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  1. psnet.ahrq.gov/issue/science-safety-trustees-can-play-crucial-role-fostering-safety-culture-their-hospitals
    January 24, 2018 - Newspaper/Magazine Article Published January 24, 2018 The science of safety: trustees can play a crucial role in fostering a safety culture at their hospitals. Fairbanks RJ; Krevat SA. Topics Approach to Improving Safety Culture of Safety Resource Type Newspaper/Magazine Article Setting of Care Hospitals Cli…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44768/psn-pdf
    February 03, 2016 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. February 3, 2016 Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91. https://psne…
  3. psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
    November 10, 2021 - March 2, 2022 Effective strategies to increase reporting of medication errors in hospitals … June 25, 2010 Nonpunitive medication error reporting: 3-year findings from one hospital's
  4. psnet.ahrq.gov/periodic-issue/periodic-issue-446
    May 29, 2024 - Medication errors are a leading cause of injury and avoidable harm in health care that generates substantial … approaches and digital healthcare interventions, such as clinical decision support tools, are reducing medicationerrors, improving provider effectiveness, and enhancing patient safety in a variety of clinical care
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49517/psn-pdf
    August 01, 2006 - Strategies to prevent opioid errors are not substantially different from those used for other types of medicationerrors, with a few exceptions. … Computerized prescriber order entry (CPOE) is a promising technology for its potential to reduce medicationerrors.(11) CPOE might improve analgesic safety by preventing prescribers from ordering drugs not on
  6. psnet.ahrq.gov/issue/patient-safety-15
    February 17, 2021 - August 7, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.
  7. psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
    November 29, 2023 - November 29, 2023 Effect of a mobile app on prehospital medication errors during simulated … December 1, 2011 Moral distress, compassion fatigue, and perceptions about medicationerrors in certified critical care nurses.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37734/psn-pdf
    April 30, 2008 - Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. April 30, 2008 Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targe…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37151/psn-pdf
    January 02, 2017 - The impact of abbreviations on patient safety. January 2, 2017 Brunetti L, Santell JP, Hicks RW. The impact of abbreviations on patient safety. Jt Comm J Qual Patient Saf. 2007;33(9):576-83. https://psnet.ahrq.gov/issue/impact-abbreviations-patient-safety Avoiding use of unclear or misleading abbreviations is a ke…
  10. psnet.ahrq.gov/issue/assessing-safety-culture-guidelines-and-recommendations
    August 04, 2021 - June 4, 2008 Medication errors associated with code situations in U.S. hospitals: direct
  11. psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
    May 17, 2023 - Study Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. Citation Text: Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …
  12. psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
    November 24, 2021 - Study What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Citation Text: Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety org…
  13. psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
    August 12, 2020 - Study Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Citation Text: Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…
  14. psnet.ahrq.gov/issue/smartphone-use-during-inpatient-attending-rounds-prevalence-patterns-and-potential
    June 24, 2010 - Study Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. Citation Text: Katz-Sidlow RJ, Ludwig A, Miller S, et al. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. J Hosp Med. 2012;7(8…
  15. psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
    February 07, 2024 - Study What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Citation Text: Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…
  16. psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
    February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…
  17. psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
    December 18, 2013 - Review Classic How safe is primary care? A systematic review. Citation Text: Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. Copy Citation Format…
  18. psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
    May 05, 2021 - Study Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. Citation Text: Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident …
  19. psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
    April 20, 2016 - May 4, 2010 Antecedents of severe and nonsevere medication errors.
  20. psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
    August 10, 2022 - October 8, 2014 Medication errors in hospitalised children.

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