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  1. Use of a computerized forcing function improves performance in ordering restraints. | PSNet

    psnet.ahrq.gov/issue/use-computerized-forcing-function-improves-performance-ordering-restraints
    September 30, 2020 - Study Use of a computerized forcing function improves performance in ordering restraints. Citation Text: Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergm…

  2. Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. | PSNet

    psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
    July 13, 2010 - Commentary Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. Citation Text: DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…

  3. Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact-patient-safety
    August 02, 2010 - Study Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. Citation Text: Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf. 2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4. Cop…

  4. Development and implementation of an oral sign-out skills curriculum. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
    February 15, 2011 - Commentary Development and implementation of an oral sign-out skills curriculum. Citation Text: Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4. Copy Citation Format: Google Scholar Pu…

  5. Applying HFMEA to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
    September 27, 2017 - Study Applying HFMEA to prevent chemotherapy errors. Citation Text: Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  6. Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. | PSNet

    psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-2-review-strategies-and
    January 04, 2010 - Review Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. Citation Text: Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of stra…

  7. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2019
    October 19, 2022 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. Citation Text: Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2019. Am J Health Syst Pharm. 2…

  8. Peer training using cognitive rehearsal to promote a culture of safety in health care. | PSNet

    psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
    November 16, 2022 - Study Peer training using cognitive rehearsal to promote a culture of safety in health care. Citation Text: Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.00000000…

  9. The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. | PSNet

    psnet.ahrq.gov/issue/effect-staff-nurses-shift-length-and-fatigue-patient-safety-and-nurses-health-national
    July 06, 2011 - Commentary The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. Citation Text: Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the N…

  10. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

    psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
    March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

  11. Expanding what we know about off-peak mortality in hospitals. | PSNet

    psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
    July 09, 2008 - Study Expanding what we know about off-peak mortality in hospitals. Citation Text: Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e. Copy Citation Format: …

  12. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

    psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
    November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

  13. Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
    June 19, 2024 - Review Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. Citation Text: Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…

  14. Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

    psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3
    March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

  15. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet

    psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
    August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Citation Text: Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…

  16. Silent witnesses: faculty reluctance to report medical students' professionalism lapses. | PSNet

    psnet.ahrq.gov/issue/silent-witnesses-faculty-reluctance-report-medical-students-professionalism-lapses
    March 10, 2021 - Study Silent witnesses: faculty reluctance to report medical students' professionalism lapses. Citation Text: Ziring D, Frankel RM, Danoff D, et al. Silent Witnesses: Faculty Reluctance to Report Medical Students' Professionalism Lapses. Acad Med. 2018;93(11):1700-1706. doi:10.1097/ACM.0…

  17. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effect-distraction-surgeon-performance-directions-operating-room-policy-and
    November 14, 2011 - Review A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. Citation Text: Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for opera…

  18. Use of "Doctor" badges for physician role identification during clinical training. | PSNet

    psnet.ahrq.gov/issue/use-doctor-badges-physician-role-identification-during-clinical-training
    December 18, 2017 - Study Use of "Doctor" badges for physician role identification during clinical training. Citation Text: Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. …

  19. Room of horrors simulation in healthcare education: a systematic review. | PSNet

    psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
    September 09, 2020 - Review Room of horrors simulation in healthcare education: a systematic review. Citation Text: Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. Copy Citation …

  20. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. | PSNet

    psnet.ahrq.gov/issue/closest-observers-patient-care-thematic-analysis-online-narrative-reviews-hospitals
    December 12, 2014 - Study From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. Citation Text: Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals. BMJ Qua…
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