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  1. Nurses' role in medical error recovery: an integrative review. | PSNet

    psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-review
    September 28, 2005 - Review Nurses' role in medical error recovery: an integrative review. Citation Text: Gaffney TA, Hatcher BJ, Milligan R. Nurses' role in medical error recovery: an integrative review. J Clin Nurs. 2016;25(7-8):906-17. doi:10.1111/jocn.13126. Copy Citation Format: DOI Google…

  2. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. | PSNet

    psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
    May 26, 2021 - Commentary Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Citation Text: Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. …

  3. On patient safety: when are we too old to operate? | PSNet

    psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
    October 19, 2022 - Commentary On patient safety: when are we too old to operate? Citation Text: Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  4. Addressing prehospital patient safety using the science of injury prevention and control. | PSNet

    psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
    April 12, 2019 - Commentary Addressing prehospital patient safety using the science of injury prevention and control. Citation Text: Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1…

  5. The medication kit conundrum: considerations to enhance safety and efficiency. | PSNet

    psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
    June 07, 2017 - Commentary The medication kit conundrum: considerations to enhance safety and efficiency. Citation Text: Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…

  6. Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. | PSNet

    psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
    April 20, 2016 - Study Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. Citation Text: Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf.…

  7. Unintentionally retained guidewires: a descriptive study of 73 sentinel events. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-guidewires-descriptive-study-73-sentinel-events
    April 27, 2019 - Study Unintentionally retained guidewires: a descriptive study of 73 sentinel events. Citation Text: Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.0…

  8. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
    June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

  9. Beyond medication reconciliation: the correct medication list. | PSNet

    psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
    February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

  10. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. | PSNet

    psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
    July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …

  11. The impact of electronic health records on diagnosis. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis
    May 19, 2019 - Review The impact of electronic health records on diagnosis. Citation Text: Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012. Copy Citation Format: DOI Google Scholar PubMed B…

  12. ASHP guidelines on remote medication order processing. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

  13. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. | PSNet

    psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
    September 24, 2010 - Commentary A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Citation Text: Sheridan-Leos N. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Clin J Oncol Nurs. 2007;11(4):545-51. Copy Citati…

  14. Medical errors in neurosurgery. | PSNet

    psnet.ahrq.gov/issue/medical-errors-neurosurgery
    February 14, 2018 - Review Medical errors in neurosurgery. Citation Text: Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  15. You can't blame the wreck on the train. | PSNet

    psnet.ahrq.gov/issue/you-cant-blame-wreck-train
    March 03, 2011 - Commentary You can't blame the wreck on the train. Citation Text: Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  16. A national survey of obstetric anaesthetic handovers. | PSNet

    psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
    July 18, 2018 - Study A national survey of obstetric anaesthetic handovers. Citation Text: Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. Copy Citation Format: DOI Google Scholar BibTe…

  17. Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet

    psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
    August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …

  18. Promoting collaboration and transparency in patient safety. | PSNet

    psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
    June 21, 2016 - Commentary Promoting collaboration and transparency in patient safety. Citation Text: Apold J, Daniels T, Sonneborn M. Promoting collaboration and transparency in patient safety. Jt Comm J Qual Patient Saf. 2006;32(12):672-675. Copy Citation Format: Google Scholar PubMed Bi…

  19. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
    October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

  20. Managing an acute adverse event in a radiology department. | PSNet

    psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
    June 14, 2011 - Commentary Managing an acute adverse event in a radiology department. Citation Text: Kruskal JB, Siewert B, Anderson SW, et al. Managing an acute adverse event in a radiology department. Radiographics. 2008;28(5):1237-50. doi:10.1148/rg.285085064. Copy Citation Format: DO…
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