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  1. Developing a tool for assessing competency in root cause analysis. | PSNet

    psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
    May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. Citation Text: Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42. Copy Citation Format: Google Scholar PubMed BibTeX E…

  2. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

    psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
    July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Citation Text: Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…

  3. Diagnostic overshadowing in dentistry. | PSNet

    psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
    March 13, 2024 - Commentary Diagnostic overshadowing in dentistry. Citation Text: Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  4. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

    psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
    August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

  5. Using simulation to teach patient safety behaviors in undergraduate nursing education. | PSNet

    psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education
    March 23, 2011 - Study Using simulation to teach patient safety behaviors in undergraduate nursing education. Citation Text: Gantt LT, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing education. J Nurs Educ. 2010;49(1):48-51. doi:10.3928/01484834-20090918-10. …

  6. Identifying cross contaminants and specimen mix-ups in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
    July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …

  7. Safety stop: a valuable addition to the pediatric universal protocol. | PSNet

    psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
    June 21, 2015 - Commentary Safety stop: a valuable addition to the pediatric universal protocol. Citation Text: Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015. …

  8. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
    September 09, 2013 - Study Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Citation Text: Cobaugh DJ, Krenzelok EP. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Am J Health Syst …

  9. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. | PSNet

    psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
    January 23, 2017 - Study Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Citation Text: Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…

  10. Pediatric perioperative medication errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
    July 10, 2024 - Newspaper/Magazine Article Pediatric perioperative medication errors. Citation Text: Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  11. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet

    psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
    June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …

  12. Implementing a commercial rule base as a medication order safety net. | PSNet

    psnet.ahrq.gov/issue/implementing-commercial-rule-base-medication-order-safety-net
    January 03, 2017 - Study Implementing a commercial rule base as a medication order safety net. Citation Text: Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9. Copy Citation Format: Google…

  13. Surgeons don't know what they don't know about the safe use of energy in surgery. | PSNet

    psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery
    April 05, 2017 - Study Surgeons don't know what they don't know about the safe use of energy in surgery. Citation Text: Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9. Copy Citation Form…

  14. Methodology and bias in assessing compliance with a surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/methodology-and-bias-assessing-compliance-surgical-safety-checklist
    May 04, 2012 - Study Methodology and bias in assessing compliance with a surgical safety checklist. Citation Text: Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77-82. Copy Citation …

  15. When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. | PSNet

    psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
    October 19, 2022 - Commentary When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. Citation Text: Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…

  16. Zero tolerance for deadly hospital-acquired infections. | PSNet

    psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
    March 11, 2020 - Newspaper/Magazine Article Zero tolerance for deadly hospital-acquired infections. Citation Text: Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  17. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet

    psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
    February 03, 2021 - Newspaper/Magazine Article How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Citation Text: How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. Ganguli I. Washington Post. January 5, 2020. Copy Citati…

  18. Raising and responding to frontline concerns in healthcare. | PSNet

    psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare
    November 13, 2019 - Commentary Raising and responding to frontline concerns in healthcare. Citation Text: Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944. doi:10.1136/bmj.l4944. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  19. Pay-for-performance and patient safety in acute care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
    October 09, 2024 - Review Pay-for-performance and patient safety in acute care: a systematic review. Citation Text: Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. …

  20. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet

    psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
    August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…
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