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5761. Does an insulin double-checking procedure improve patient safety? | PSNet
      psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
      April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

5762. 10 years in, why time out still matters. | PSNet
      psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
      November 08, 2013 - Commentary 10 years in, why time out still matters. Citation Text: Guglielmi CL, Canacari EG, DuPree ES, et al. 10 years in, why time out still matters. AORN J. 2014;99(6):783-794. doi:10.1016/j.aorn.2014.04.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

5763. Coaching to improve the quality of communication during briefings and debriefings. | PSNet
      psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
      March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…

5764. Medication governance: preventing errors and promoting patient safety. | PSNet
      psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting-patient-safety
      November 08, 2023 - Commentary Medication governance: preventing errors and promoting patient safety. Citation Text: Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. Copy Citation Format: DOI Goog…

5765. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
      September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

5766. Diagnostic error as a result of drug-laboratory test interactions. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
      November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

5767. Teamwork on inpatient medical units: assessing attitudes and barriers. | PSNet
      psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
      June 11, 2010 - Study Teamwork on inpatient medical units: assessing attitudes and barriers. Citation Text: O'Leary KJ, Ritter CD, Wheeler H, et al. Teamwork on inpatient medical units: assessing attitudes and barriers. Qual Saf Health Care. 2010;19(2):117-21. doi:10.1136/qshc.2008.028795. Copy Cita…

5768. Quality and safety in surgery: challenges and opportunities. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities
      September 02, 2020 - Commentary Quality and safety in surgery: challenges and opportunities. Citation Text: Nasca BJ, Bilimoria KY, Yang AD. Quality and safety in surgery: challenges and opportunities. Jt Comm J Qual Patient Saf. 2021;47(9):604-607. doi:10.1016/j.jcjq.2021.05.003. Copy Citation Format:…

5769. The role of racism as a core patient safety issue. | PSNet
      psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
      March 18, 2020 - Newspaper/Magazine Article The role of racism as a core patient safety issue. Citation Text: Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-61. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

5770. A review of current and emerging approaches to address failure-to-rescue. | PSNet
      psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
      March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

5771. Potentially inappropriate medications and adverse drug effects in elders in the ED. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
      December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in the ED. Citation Text: Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…

5772. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet
      psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
      May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

5773. Injectable Opioid Shortages: Suggestions for Management and Conservation. | PSNet
      psnet.ahrq.gov/issue/injectable-opioid-shortages-suggestions-management-and-conservation
      May 20, 2020 - Fact Sheet/FAQs Injectable Opioid Shortages: Suggestions for Management and Conservation. Citation Text: Injectable Opioid Shortages: Suggestions for Management and Conservation. University of Utah Drug Information Service; ASHP; American Society of Health-System Pharmacists. Copy Cita…

5774. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet
      psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
      June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

5775. Opportunities to improve informed consent with AHRQ training modules. | PSNet
      psnet.ahrq.gov/issue/opportunities-improve-informed-consent-ahrq-training-modules
      December 31, 2014 - Study Opportunities to improve informed consent with AHRQ training modules. Citation Text: Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. Copy…

5776. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. | PSNet
      psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
      December 12, 2012 - Study Nurses' behaviors and visual scanning patterns may reduce patient identification errors. Citation Text: Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…

5777. A necessary sea change for nurse faculty development: spotlight on quality and safety. | PSNet
      psnet.ahrq.gov/issue/necessary-sea-change-nurse-faculty-development-spotlight-quality-and-safety
      May 25, 2011 - Commentary A necessary sea change for nurse faculty development: spotlight on quality and safety. Citation Text: Thornlow D, McGuinn K. A necessary sea change for nurse faculty development: spotlight on quality and safety. J Prof Nurs. 2010;26(2):71-81. doi:10.1016/j.profnurs.2009.10.00…

5778. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
      psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
      June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

5779. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet
      psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
      April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Citation Text: Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…

5780. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet
      psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
      December 16, 2014 - Study The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  Citation Text: Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. Copy Citation For…