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  1. Ambulance stretcher adverse events. | PSNet

    psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
    March 23, 2011 - Study Ambulance stretcher adverse events. Citation Text: Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  2. Types and patterns of safety concerns in home care: client and family caregiver perspectives. | PSNet

    psnet.ahrq.gov/issue/types-and-patterns-safety-concerns-home-care-client-and-family-caregiver-perspectives
    December 29, 2014 - Study Types and patterns of safety concerns in home care: client and family caregiver perspectives. Citation Text: Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):21…

  3. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet

    psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
    March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Citation Text: Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…

  4. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. | PSNet

    psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
    September 23, 2020 - Review Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. Citation Text: Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12. Copy Citation Format: Google Sc…

  5. Time out—charting a path for improving performance measurement. | PSNet

    psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
    March 06, 2005 - Commentary Classic Time out—charting a path for improving performance measurement. Citation Text: MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. C…

  6. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. | PSNet

    psnet.ahrq.gov/issue/parenteral-nutrition-prescribing-processes-using-computerized-prescriber-order-entry
    September 11, 2019 - Study Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. Citation Text: Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN …

  7. Stressful intensive care unit medical crises: how individual responses impact on team performance. | PSNet

    psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
    May 26, 2010 - Study Stressful intensive care unit medical crises: how individual responses impact on team performance. Citation Text: Piquette D, Reeves S, LeBlanc VR. Stressful intensive care unit medical crises: How individual responses impact on team performance. Crit Care Med. 2009;37(4):1251-12…

  8. Epidemiology of adverse events and medical errors in the care of cardiology patients. | PSNet

    psnet.ahrq.gov/issue/epidemiology-adverse-events-and-medical-errors-care-cardiology-patients
    November 26, 2014 - Study Epidemiology of adverse events and medical errors in the care of cardiology patients. Citation Text: Ohta Y, Miki I, Kimura T, et al. Epidemiology of Adverse Events and Medical Errors in the Care of Cardiology Patients. J Patient Saf. 2019;15(3):251-256. doi:10.1097/PTS.00000000000…

  9. Inaccuracy of ECG interpretations reported to the poison center. | PSNet

    psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center
    January 20, 2021 - Study Inaccuracy of ECG interpretations reported to the poison center. Citation Text: Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019. Copy Citation Forma…

  10. Outcomes after out-of-hospital endotracheal intubation errors. | PSNet

    psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors
    July 20, 2010 - Study Outcomes after out-of-hospital endotracheal intubation errors. Citation Text: Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. Copy Citation Format…

  11. Communication and shared understanding between parents and resident-physicians at night. | PSNet

    psnet.ahrq.gov/issue/communication-and-shared-understanding-between-parents-and-resident-physicians-night
    May 08, 2017 - Study Communication and shared understanding between parents and resident-physicians at night. Citation Text: Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…

  12. Impact of an electronic health record transition on chemotherapy error reporting | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting
    June 17, 2020 - Study Impact of an electronic health record transition on chemotherapy error reporting Citation Text: Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/10781552198…

  13. Improving medication management through the redesign of the hospital code cart medication drawer. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
    October 31, 2018 - Study Improving medication management through the redesign of the hospital code cart medication drawer. Citation Text: Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…

  14. Microsystems in health care: Part 2. Creating a rich information environment. | PSNet

    psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
    July 19, 2023 - Study Classic Microsystems in health care: Part 2. Creating a rich information environment. Citation Text: Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…

  15. ASPEN Safe Practices for Enteral Nutrition Therapy. | PSNet

    psnet.ahrq.gov/issue/aspen-safe-practices-enteral-nutrition-therapy
    June 12, 2018 - Organizational Policy/Guidelines ASPEN Safe Practices for Enteral Nutrition Therapy. Citation Text: Boullata JI, Carrera AL, Harvey L, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. JPEN J Parenter Enteral Nutr. 2017;41(1):15-103. doi:10.1177/0148607116673053. Copy Citation…

  16. Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. | PSNet

    psnet.ahrq.gov/issue/simulation-tool-improve-safety-pre-hospital-anaesthesia-pilot-study
    October 19, 2022 - Study Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. Citation Text: Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365…

  17. Incidence of prescription errors in patients discharged from the emergency department. | PSNet

    psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
    March 30, 2022 - Study Incidence of prescription errors in patients discharged from the emergency department. Citation Text: Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…

  18. Measuring communication in the surgical ICU: better communication equals better care. | PSNet

    psnet.ahrq.gov/issue/measuring-communication-surgical-icu-better-communication-equals-better-care
    April 03, 2005 - Study Measuring communication in the surgical ICU: better communication equals better care. Citation Text: Williams M, Hevelone N, Alban RF, et al. Measuring communication in the surgical ICU: better communication equals better care. J Am Coll Surg. 2010;210(1):17-22. doi:10.1016/j.jamc…

  19. Factors associated with potentially missed diagnosis of appendicitis in the emergency department. | PSNet

    psnet.ahrq.gov/issue/factors-associated-potentially-missed-diagnosis-appendicitis-emergency-department
    December 16, 2020 - Study Factors associated with potentially missed diagnosis of appendicitis in the emergency department. Citation Text: Mahajan P, Basu T, Pai C-W, et al. Factors associated with potentially missed diagnosis of appendicitis in the emergency department. JAMA Netw Open. 2020;3(3):e200612. d…

  20. Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. | PSNet

    psnet.ahrq.gov/issue/realizing-e-prescribings-potential-reduce-outpatient-psychiatric-medication-errors
    November 12, 2014 - Commentary Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. Citation Text: Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps…
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