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  1. Mistreatment in health care among women in Appalachia. | PSNet

    psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
    October 04, 2023 - Study Mistreatment in health care among women in Appalachia. Citation Text: Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. Copy Citation Format: DOI …

  2. The power of written word: reflection reduces errors of omission. | PSNet

    psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission
    April 24, 2018 - Study The power of written word: reflection reduces errors of omission. Citation Text: Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. Copy Citation Format: DOI Go…

  3. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
    March 28, 2011 - Review Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Citation Text: Taub N, Baker R, Khunti K, et al. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Diabet Med. 2010;27(11):1322-6. Copy C…

  4. Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. | PSNet

    psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational
    June 01, 2022 - Review Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. Citation Text: Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcom…

  5. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. | PSNet

    psnet.ahrq.gov/issue/use-and-implementation-standard-operating-procedures-and-checklists-prehospital-emergency
    August 28, 2024 - Review Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. Citation Text: Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a lit…

  6. Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent
    November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

  7. Promoting patient safety through prospective risk identification: example from peri-operative care. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-through-prospective-risk-identification-example-peri-operative-care
    September 23, 2020 - Study Promoting patient safety through prospective risk identification: example from peri-operative care. Citation Text: Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(…

  8. Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. | PSNet

    psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
    August 02, 2011 - Study Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. Citation Text: Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care uni…

  9. A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. | PSNet

    psnet.ahrq.gov/issue/study-frequency-and-rationale-overriding-allergy-warnings-computerized-prescriber-order-entry
    February 15, 2011 - Study A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. Citation Text: Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding Allergy Warnings in a Computerized Prescrib…

  10. Applying HFMEA to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
    September 27, 2017 - Study Applying HFMEA to prevent chemotherapy errors. Citation Text: Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  11. The coronavirus and the risks to the elderly in long-term care. | PSNet

    psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
    July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

  12. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

    psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
    March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

  13. The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. | PSNet

    psnet.ahrq.gov/issue/effect-staff-nurses-shift-length-and-fatigue-patient-safety-and-nurses-health-national
    July 06, 2011 - Commentary The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. Citation Text: Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the N…

  14. Improving prescription drug warnings to promote patient comprehension. | PSNet

    psnet.ahrq.gov/issue/improving-prescription-drug-warnings-promote-patient-comprehension
    December 21, 2014 - Study Improving prescription drug warnings to promote patient comprehension. Citation Text: Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. Copy Citation …

  15. Expanding what we know about off-peak mortality in hospitals. | PSNet

    psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
    July 09, 2008 - Study Expanding what we know about off-peak mortality in hospitals. Citation Text: Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e. Copy Citation Format: …

  16. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. | PSNet

    psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs
    May 04, 2012 - Study Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. Citation Text: Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…

  17. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit
    March 02, 2011 - Study Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Citation Text: Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…

  18. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. | PSNet

    psnet.ahrq.gov/issue/criminalisation-unintentional-error-healthcare-uk-perspective-new-zealand
    June 14, 2023 - Commentary Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. Citation Text: Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1…

  19. Bedside shift-to-shift handoffs: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/bedside-shift-shift-handoffs-systematic-review-literature
    January 23, 2017 - Review Bedside shift-to-shift handoffs: a systematic review of the literature. Citation Text: Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. Copy Citation…

  20. The future of safety and quality in radiation oncology. | PSNet

    psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
    May 17, 2023 - Commentary The future of safety and quality in radiation oncology. Citation Text: Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008. Copy Citation Format: …
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