study
    August 26, 2020 - Study Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. Citation Text: Tariq A, Georgiou A, Raban MZ, et al. Underlying risk factors for prescribing errors in long-term aged care: a qualitative study. BMJ Qual Saf. 2016;25(9):704-15. doi:10.1136/…
  11. psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study
    April 03, 2024 - Commentary Technology-related safety event analysis in community clinical informatics: a case study. Citation Text: Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. d…
  12. psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative
    June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…
  13. psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark
    December 01, 2011 - Study Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. Citation Text: Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-up: Results from a national survey in Denmark. Ca…
  14. psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
    January 21, 2009 - Study To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? Citation Text: Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient records r…
  15. psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
    May 01, 2024 - Review 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature. Citation Text: Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care - a review of the l…
  16. psnet.ahrq.gov/issue/effect-using-same-vs-different-order-second-readings-screening-mammograms-rates-breast-cancer
    August 29, 2018 - Study Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial. Citation Text: Taylor-Phillips S, Wallis MG, Jenkinson D, et al. Effect of Using the Same vs Different Order for Second Readings…
  17. psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
    February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…
  18. psnet.ahrq.gov/issue/interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
    October 13, 2021 - Review Interventions to reduce nurses' medication administration errors in inpatient settings: a systematic review and meta-analysis. Citation Text: Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in inpatient settings: A systematic …
  19. psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support
    October 11, 2017 - Study Procedural timeout compliance is improved with real-time clinical decision support. Citation Text: Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49630/psn-pdf
    July 01, 2011 - doctor at the time of discharge, or immediately faxed a discharge summary or letter to convey the last measured … Effect of a simple two-step warfarin dosing algorithm on anticoagulant control as measured by time in

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