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Standardizing medication reconciliation in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/standardizing-medication-reconciliation-pediatric-emergency-department

March 10, 2019 - Study Standardizing medication reconciliation in a pediatric emergency department. Citation Text: Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. …

Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet

psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow

January 27, 2019 - Study Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. Citation Text: Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors analysis to evaluate the…

Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. | PSNet

psnet.ahrq.gov/issue/low-perfusion-and-missed-diagnosis-hypoxemia-pulse-oximetry-darkly-pigmented-skin-prospective

March 14, 2022 - Study Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. Citation Text: Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective s…

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. | PSNet

psnet.ahrq.gov/issue/impact-national-multimodal-intervention-prevent-catheter-related-bloodstream-infection-icu

September 13, 2023 - Study Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. Citation Text: Palomar M, Álvarez-Lerma F, Riera A, et al. Impact of a national multimodal intervention to prevent catheter-related bloodstream infec…

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet

psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers

October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…

A comprehensive departmental care review model: requirements, structure, and flow. | PSNet

psnet.ahrq.gov/issue/comprehensive-departmental-care-review-model-requirements-structure-and-flow

July 06, 2022 - Commentary A comprehensive departmental care review model: requirements, structure, and flow. Citation Text: Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…

Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. | PSNet

psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders

January 12, 2022 - Study Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. Citation Text: Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric emergency department medication orders…

A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet

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September 25, 2019 - Study A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Citation Text: Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…

Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. | PSNet

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October 21, 2020 - Study Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. Citation Text: Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professiona…

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. | PSNet

psnet.ahrq.gov/issue/errors-and-discrepancies-administration-intravenous-infusions-mixed-methods-multihospital

July 10, 2019 - Study Emerging Classic Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. Citation Text: Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenou…

Confidential clinician-reported surveillance of adverse events among medical inpatients. | PSNet

psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients

June 29, 2011 - Study Classic Confidential clinician-reported surveillance of adverse events among medical inpatients. Citation Text: Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2…

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice

July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

Laboratory testing in general practice: a patient safety blind spot. | PSNet

psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot

July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…

Managing competing organizational priorities in clinical handover across organizational boundaries. | PSNet

psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational

February 07, 2024 - Study Managing competing organizational priorities in clinical handover across organizational boundaries. Citation Text: Sujan MA, Chessum P, Rudd M, et al. Managing competing organizational priorities in clinical handover across organizational boundaries. J Health Serv Res Policy. 2015;…

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study

November 21, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Citation Text: Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. …

Implementing online medication reconciliation at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center

January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. | PSNet

psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists

September 21, 2022 - Study Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. Citation Text: Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…

The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. | PSNet

psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and

January 17, 2012 - Review The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. Citation Text: Perea-Pérez B, Labajo-González E, Bratos-Murillo M, et al. The clinical safety of disabled patients: proposal for a method…

Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature. | PSNet

psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review

November 03, 2015 - Review Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature. Citation Text: Faugno E, Galbraith AA, Walsh KE, et al. Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic r…

Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. | PSNet

psnet.ahrq.gov/issue/health-system-leaders-role-addressing-racism-time-prioritize-eliminating-health-care

March 20, 2019 - Commentary Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities. Citation Text: Austin JM, Weeks K, Pronovost PJ. Health System Leaders’ Role in Addressing Racism: Time to Prioritize Eliminating Health Care Disparities. Jt Comm J Qual …

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