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  1. Guideline for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
    April 26, 2023 - Commentary Guideline for prevention of retained surgical items. Citation Text: Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  2. Spinal surgery and patient safety: a systems approach. | PSNet

    psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
    January 12, 2022 - Review Spinal surgery and patient safety: a systems approach. Citation Text: Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  3. Expanded surgical time out: a key to real-time data collection and quality improvement. | PSNet

    psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
    March 02, 2010 - Study Expanded surgical time out: a key to real-time data collection and quality improvement. Citation Text: Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32. Copy Cita…

  4. Getting surgery right. | PSNet

    psnet.ahrq.gov/issue/getting-surgery-right
    February 15, 2011 - Study Getting surgery right. Citation Text: Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007;246(3):395-403, discussion 403-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  5. Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
    May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy errors. Citation Text: Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. Copy Citation F…

  6. Medication prescribing errors involving the route of administration. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
    January 12, 2011 - Study Medication prescribing errors involving the route of administration. Citation Text: Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. Copy Citation Format: DOI Google Scholar Bib…

  7. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. | PSNet

    psnet.ahrq.gov/issue/what-patient-really-taking-discrepancies-between-surgery-and-anesthesiology-preoperative
    August 04, 2021 - Study What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. Citation Text: Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication hist…

  8. Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. | PSNet

    psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
    November 17, 2010 - Book/Report Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Citation Text: Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Rese…

  9. Nursing peer review: developing a framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
    January 15, 2020 - Commentary Nursing peer review: developing a framework for patient safety. Citation Text: Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28. Copy Citation Format: DOI Google Schola…

  10. Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. | PSNet

    psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
    December 27, 2018 - Newspaper/Magazine Article Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. Citation Text: Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. ISMP Medication Safety Alert! Acute Care Edition. Apri…

  11. Lewis Blackman Patient Safety Award. | PSNet

    psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
    April 28, 2021 - Award Announcement Lewis Blackman Patient Safety Award. Citation Text: Lewis Blackman Patient Safety Award. Chicago, IL: American College of Graduate Medical Education. Copy Citation Save Save to your library Print Download PDF Share Facebook…

  12. Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. | PSNet

    psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
    June 18, 2014 - Newspaper/Magazine Article Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. Citation Text: Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19…

  13. Evidence under judgment: can we oversee our own decision making? | PSNet

    psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
    May 21, 2019 - Commentary Evidence under judgment: can we oversee our own decision making? Citation Text: Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  14. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet

    psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
    December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…

  15. Access to prescription opioids—Primum Non Nocere: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
    July 02, 2019 - Commentary Access to prescription opioids—Primum Non Nocere: a teachable moment. Citation Text: Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926. Copy Citatio…

  16. Back to basics: the Universal Protocol. | PSNet

    psnet.ahrq.gov/issue/back-basics-universal-protocol
    March 17, 2021 - Commentary Back to basics: the Universal Protocol. Citation Text: Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  17. Maximize Patient Safety with Advanced Root Cause Analysis. | PSNet

    psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
    November 18, 2011 - Book/Report Maximize Patient Safety with Advanced Root Cause Analysis. Citation Text: Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485 Copy Citation Save Save to your…

  18. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
    August 02, 2023 - Special or Theme Issue 2022 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450. Copy Citation Save Save to your library Print Down…

  19. Medication errors in anaesthesia and critical care. | PSNet

    psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
    January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  20. Patient safety systems for case management. | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-case-management
    December 22, 2008 - Review Patient safety systems for case management. Citation Text: Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…
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