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Does an insulin double-checking procedure improve patient safety? | PSNet

psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety

April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet

psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management

October 06, 2011 - Commentary Improving patient care by linking evidence-based medicine and evidence-based management. Citation Text: Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673. C…

Simulation training in obstetrics. | PSNet

psnet.ahrq.gov/issue/simulation-training-obstetrics

September 02, 2015 - Review Simulation training in obstetrics. Citation Text: Gavin NR, Satin AJ. Simulation Training in Obstetrics. Clin Obstet Gynecol. 2017;60(4):802-810. doi:10.1097/GRF.0000000000000322. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet

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March 04, 2015 - Commentary Quality initiatives: developing a radiology quality and safety program: a primer. Citation Text: Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…

A review of current and emerging approaches to address failure-to-rescue. | PSNet

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March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

Using improvement science methods to increase accuracy of surgical consents. | PSNet

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October 05, 2011 - Study Using improvement science methods to increase accuracy of surgical consents. Citation Text: Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. Copy Cit…

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…

Medication errors—new approaches to prevention. | PSNet

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November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet

psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose

June 03, 2020 - Newspaper/Magazine Article Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. Citation Text: Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…

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. …

What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet

psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare

September 23, 2020 - Review What is the effectiveness of reporting systems in promoting learning in healthcare? Citation Text: Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444. Copy Citation F…

Presenting complaint: use of language that disempowers patients. | PSNet

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July 13, 2022 - Commentary Presenting complaint: use of language that disempowers patients. Citation Text: doi:10.1136/bmj-2021-066720. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to …

Work interruptions and their contribution to medication administration errors: an evidence review. | PSNet

psnet.ahrq.gov/issue/work-interruptions-and-their-contribution-medication-administration-errors-evidence-review

July 22, 2020 - Review Work interruptions and their contribution to medication administration errors: an evidence review. Citation Text: Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs…

Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. | PSNet

psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk

December 04, 2015 - Study Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. Citation Text: Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Ger…

Artificial intelligence systems for complex decision-making in acute care medicine: a review. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review

March 16, 2011 - Review Emerging Classic Artificial intelligence systems for complex decision-making in acute care medicine: a review. Citation Text: Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…

Preventable mortality after common urological surgery: failing to rescue? | PSNet

psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue

July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

Why do interns make prescribing errors? A qualitative study. | PSNet

psnet.ahrq.gov/issue/why-do-interns-make-prescribing-errors-qualitative-study

December 16, 2009 - Study Why do interns make prescribing errors? A qualitative study. Citation Text: Coombes ID, Stowasser DA, Coombes JA, et al. Why do interns make prescribing errors? A qualitative study. Med J Aust. 2008;188(2):89-94. Copy Citation Format: Google Scholar PubMed BibTeX En…

Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). | PSNet

psnet.ahrq.gov/issue/prevention-and-treatment-bile-duct-injuries-during-laparoscopic-cholecystectomy-clinical

May 04, 2012 - Review Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES). Citation Text: Eikermann M, Siegel R, Broeders I, et al. Prevention and treatment of bile duct injuries…

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation

September 11, 2019 - Commentary Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. Citation Text: Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for…

Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet

psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment

September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. Citation Text: Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…

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