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  1. Using the patient safety huddle as a tool for high reliability. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
    March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

  2. Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/role-parents-promotion-hand-hygiene-paediatric-setting-systematic-literature-review
    January 27, 2021 - Review Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. Citation Text: Bellissimo-Rodrigues F, Pires D, Zingg W, et al. Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. J…

  3. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. | PSNet

    psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion
    September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. Citation Text: Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project …

  4. Resident duty-hour reform associated with increased morbidity following hip fracture. | PSNet

    psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
    October 19, 2022 - Study Resident duty-hour reform associated with increased morbidity following hip fracture. Citation Text: Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…

  5. Why it is so hard to talk about overuse in pediatrics and why it matters. | PSNet

    psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters
    March 04, 2020 - Commentary Why it is so hard to talk about overuse in pediatrics and why it matters. Citation Text: Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239. Copy Citatio…

  6. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. | PSNet

    psnet.ahrq.gov/issue/measuring-patient-safety-culture-assessment-clustering-responses-unit-level-and-hospital
    February 20, 2013 - Study Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. Citation Text: Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital lev…

  7. Leader communication approaches and patient safety: an integrated model. | PSNet

    psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
    July 01, 2019 - Study Leader communication approaches and patient safety: an integrated model. Citation Text: Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008. Copy Citation Forma…

  8. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. | PSNet

    psnet.ahrq.gov/issue/perceived-adverse-patient-outcomes-correlated-nurses-workload-medical-and-surgical-wards
    February 01, 2013 - Study Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. Citation Text: Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected ho…

  9. A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. | PSNet

    psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education
    August 10, 2022 - Study A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. Citation Text: Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …

  10. Non-emergency patient transport: what are the quality and safety issues? A systematic review. | PSNet

    psnet.ahrq.gov/issue/non-emergency-patient-transport-what-are-quality-and-safety-issues-systematic-review
    June 27, 2012 - Review Non-emergency patient transport: what are the quality and safety issues? A systematic review. Citation Text: Hains IM, Marks A, Georgiou A, et al. Non-emergency patient transport: what are the quality and safety issues? A systematic review. Int J Qual Health Care. 2011;23(1):68-75…

  11. Personal digital assistant-based drug information sources: potential to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/personal-digital-assistant-based-drug-information-sources-potential-improve-medication-safety
    July 14, 2010 - Study Personal digital assistant-based drug information sources: potential to improve medication safety. Citation Text: Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):22…

  12. Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. | PSNet

    psnet.ahrq.gov/issue/towards-understanding-information-dynamics-handover-process-aged-care-settings-prerequisite
    August 19, 2016 - Study Towards an understanding of the information dynamics of the handover process in aged care settings—a prerequisite for the safe and effective use of ICT. Citation Text: Lyhne S, Georgiou A, Marks A, et al. Towards an understanding of the information dynamics of the handover proces…

  13. Costs and benefits of an early-alert surveillance system for hospital inpatients. | PSNet

    psnet.ahrq.gov/issue/costs-and-benefits-early-alert-surveillance-system-hospital-inpatients
    January 24, 2024 - Study Costs and benefits of an early-alert surveillance system for hospital inpatients. Citation Text: Marchetti A, Jacobs J, Young M, et al. Costs and benefits of an early-alert surveillance system for hospital inpatients. Curr Med Res Opin. 2007;23(1):9-16. Copy Citation Format…

  14. Health literacy, medication errors, and health outcomes: is there a relationship? | PSNet

    psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
    January 02, 2008 - Review Health literacy, medication errors, and health outcomes: is there a relationship? Citation Text: Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. Copy Cita…

  15. Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet

    psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
    April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…

  16. Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries. | PSNet

    psnet.ahrq.gov/issue/diagnostic-accuracy-emergency-nurse-practitioners-versus-physicians-related-minor-illnesses
    April 13, 2022 - Study Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries. Citation Text: van der Linden C, Reijnen R, De Vos R. Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries. J E…

  17. Drug administration errors in an institution for individuals with intellectual disability: an observational study. | PSNet

    psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
    October 18, 2023 - Study Drug administration errors in an institution for individuals with intellectual disability: an observational study. Citation Text: van den Bemt PMLA, Robertz R, de Jong AL, et al. Drug administration errors in an institution for individuals with intellectual disability: an observa…

  18. Prevalence and sources of duplicate information in the electronic medical record. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-sources-duplicate-information-electronic-medical-record
    October 21, 2020 - Study Prevalence and sources of duplicate information in the electronic medical record. Citation Text: Steinkamp J, Kantrowitz JJ, Airan-Javia S. Prevalence and sources of duplicate information in the electronic medical record. JAMA Netw Open. 2022;5(9):e2233348. doi:10.1001/jamanetworko…

  19. Quality and the health system: becoming a high reliability organization. | PSNet

    psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
    November 16, 2022 - Review Quality and the health system: becoming a high reliability organization. Citation Text: Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. Copy Citation …

  20. Quality improvement through implementation of discharge order reconciliation. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
    September 23, 2020 - Commentary Quality improvement through implementation of discharge order reconciliation. Citation Text: Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …
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