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  1. Application of human error theory in case analysis of wrong procedures. | PSNet

    psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
    November 14, 2018 - Study Application of human error theory in case analysis of wrong procedures. Citation Text: Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. Copy Citation Format: DOI Goo…

  2. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. | PSNet

    psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
    April 13, 2011 - Study Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Citation Text: White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50.…

  3. Patterns and predictors of medication discrepancies in primary care. | PSNet

    psnet.ahrq.gov/issue/patterns-and-predictors-medication-discrepancies-primary-care
    October 19, 2022 - Study Patterns and predictors of medication discrepancies in primary care. Citation Text: Coletti DJ, Stephanou H, Mazzola N, et al. Patterns and predictors of medication discrepancies in primary care. J Eval Clin Pract. 2015;21(5):831-9. doi:10.1111/jep.12387. Copy Citation Format…

  4. Process indicators of quality clinical pharmacy services during transitions of care. | PSNet

    psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Process indicators of quality clinical pharmacy services during transitions of care. Citation Text: Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi…

  5. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

    psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
    July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…

  6. An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. | PSNet

    psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
    April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…

  7. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet

    psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
    February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

  8. 'Failing wisely' can promote a safer healthcare system. | PSNet

    psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
    April 30, 2014 - Newspaper/Magazine Article 'Failing wisely' can promote a safer healthcare system. Citation Text: Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

  9. Measurement of ambulatory medication errors in children: a scoping review. | PSNet

    psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
    February 07, 2024 - Review Measurement of ambulatory medication errors in children: a scoping review. Citation Text: Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. Copy Citat…

  10. Understanding and preventing vaccination errors. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
    April 15, 2016 - Study Understanding and preventing vaccination errors. Citation Text: Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. Copy Citation Format: DOI Google Scholar BibTeX…

  11. A prevalence study of errors in opioid prescribing in a large teaching hospital. | PSNet

    psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
    October 19, 2022 - Study A prevalence study of errors in opioid prescribing in a large teaching hospital. Citation Text: Davies D, Schneider F, Childs S, et al. A prevalence study of errors in opioid prescribing in a large teaching hospital. Int J Clin Pract. 2011;65(9):923-9. doi:10.1111/j.1742-1241.201…

  12. Do medication samples jeopardize patient safety? | PSNet

    psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
    November 16, 2022 - Study Do medication samples jeopardize patient safety? Citation Text: Franks AS, Ray S' M, Wallace LS, et al. Do medication samples jeopardize patient safety? Ann Pharmacother. 2009;43(1):51-6. doi:10.1345/aph.1L362. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  13. Business Intelligence dashboards for patient safety and quality: a narrative literature review. | PSNet

    psnet.ahrq.gov/issue/business-intelligence-dashboards-patient-safety-and-quality-narrative-literature-review
    February 09, 2022 - Review Business Intelligence dashboards for patient safety and quality: a narrative literature review. Citation Text: Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3…

  14. CAHPS Elicitation Protocol Webcast (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
    January 01, 2017 - CAHPS Elicitation Protocol Webcast Introducing a Protocol To Obtain Patient Comments Using the CAHPS Clinician & Group Survey A Webcast Presented by the AHRQ CAHPS User Network January 26, 2017 1:00 – 2:00 pm EST www.ahrq.gov/cahps CAHPS Webcast Series • Consumer Assessment of Healthcare Providers and System…

  15. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. | PSNet

    psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
    February 17, 2011 - Study Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Citation Text: Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 20…

  16. Why don't nurses consistently take patient respiratory rates? | PSNet

    psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
    October 10, 2012 - Study Why don't nurses consistently take patient respiratory rates? Citation Text: Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  17. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. | PSNet

    psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
    November 08, 2023 - Commentary Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Citation Text: Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…

  18. Assessing the patient safety competencies of healthcare professionals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-competencies-healthcare-professionals-systematic-review
    March 05, 2014 - Review Assessing the patient safety competencies of healthcare professionals: a systematic review. Citation Text: Okuyama A, Martowirono K, Bijnen B. Assessing the patient safety competencies of healthcare professionals: a systematic review. BMJ Qual Saf. 2011;20(11):991-1000. doi:10.1…

  19. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. | PSNet

    psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user
    October 30, 2019 - Study First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. Citation Text: Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes…

  20. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet

    psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
    April 24, 2018 - Study An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. Citation Text: Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with pot…
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