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  1. Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-safety-partners-some-considerations-ensuring-culturally-and-linguistically
    February 12, 2020 - Review Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropriate approach. Citation Text: Johnstone M-J, Kanitsaki O. Engaging patients as safety partners: some considerations for ensuring a culturally and linguistically appropri…

  2. Cultivating a culture of medication safety in prelicensure nursing students. | PSNet

    psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students
    July 25, 2018 - Commentary Cultivating a culture of medication safety in prelicensure nursing students. Citation Text: Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. C…

  3. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
    September 23, 2020 - Review Impact of hospital accreditation on quality improvement in healthcare: a systematic review. Citation Text: Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…

  4. Missed diagnosis of critical congenital heart disease. | PSNet

    psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
    September 09, 2020 - Study Missed diagnosis of critical congenital heart disease. Citation Text: Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969. Copy Citation Format: DOI…

  5. Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. | PSNet

    psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
    July 08, 2015 - Press Release/Announcement Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. Citation Text: Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. National Alert Net…

  6. Obstetric medical emergency teams are a step forward in maternal safety! | PSNet

    psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
    November 04, 2020 - Review Obstetric medical emergency teams are a step forward in maternal safety! Citation Text: Al Kadri HMF. Obstetric medical emergency teams are a step forward in maternal safety!. J Emerg Trauma Shock. 2010;3(4):337-341. doi:10.4103/0974-2700.70755. Copy Citation Format: …

  7. Nursing and patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
    November 03, 2010 - Study Nursing and patient safety in the operating room. Citation Text: Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs. 2010;61(1):29-37. doi:10.1111/j.1365-2648.2007.04462.x. Copy Citation Format: DOI Google Scholar BibTeX En…

  8. Introducing the patient safety professional: why, what, who, how, and where? | PSNet

    psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
    July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

  9. Medication reconciliation: a qualitative analysis of clinicians' perceptions. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
    October 10, 2015 - Study Medication reconciliation: a qualitative analysis of clinicians' perceptions. Citation Text: Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.201…

  10. Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
    June 07, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. Citation Text: Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…

  11. National Reporting and Learning System Research and Development. | PSNet

    psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
    April 06, 2016 - Book/Report National Reporting and Learning System Research and Development. Citation Text: National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citatio…

  12. Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. | PSNet

    psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
    October 15, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. Citation Text: Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…

  13. Medication safety in the operating room: literature and expert-based recommendations. | PSNet

    psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
    October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…

  14. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet

    psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
    April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

  15. Operating room fires. | PSNet

    psnet.ahrq.gov/issue/operating-room-fires
    March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  16. Computerization can create safety hazards: a bar-coding near miss. | PSNet

    psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
    March 11, 2011 - Commentary Classic Computerization can create safety hazards: a bar-coding near miss. Citation Text: McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6. Copy Citation Format: Google S…

  17. Situational awareness—what it means for clinicians, its recognition and importance in patient safety. | PSNet

    psnet.ahrq.gov/issue/situational-awareness-what-it-means-clinicians-its-recognition-and-importance-patient-safety
    July 10, 2017 - Review Situational awareness—what it means for clinicians, its recognition and importance in patient safety. Citation Text: Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721…

  18. Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
    June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…

  19. Identifying and addressing preventable process errors in trauma care. | PSNet

    psnet.ahrq.gov/issue/identifying-and-addressing-preventable-process-errors-trauma-care
    June 17, 2015 - Study Identifying and addressing preventable process errors in trauma care. Citation Text: Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. Copy Citation Form…

  20. Drug-induced hypoglycaemia--new insight into an old problem. | PSNet

    psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
    October 19, 2022 - Study Drug-induced hypoglycaemia--new insight into an old problem. Citation Text: Ching CK, Lai CK, Poon WT, et al. Drug-induced hypoglycaemia--new insight into an old problem. Hong Kong Med J. 2006;12(5):334-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
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