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  1. Medication errors—new approaches to prevention. | PSNet

    psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
    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…

  2. 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…

  3. 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. …

  4. 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…

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

    psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
    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 …

  6. 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…

  7. 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…

  8. 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:…

  9. 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…

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. Assessing patient safety in the United States: challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenges-and-opportunities
    July 07, 2021 - Review Assessing patient safety in the United States: challenges and opportunities. Citation Text: Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47. Copy Citation Format: Goog…

  15. 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…

  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. Changing smart pump vendors: lessons learned. | PSNet

    psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
    August 01, 2018 - Commentary Changing smart pump vendors: lessons learned. Citation Text: Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  18. Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-within-electronic-health-record-reduces-ambulatory-prescribing-errors
    March 21, 2017 - Study Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-455. Copy Citation…

  19. 2019 update on pediatric medical overuse: a systematic review. | PSNet

    psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
    May 11, 2019 - Review 2019 update on pediatric medical overuse: a systematic review. Citation Text: Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. Copy Citation Format: DOI Goog…

  20. When less is more: the role of overdiagnosis and overtreatment in patient safety. | PSNet

    psnet.ahrq.gov/issue/when-less-more-role-overdiagnosis-and-overtreatment-patient-safety
    July 22, 2020 - Commentary When less is more: the role of overdiagnosis and overtreatment in patient safety. Citation Text: Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013. Copy Citation …
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