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  1. Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. | PSNet

    psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
    January 24, 2018 - Study Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study. Citation Text: Fanning L, Jones N, Manias E. Impact of automated dispensing cabinets on medication …

  2. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. | PSNet

    psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs
    July 07, 2021 - Study Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. Citation Text: Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. J Surg Educ. 2021;78…

  3. Healthcare professionals experience of psychological safety, voice, and silence. | PSNet

    psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence
    March 18, 2020 - Study Healthcare professionals experience of psychological safety, voice, and silence. Citation Text: O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. Copy…

  4. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. | PSNet

    psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized-approach
    December 02, 2020 - Study Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Citation Text: Donovan AL, Aaronson EL, Black L, et al. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. Jt Comm J Qual Patient Saf. 20…

  5. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. | PSNet

    psnet.ahrq.gov/issue/implementing-2009-institute-medicine-recommendations-resident-physician-work-hours
    September 28, 2010 - Commentary Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Citation Text: Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…

  6. Allergic adverse drug events after alert overrides in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/allergic-adverse-drug-events-after-alert-overrides-hospitalized-patients
    May 25, 2022 - Study Allergic adverse drug events after alert overrides in hospitalized patients. Citation Text: Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034. Cop…

  7. The effect of virtual nursing and missed nursing care. | PSNet

    psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care
    December 01, 2021 - Study The effect of virtual nursing and missed nursing care. Citation Text: Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. Copy Citation Format: DOI Google Schola…

  8. The next organizational challenge: finding and addressing diagnostic error. | PSNet

    psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
    November 16, 2022 - Commentary The next organizational challenge: finding and addressing diagnostic error. Citation Text: Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10. Copy Citation …

  9. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet

    psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
    December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. Citation Text: Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…

  10. Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

    psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
    December 02, 2020 - Study Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. Citation Text: Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …

  11. The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study. | PSNet

    psnet.ahrq.gov/issue/frequency-intravenous-medication-administration-errors-related-smart-infusion-pumps
    June 27, 2018 - Study The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study. Citation Text: Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors related to smart infusion pumps: a…

  12. Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop. | PSNet

    psnet.ahrq.gov/issue/can-patients-contribute-enhancing-safety-and-effectiveness-test-result-follow-qualitative
    August 19, 2020 - Study Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop. Citation Text: Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test‐result follow‐u…

  13. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
    July 31, 2013 - Commentary Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Citation Text: Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cn…

  14. Nurses' and patients' appraisals show patient safety in hospitals remains a concern. | PSNet

    psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
    October 16, 2012 - Study Emerging Classic Nurses' and patients' appraisals show patient safety in hospitals remains a concern. Citation Text: Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals Remains A Concern. Health Aff (Mill…

  15. Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. | PSNet

    psnet.ahrq.gov/issue/intravenous-smart-pump-drug-library-compliance-descriptive-study-44-hospitals
    July 31, 2019 - Study Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals. Citation Text: Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000…

  16. Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 | PSNet

    psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience
    February 15, 2023 - Book/Report Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 Citation Text: Patient Safety Recommendations for COVID-19 Epidemic Outbreak: 3.0 La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland: International Society for …

  17. Rates of surgical consultations after emergency department admission in Black and White Medicare patients. | PSNet

    psnet.ahrq.gov/issue/rates-surgical-consultations-after-emergency-department-admission-black-and-white-medicare
    February 10, 2021 - Study Rates of surgical consultations after emergency department admission in Black and White Medicare patients. Citation Text: Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department admission in Black and White Medicare patients. JAMA Surg. 202…

  18. Views of practicing physicians and the public on medical errors. | PSNet

    psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
    August 03, 2009 - Study Classic Views of practicing physicians and the public on medical errors. Citation Text: Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical errors. N Engl J Med. 2002;347(24):1933-40. Copy Citation Fo…

  19. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. | PSNet

    psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification
    March 10, 2021 - Study Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. Citation Text: Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive …

  20. Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. | PSNet

    psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
    June 02, 2021 - Study Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests. Citation Text: Brooks Carthon M, Brom H, McHugh MD, et al. Better nurse staffing is associated with survival for black patients and …
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