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  1. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet

    psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
    January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

  2. Characteristics associated with postdischarge medication errors. | PSNet

    psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
    April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …

  3. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
    May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …

  4. Weaving a healthcare tapestry of safety and communication. | PSNet

    psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
    September 29, 2017 - Commentary Weaving a healthcare tapestry of safety and communication. Citation Text: Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. Copy Citation Format: DOI Google…

  5. Medication safety in primary care practice: results from a PPRNet quality improvement intervention. | PSNet

    psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-intervention
    April 23, 2008 - Study Medication safety in primary care practice: results from a PPRNet quality improvement intervention. Citation Text: Wessell AM, Ornstein SM, Jenkins RG, et al. Medication Safety in Primary Care Practice: results from a PPRNet quality improvement intervention. Am J Med Qual. 2013;2…

  6. Causes of preventable drug-related hospital admissions: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/causes-preventable-drug-related-hospital-admissions-qualitative-study
    October 16, 2012 - Study Causes of preventable drug-related hospital admissions: a qualitative study. Citation Text: Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681. Copy Ci…

  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. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
    June 19, 2018 - Commentary Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Citation Text: Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…

  9. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
    March 02, 2011 - Commentary John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Citation Text: Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…

  10. Certain uncertainties: modes of patient safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare
    April 04, 2011 - Study Certain uncertainties: modes of patient safety in healthcare. Citation Text: Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Soc Stud Sci. 2012;42(5):732-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  11. 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…

  12. Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. | PSNet

    psnet.ahrq.gov/issue/lack-awareness-community-acquired-adverse-drug-reactions-upon-hospital-admission-dimensions
    October 16, 2013 - Study Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. Citation Text: Dormann H, Criegee-Rieck M, Neubert A, et al. Lack of awareness of community-acquired adverse drug reactions upon hospital admission : …

  13. 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…

  14. Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. | PSNet

    psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
    January 04, 2017 - Commentary Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. Citation Text: Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7…

  15. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. | PSNet

    psnet.ahrq.gov/issue/can-positivity-promote-safety-psychological-capital-development-combats-cynicism-and-unsafe
    June 09, 2011 - Study Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Citation Text: Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…

  16. Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. | PSNet

    psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
    June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…

  17. 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…

  18. 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…

  19. 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…

  20. 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…
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