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  1. Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
    October 14, 2011 - Study Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. Citation Text: Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …

  2. Reducing accidental extubation in neonates. | PSNet

    psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
    September 09, 2011 - Study Reducing accidental extubation in neonates. Citation Text: Loughead JL, Brennan RA, DeJuilio P, et al. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  3. Evaluation of a nurse-led safety program in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/evaluation-nurse-led-safety-program-critical-care-unit
    June 03, 2013 - Study Evaluation of a nurse-led safety program in a critical care unit. Citation Text: Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. Copy Citation F…

  4. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. | PSNet

    psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best
    October 19, 2022 - Review Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Citation Text: Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …

  5. Reasons provided by prescribers when overriding drug–drug interaction alerts. | PSNet

    psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
    April 27, 2010 - Study Reasons provided by prescribers when overriding drug–drug interaction alerts. Citation Text: Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578. Copy Citation Format: …

  6. An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/ethnography-parents-perceptions-patient-safety-neonatal-intensive-care-unit
    September 01, 2018 - Study An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit. Citation Text: Ottosen MJ, Engebretson J, Etchegaray J, et al. An Ethnography of Parents' Perceptions of Patient Safety in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2019;19(6):5…

  7. A step toward high reliability: implementation of a daily safety brief in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/step-toward-high-reliability-implementation-daily-safety-brief-childrens-hospital
    August 23, 2023 - Study A step toward high reliability: implementation of a daily safety brief in a children's hospital. Citation Text: Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. d…

  8. Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. | PSNet

    psnet.ahrq.gov/issue/potassium-and-phosphorus-repletion-hospitalized-patients-implications-clinical-practice-and
    May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…

  9. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-musculoskeletal-oncology-and-possible-mitigation-strategies
    May 01, 2013 - Commentary Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Citation Text: Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…

  10. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/surrogate-decision-makers-perspectives-preventable-breakdowns-care-among-critically-ill
    June 07, 2016 - Study Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. Citation Text: Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients:…

  11. Influence of unit-level staffing on medication errors and falls in military hospitals. | PSNet

    psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
    February 02, 2011 - Study Influence of unit-level staffing on medication errors and falls in military hospitals. Citation Text: Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:1…

  12. Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. | PSNet

    psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care
    June 28, 2010 - Study Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. Citation Text: Kopp BJ, Mrsan M, Erstad BL, et al. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist. Am J H…

  13. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. | PSNet

    psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation
    January 02, 2017 - Study Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Citation Text: Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. Copy Citation Format: …

  14. The rise of the medical scribe industry: implications for the advancement of electronic health records. | PSNet

    psnet.ahrq.gov/issue/rise-medical-scribe-industry-implications-advancement-electronic-health-records
    January 12, 2022 - Commentary The rise of the medical scribe industry: implications for the advancement of electronic health records. Citation Text: Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…

  15. Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
    October 19, 2022 - Commentary Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. Citation Text: Kozakiewicz JM, Benis LJ, Fisher SM, et al. Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber o…

  16. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time-hospitalized
    December 01, 2010 - Study Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Citation Text: Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Se…

  17. Variation in the reporting of elective surgeries and its influence on patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
    June 30, 2021 - Study Variation in the reporting of elective surgeries and its influence on patient safety indicators. Citation Text: Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(…

  18. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

  19. Intensive Care Unit | Digital Healthcare Research

    digital.ahrq.gov/care-setting/hospital-intensive-care-unit
    January 01, 2023 - Intensive Care Unit ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization Description The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutili…

  20. Developing an intervention to reduce harm in hospitalized patients: patients and families in research. | PSNet

    psnet.ahrq.gov/issue/developing-intervention-reduce-harm-hospitalized-patients-patients-and-families-research
    December 21, 2018 - Study Developing an intervention to reduce harm in hospitalized patients: patients and families in research. Citation Text: Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research. J Nurs Care Qual. 20…
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