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  1. Critical Deficiencies at the Washington DC VA Medical Center. | PSNet

    psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
    December 16, 2020 - Government Resource Critical Deficiencies at the Washington DC VA Medical Center. Citation Text: Critical Deficiencies at the Washington DC VA Medical Center. Washington, DC: Department of Veterans Affairs, Office of Inspector General. March 7, 2018. Report No. 17-02644-130. Copy Citat…

  2. Chasing the 6-sigma: drawing lessons from the cockpit culture. | PSNet

    psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons-cockpit-culture
    April 22, 2015 - Commentary Chasing the 6-sigma: drawing lessons from the cockpit culture. Citation Text: Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. Copy Citation F…

  3. Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. | PSNet

    psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
    November 10, 2015 - Study Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. Citation Text: Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. Copy Citation Format: DOI Googl…

  4. Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/diagnostic-delays-and-errors-head-and-neck-cancer-patients-opportunities-improvement
    March 14, 2022 - Study Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. Citation Text: Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. do…

  5. Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
    June 12, 2019 - Study Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. Citation Text: Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…

  6. Weekend versus weekday admission and mortality from myocardial infarction. | PSNet

    psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
    February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

  7. When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. | PSNet

    psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
    October 19, 2022 - Commentary When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. Citation Text: Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…

  8. Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. | PSNet

    psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
    May 31, 2017 - Study Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. Citation Text: Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5. Copy Citation …

  9. Assessment of adverse drug events among patients in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…

  10. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

    psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
    August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

  11. Parenteral nutrition errors and potential errors reported over the past 10 years. | PSNet

    psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
    June 20, 2018 - Study Parenteral nutrition errors and potential errors reported over the past 10 years. Citation Text: Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…

  12. The checklist--a tool for error management and performance improvement. | PSNet

    psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
    June 29, 2011 - Review The checklist--a tool for error management and performance improvement. Citation Text: Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

  13. Pushing the profession: how the news media turned patient safety into a priority. | PSNet

    psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safety-priority
    September 02, 2018 - Review Classic Pushing the profession: how the news media turned patient safety into a priority. Citation Text: Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf Health Care. 2002;11(1):57-63. Copy Citat…

  14. 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: …

  15. Pre-surgery briefings and safety climate in the operating theatre. | PSNet

    psnet.ahrq.gov/issue/pre-surgery-briefings-and-safety-climate-operating-theatre
    September 27, 2016 - Study Pre-surgery briefings and safety climate in the operating theatre. Citation Text: Allard J, Bleakley A, Hobbs A, et al. Pre-surgery briefings and safety climate in the operating theatre. BMJ Qual Saf. 2011;20(8):711-7. doi:10.1136/bmjqs.2009.032672. Copy Citation Format: …

  16. Themed Issue on Innovations in Medication Safety. | PSNet

    psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
    August 30, 2017 - Special or Theme Issue Themed Issue on Innovations in Medication Safety. Citation Text: Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2…

  17. Cost of medication-related problems at a university hospital. | PSNet

    psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
    January 13, 2021 - Study Classic Cost of medication-related problems at a university hospital. Citation Text: Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE Copy Citation Save Save to yo…

  18. An education-service partnership to achieve safety and quality improvement competencies in nursing. | PSNet

    psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
    August 30, 2023 - Commentary An education-service partnership to achieve safety and quality improvement competencies in nursing. Citation Text: Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12).…

  19. Saying goodbye. | PSNet

    psnet.ahrq.gov/issue/saying-goodbye
    September 11, 2019 - Commentary Saying goodbye. Citation Text: DeFilippis EM. Saying Goodbye. JAMA Intern Med. 2017;177(11):1565. doi:10.1001/jamainternmed.2017.4017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  20. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. | PSNet

    psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
    July 19, 2023 - Commentary Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Citation Text: Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med R…
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