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  1. Rural hospital nursing: better environments = shared vision and quality/safety engagement.  | PSNet

    psnet.ahrq.gov/issue/rural-hospital-nursing-better-environments-shared-vision-and-qualitysafety-engagement
    February 16, 2011 - Study Rural hospital nursing: better environments = shared vision and quality/safety engagement.  Citation Text: Newhouse RP, Morlock L, Pronovost P, et al. Rural hospital nursing: Better environments = shared vision and quality/safety engagement. J Nurs Admin. 2009;39(4):189-195. doi:…

  2. Surgeon's vigilance in the operating room. | PSNet

    psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
    November 12, 2014 - Study Surgeon's vigilance in the operating room. Citation Text: Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  3. Diagnostic pitfalls in paediatric ischaemic stroke. | PSNet

    psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
    December 14, 2016 - Study Diagnostic pitfalls in paediatric ischaemic stroke. Citation Text: Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child Neurol. 2006;48(12):985-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  4. Evaluation of drug interaction software to identify alerts for transplant medications. | PSNet

    psnet.ahrq.gov/issue/evaluation-drug-interaction-software-identify-alerts-transplant-medications
    November 16, 2022 - Study Evaluation of drug interaction software to identify alerts for transplant medications. Citation Text: Smith WD, Hatton RC, Fann AL, et al. Evaluation of drug interaction software to identify alerts for transplant medications. Ann Pharmacother. 2005;39(1):45-50. Copy Citation …

  5. Using improvement science methods to increase accuracy of surgical consents. | PSNet

    psnet.ahrq.gov/issue/using-improvement-science-methods-increase-accuracy-surgical-consents
    October 05, 2011 - Study Using improvement science methods to increase accuracy of surgical consents. Citation Text: Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. Copy Cit…

  6. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. | PSNet

    psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
    March 13, 2024 - Commentary Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. Citation Text: Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…

  7. The association between organizational culture and the ability to benefit from "just culture" training. | PSNet

    psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…

  8. Underdiagnosis of hypertension using electronic health records. | PSNet

    psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
    November 16, 2022 - Study Underdiagnosis of hypertension using electronic health records. Citation Text: Banerjee D, Chung S, Wong EC, et al. Underdiagnosis of hypertension using electronic health records. Am J Hypertens. 2012;25(1):97-102. doi:10.1038/ajh.2011.179. Copy Citation Format: DOI…

  9. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
    September 07, 2016 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Citation Text: Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…

  10. The fallacy of a single diagnosis. | PSNet

    psnet.ahrq.gov/issue/fallacy-single-diagnosis
    October 05, 2022 - Study The fallacy of a single diagnosis. Citation Text: Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  11. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. | PSNet

    psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse
    January 10, 2017 - Review Barcode medication administration work-arounds: a systematic review and implications for nurse executives. Citation Text: Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…

  12. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. | PSNet

    psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors
    October 19, 2022 - Study The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. Citation Text: Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140…

  13. Failure to rescue as a process measure to evaluate fetal safety during labor. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
    October 19, 2022 - Study Failure to rescue as a process measure to evaluate fetal safety during labor. Citation Text: Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. Copy Citat…

  14. Incident reporting in one UK accident and emergency department. | PSNet

    psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
    December 12, 2012 - Study Incident reporting in one UK accident and emergency department. Citation Text: Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37. Copy Citation Format: Google Scholar PubMed …

  15. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. | PSNet

    psnet.ahrq.gov/issue/use-standardized-protocol-decrease-medication-errors-and-adverse-events-related-sliding-scale
    January 05, 2017 - Study Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. Citation Text: Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insul…

  16. Communication in critical care environments: mobile telephones improve patient care. | PSNet

    psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
    June 27, 2018 - Study Communication in critical care environments: mobile telephones improve patient care. Citation Text: Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. Copy Citation Format:…

  17. How patients perceive a doctor's caring attitude. | PSNet

    psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
    March 11, 2013 - Study How patients perceive a doctor's caring attitude. Citation Text: Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022. Copy Citation Format: DOI Google Scholar Pu…

  18. Safety climate and medical errors in 62 US emergency departments. | PSNet

    psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
    June 16, 2009 - Study Safety climate and medical errors in 62 US emergency departments. Citation Text: Camargo CA, Tsai C-L, Sullivan AF, et al. Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med. 2012;60(5):555-563.e20. doi:10.1016/j.annemergmed.2012.02.018. Copy Citati…

  19. Did hospital engagement networks actually improve care? | PSNet

    psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
    July 18, 2016 - Commentary Did hospital engagement networks actually improve care? Citation Text: Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  20. Medical errors education: a prospective study of a new educational tool. | PSNet

    psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
    March 20, 2024 - Study Medical errors education: a prospective study of a new educational tool. Citation Text: Paxton JH, Rubinfeld IS. Medical errors education: A prospective study of a new educational tool. Am J Med Qual. 2010;25(2):135-42. doi:10.1177/1062860609353345. Copy Citation Format: …
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