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  1. Clinical decision support for drug related events: moving towards better prevention. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-drug-related-events-moving-towards-better-prevention
    December 16, 2020 - Commentary Clinical decision support for drug related events: moving towards better prevention. Citation Text: Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. Copy …

  2. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
    October 12, 2022 - Review The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. Citation Text: Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure Patien…

  3. The effect of cognitive debiasing training among family medicine residents. | PSNet

    psnet.ahrq.gov/issue/effect-cognitive-debiasing-training-among-family-medicine-residents
    August 04, 2021 - Study The effect of cognitive debiasing training among family medicine residents. Citation Text: Smith BW, Slack MB. The effect of cognitive debiasing training among family medicine residents. Diagnosis (Berl). 2015;2(2):117-121. doi:10.1515/dx-2015-0007. Copy Citation Format: …

  4. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
    February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

  5. FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. | PSNet

    psnet.ahrq.gov/issue/fda-requires-label-warnings-prohibit-sharing-multi-dose-diabetes-pen-devices-among-patients
    March 04, 2015 - Press Release/Announcement FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. Citation Text: FDA requires label warnings to prohibit sharing of multi-dose diabetes pen devices among patients. FDA Safety Communication. Silver Spring, MD: US …

  6. Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. | PSNet

    psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication
    June 29, 2011 - Study Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. Citation Text: Graves K, Symes L, Cesario SK, et al. Is There Light? Well It Depends--A Grounded Theory Study of Nurses, Lighting, and Medication Administration. Nurs Forum. …

  7. "You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety. | PSNet

    psnet.ahrq.gov/issue/you-just-want-feel-safe-when-you-go-healthcare-professional-intimate-partner-violence-and
    January 27, 2019 - Study "You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety. Citation Text: Maras SA. “You just want to feel safe when you go to a healthcare professional:” Intimate partner violence and patient safety. Soc Sci Med. 2023;331:1…

  8. Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. | PSNet

    psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk
    August 06, 2014 - Study Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. Citation Text: Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…

  9. Patient safety climate in primary care: age matters. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-primary-care-age-matters
    June 11, 2010 - Study Patient safety climate in primary care: age matters. Citation Text: Holden LM, Watts DD, Walker PH. Patient safety climate in primary care: age matters. J Patient Saf. 2009;5(1):23-28. doi:10.1097/PTS.0b013e318199d4bf. Copy Citation Format: DOI Google Scholar PubMed…

  10. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
    November 26, 2014 - Study Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Citation Text: Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…

  11. Understanding complaints made about surgical departments in a UK district general hospital. | PSNet

    psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
    September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

  12. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. | PSNet

    psnet.ahrq.gov/issue/sleep-loss-and-performance-residents-and-nonphysicians-meta-analytic-examination
    March 22, 2017 - Review Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Citation Text: Philibert I. Sleep loss and performance in residents and nonphysicians: a meta-analytic examination. Sleep. 2005;28(11):1392-402. Copy Citation Format: Google Sch…

  13. People, systems and safety: resilience and excellence in healthcare practice. | PSNet

    psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
    March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

  14. The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/effects-resident-level-training-rate-pediatric-prescription-errors-academic-emergency
    October 19, 2022 - Study The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. Citation Text: Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic…

  15. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. | PSNet

    psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
    September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …

  16. Rescue me: saving the vulnerable non-ICU patient population. | PSNet

    psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
    June 01, 2011 - Study Rescue me: saving the vulnerable non-ICU patient population. Citation Text: Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205. Copy Citation Format: Google Scholar PubMed Bib…

  17. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. | PSNet

    psnet.ahrq.gov/issue/implementation-pediatric-rapid-response-team-experience-hospital-sick-children-toronto
    September 10, 2014 - Commentary Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Citation Text: Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …

  18. Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet

    psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
    December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

  19. Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

    psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm
    July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

  20. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. | PSNet

    psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
    July 18, 2014 - Study Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. Citation Text: Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopu…
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