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  1. Addressing prehospital patient safety using the science of injury prevention and control. | PSNet

    psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
    April 12, 2019 - Commentary Addressing prehospital patient safety using the science of injury prevention and control. Citation Text: Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1…

  2. Clinical nurse specialists as leaders in rapid response. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
    July 19, 2023 - Commentary Clinical nurse specialists as leaders in rapid response. Citation Text: Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. Copy Citation Format: DOI Google Schola…

  3. ASHP guidelines on remote medication order processing. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

  4. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
    June 26, 2024 - Review The role of practice guidelines and evidence-based medicine in perioperative patient safety. Citation Text: Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…

  5. The lost art of doctoring: reflections of a pediatric resident. | PSNet

    psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
    November 21, 2021 - Commentary The lost art of doctoring: reflections of a pediatric resident. Citation Text: Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. Copy Citation Format: DOI Google Schola…

  6. Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet

    psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
    August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …

  7. Themed Issue on Innovations in Medication Safety. | PSNet

    psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
    August 30, 2017 - Special or Theme Issue Themed Issue on Innovations in Medication Safety. Citation Text: Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2…

  8. Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

  9. Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. | PSNet

    psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
    June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…

  10. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication. | PSNet

    psnet.ahrq.gov/issue/nomenclature-nomenclature-sources-terminologic-uncertainty-and-confusion-and-value
    August 04, 2021 - Commentary A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication. Citation Text: Cunningham SC, Klein R, Kavic SM. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of commu…

  11. Incidence, nature and impact of error in surgery. | PSNet

    psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery
    December 16, 2020 - Study Incidence, nature and impact of error in surgery. Citation Text: Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  12. Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet

    psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
    March 26, 2014 - Commentary Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. Citation Text: Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/…

  13. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. | PSNet

    psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital
    September 20, 2011 - Study Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. Citation Text: Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…

  14. The unmeasured quality metric: burn out and the second victim syndrome in healthcare. | PSNet

    psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare
    September 25, 2024 - Commentary The unmeasured quality metric: burn out and the second victim syndrome in healthcare. Citation Text: Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…

  15. Teaching patient safety in simulated learning experiences. | PSNet

    psnet.ahrq.gov/issue/teaching-patient-safety-simulated-learning-experiences
    October 21, 2020 - Commentary Teaching patient safety in simulated learning experiences. Citation Text: Jenkins S, Blake J, Brandy-Webb P, et al. Teaching patient safety in simulated learning experiences. Nurse Educ. 2011;36(3):112-7. doi:10.1097/NNE.0b013e31821611dc. Copy Citation Format: …

  16. Getting doctors to clean their hands: lead the followers. | PSNet

    psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - Study Getting doctors to clean their hands: lead the followers. Citation Text: Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396. Copy Citation Format: DOI Go…

  17. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. | PSNet

    psnet.ahrq.gov/issue/adverse-events-anaesthetic-practice-qualitative-study-definition-discussion-and-reporting
    April 18, 2011 - Study Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Citation Text: Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21…

  18. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. | PSNet

    psnet.ahrq.gov/issue/twenty-four-hour-intensivist-staffing-teaching-hospitals-tensions-between-safety-today-and
    June 10, 2013 - Commentary Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. Citation Text: Kerlin MP, Halpern S. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. Chest. 2012;1…

  19. Healthcare Systems Ergonomics and Patient Safety Triennial Conference. | PSNet

    psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
    February 10, 2015 - Meeting/Conference Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Citation Text: Healthcare Systems Ergonomics and Patient Safety Triennial Conference. Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-4, 202…

  20. Quality and safety education for nurses: a nursing leadership skills exercise. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-education-nurses-nursing-leadership-skills-exercise
    July 29, 2020 - Commentary Quality and safety education for nurses: a nursing leadership skills exercise. Citation Text: Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. Copy Citation Form…
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