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Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. | PSNet

psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical

February 27, 2014 - Study Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals. Citation Text: Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…

The medical emergency team system: a two hospital comparison. | PSNet

psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison

January 15, 2009 - Study The medical emergency team system: a two hospital comparison. Citation Text: Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016. Copy Citation Format: …

Omitted and unjustified medications in the discharge summary. | PSNet

psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary

May 18, 2022 - Study Omitted and unjustified medications in the discharge summary. Citation Text: Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588. Copy Citation Format: …

Medication errors associated with transition from insulin pens to insulin vials. | PSNet

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May 29, 2019 - Study Medication errors associated with transition from insulin pens to insulin vials. Citation Text: Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. Copy C…

Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy

May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. | PSNet

psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics

February 17, 2017 - Study A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. Citation Text: Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…

Risk factors for i.v. compounding errors when using an automated workflow management system. | PSNet

psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system

September 23, 2020 - Study Risk factors for i.v. compounding errors when using an automated workflow management system. Citation Text: Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…

Maximizing student potential: lessons for pharmacy programs from the patient safety movement. | PSNet

psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement

October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…

Are med school grads prepared to practice medicine? | PSNet

psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine

April 04, 2012 - Newspaper/Magazine Article Are med school grads prepared to practice medicine? Citation Text: Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors. Academic medicine : journal…

Ambulance stretcher adverse events. | PSNet

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March 23, 2011 - Study Ambulance stretcher adverse events. Citation Text: Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Examining the meaning of the language used to communicate the nursing hand-off. | PSNet

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July 07, 2021 - Study Examining the meaning of the language used to communicate the nursing hand-off. Citation Text: Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175. Copy Citation …

Influence of perioperative handoffs on complications and outcomes. | PSNet

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October 14, 2020 - Commentary Influence of perioperative handoffs on complications and outcomes. Citation Text: Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. Copy Citation Format: …

Catastrophic medical malpractice payouts in the United States. | PSNet

psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts-united-states

April 17, 2013 - Study Catastrophic medical malpractice payouts in the United States. Citation Text: Bixenstine PJ, Shore AD, Mehtsun WT, et al. Catastrophic Medical Malpractice Payouts in the United States. J Healthc Qual. 2013;36(4):43-53. doi:10.1111/jhq.12011. Copy Citation Format: DOI …

Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. | PSNet

psnet.ahrq.gov/issue/patterns-dementia-treatment-and-frank-prescribing-errors-older-adults-parkinson-disease

September 18, 2024 - Study Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. Citation Text: Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49.…

Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital

March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…

Carers' medication administration errors in the domiciliary setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review

December 18, 2017 - Review Carers' medication administration errors in the domiciliary setting: a systematic review. Citation Text: Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…

Communication failures in the operating room: an observational classification of recurrent types and effects. | PSNet

psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and

April 06, 2011 - Study Classic Communication failures in the operating room: an observational classification of recurrent types and effects. Citation Text: Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recu…

Guilty, afraid, and alone — struggling with medical error. | PSNet

psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error

July 01, 2020 - Commentary Classic Guilty, afraid, and alone — struggling with medical error. Citation Text: Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. Copy Citation Format: Google Scholar PubM…

A survey of the impact of disruptive behaviors and communication defects on patient safety. | PSNet

psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety

February 03, 2010 - Study Classic A survey of the impact of disruptive behaviors and communication defects on patient safety. Citation Text: Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patie…

Evaluation for occult fractures in injured children. | PSNet

psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children

August 20, 2014 - Study Evaluation for occult fractures in injured children. Citation Text: Wood JN, French B, Song L, et al. Evaluation for Occult Fractures in Injured Children. Pediatrics. 2015;136(2):232-40. doi:10.1542/peds.2014-3977. Copy Citation Format: DOI Google Scholar PubMed BibTe…

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