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  1. Identifying and reducing distractions and interruptions in a pharmacy department. | PSNet

    psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
    August 22, 2015 - Study Identifying and reducing distractions and interruptions in a pharmacy department. Citation Text: Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…

  2. Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. | PSNet

    psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
    January 06, 2017 - Study Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. Citation Text: Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a vo…

  3. Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
    July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…

  4. Raising the awareness of inpatient nursing staff about medication errors. | PSNet

    psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
    February 15, 2011 - Study Raising the awareness of inpatient nursing staff about medication errors. Citation Text: Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90. Copy Citation Format: Google Sc…

  5. "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

    psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern
    July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

  6. Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
    May 29, 2019 - Study Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. Citation Text: Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem…

  7. Quality and strength of patient safety climate on medical–surgical units. | PSNet

    psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
    February 15, 2011 - Study Quality and strength of patient safety climate on medical–surgical units. Citation Text: Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. Copy…

  8. Sterile compounding: clinical, legal, and regulatory implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
    March 20, 2024 - Review Sterile compounding: clinical, legal, and regulatory implications for patient safety. Citation Text: Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191. …

  9. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.  | PSNet

    psnet.ahrq.gov/issue/effects-aviation-style-non-technical-skills-training-technical-performance-and-outcome
    March 03, 2011 - Study The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.  Citation Text: McCulloch P, Mishra A, Handa A, et al. The effects of aviation-style non-technical skills training on technical performance and outcome in th…

  10. A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. | PSNet

    psnet.ahrq.gov/issue/patient-safety-curriculum-graduate-medical-education-results-needs-assessment-educators-and
    May 01, 2014 - Study A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. Citation Text: Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results from a needs assessment of…

  11. Costs associated with surgical site infections in Veterans Affairs hospitals. | PSNet

    psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
    June 18, 2014 - Study Costs associated with surgical site infections in Veterans Affairs hospitals. Citation Text: Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. …

  12. Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet

    psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
    September 01, 2018 - Study Designing highly reliable adverse-event detection systems to predict subsequent claims. Citation Text: Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm…

  13. Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. | PSNet

    psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
    March 19, 2019 - Study Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Citation Text: Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anest…

  14. Work hours regulations for house staff in psychiatry: bad or good for residency training? | PSNet

    psnet.ahrq.gov/issue/work-hours-regulations-house-staff-psychiatry-bad-or-good-residency-training
    August 04, 2021 - Review Work hours regulations for house staff in psychiatry: bad or good for residency training? Citation Text: Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/a…

  15. Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. | PSNet

    psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
    June 07, 2018 - Commentary Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. Citation Text: Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…

  16. Patient safety stories: a project utilizing narratives in resident training. | PSNet

    psnet.ahrq.gov/issue/patient-safety-stories-project-utilizing-narratives-resident-training
    May 10, 2016 - Study Patient safety stories: a project utilizing narratives in resident training. Citation Text: Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med. 2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa. Copy Citation Format: …

  17. Prevalence of adverse drug events in ambulatory care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prevalence-adverse-drug-events-ambulatory-care-systematic-review
    July 29, 2020 - Review Prevalence of adverse drug events in ambulatory care: a systematic review. Citation Text: Taché S, Sönnichsen A, Ashcroft DM. Prevalence of adverse drug events in ambulatory care: a systematic review. Ann Pharmacother. 2011;45(7-8):977-89. doi:10.1345/aph.1P627. Copy Citation …

  18. Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? | PSNet

    psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
    February 02, 2022 - Study Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? Citation Text: Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…

  19. The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. | PSNet

    psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
    April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…

  20. Improving electronic health record usability and safety requires transparency. | PSNet

    psnet.ahrq.gov/issue/improving-electronic-health-record-usability-and-safety-requires-transparency
    September 19, 2018 - Commentary Improving electronic health record usability and safety requires transparency. Citation Text: Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079. Copy Cita…
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