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  1. Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
    September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

  2. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
    December 22, 2018 - Study Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Citation Text: Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044. …

  3. Defining speaking up in the healthcare system: a systematic review. | PSNet

    psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
    September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. Citation Text: Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. Copy Citation Forma…

  4. Neonatal near-miss audits: a systematic review and a call to action. | PSNet

    psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
    August 04, 2021 - Review Neonatal near-miss audits: a systematic review and a call to action. Citation Text: Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. Copy Citation Format…

  5. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-promoting-anti-racist-policing-pediatric-emergency-departments-through-20-practice
    August 12, 2020 - Commentary "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerations. Citation Text: Wells JM, Walker VP. "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change considerati…

  6. Medication safety systems and the important role of pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
    July 19, 2023 - Review Medication safety systems and the important role of pharmacists. Citation Text: Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. Copy Citation Format: DOI Google Scholar PubMed …

  7. 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 …

  8. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. | PSNet

    psnet.ahrq.gov/issue/joint-commissions-new-and-revised-workplace-violence-prevention-standards-hospitals-major
    April 27, 2022 - Commentary The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. Citation Text: Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a majo…

  9. 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…

  10. Characterization of prescribing errors in an internal medicine clinic. | PSNet

    psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
    March 04, 2011 - Study Characterization of prescribing errors in an internal medicine clinic. Citation Text: Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. Copy Citation Format: …

  11. Safe Administration of Medication in School: Policy Statement. | PSNet

    psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement
    May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…

  12. 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…

  13. Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
    July 19, 2019 - Study Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. Citation Text: Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs …

  14. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. | PSNet

    psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements
    September 29, 2017 - Study Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Citation Text: Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. …

  15. The things we carry: the scope and impact of second victim syndrome. | PSNet

    psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
    November 12, 2014 - Commentary The things we carry: the scope and impact of second victim syndrome. Citation Text: Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. Copy Citation …

  16. Opportunities for diagnostic improvement among pediatric hospital readmissions. | PSNet

    psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
    August 30, 2023 - Study Opportunities for diagnostic improvement among pediatric hospital readmissions. Citation Text: Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. Co…

  17. Dispensing error rates in pharmacy: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
    June 10, 2020 - Review Dispensing error rates in pharmacy: a systematic review and meta-analysis. Citation Text: Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis. Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003. Copy Citation …

  18. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet

    psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
    August 04, 2021 - Study Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Citation Text: Feuerbacher RL, Funk KH, Spight DH, et al. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. Arch Surg. 2012;…

  19. Racial and ethnic harm in patient care is a patient safety issue. | PSNet

    psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
    October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

  20. Making residents part of the safety culture: improving error reporting and reducing harms. | PSNet

    psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
    April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…
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