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  1. 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. …

  2. Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. | PSNet

    psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
    January 07, 2015 - Study Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. Citation Text: Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…

  3. Limited health literacy is a barrier to medication reconciliation in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
    March 24, 2010 - Study Limited health literacy is a barrier to medication reconciliation in ambulatory care. Citation Text: Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. Copy Citatio…

  4. Appendix C8: Fall Interventions Plan Sample | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C8: Fall Interventions Plan Sample Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Over…

  5. Strategies to Better Manage Lipids – Statin Pearls

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
    November 01, 2016 - Strategies to Better Manage Lipids – Statin Pearls Strategies to Better Manage Lipids – Statin Pearls Alex Krist MD MPH Family Physician Virginia Commonwealth University Member, US Preventive Services Task Force ahkrist@vcu.edu ‹#› 5/24/2018 1 Disclaimer Although I am a member of the U.S. Preventive Services Tas…

  6. The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. | PSNet

    psnet.ahrq.gov/issue/limits-knowledge-management-uk-public-services-modernization-case-patient-safety-and-service
    January 29, 2014 - Study The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. Citation Text: Currie G, Waring J, Finn R. THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES MODERNIZATION: THE CASE OF PATIENT SAFETY AND SERVICE QUAL…

  7. Decision support and patient safety: the time has come. | PSNet

    psnet.ahrq.gov/issue/decision-support-and-patient-safety-time-has-come
    December 04, 2024 - Review Decision support and patient safety: the time has come. Citation Text: Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204(6):461-5. doi:10.1016/j.ajog.2010.10.901. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  8. Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

    psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
    August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

  9. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

  10. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. | PSNet

    psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
    March 02, 2011 - Study Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. Citation Text: Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…

  11. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. | PSNet

    psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
    January 07, 2015 - Study Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. Citation Text: Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…

  12. Training safer surgeons: how do patients view the role of simulation in orthopaedic training? | PSNet

    psnet.ahrq.gov/issue/training-safer-surgeons-how-do-patients-view-role-simulation-orthopaedic-training
    March 01, 2023 - Study Training safer surgeons: how do patients view the role of simulation in orthopaedic training? Citation Text: Akhtar K, Sugand K, Wijendra A, et al. Training safer surgeons: How do patients view the role of simulation in orthopaedic training? Patient Saf Surg. 2015;9:11. doi:10.1186…

  13. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. | PSNet

    psnet.ahrq.gov/issue/risk-factors-patient-safety-minimally-invasive-surgery-versus-conventional-surgery
    August 10, 2016 - Study Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Citation Text: Rodrigues SP, Wever AM, Dankelman J, et al. Risk factors in patient safety: minimally invasive surgery versus conventional surgery. Surg Endosc. 2012;26(2):350-6. doi:10.1007/s0…

  14. Drone delivery of medications: review of the landscape and legal considerations. | PSNet

    psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
    May 18, 2022 - Commentary Emerging Classic Drone delivery of medications: review of the landscape and legal considerations. Citation Text: Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…

  15. Patient perceptions of safety in primary care: a qualitative study to inform care. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-safety-primary-care-qualitative-study-inform-care
    September 28, 2022 - Study Patient perceptions of safety in primary care: a qualitative study to inform care. Citation Text: Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/0300799…

  16. Surgeon commitment to trauma care decreases missed injuries. | PSNet

    psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
    June 15, 2012 - Study Surgeon commitment to trauma care decreases missed injuries. Citation Text: Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury. 2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019. Copy Citation Format: DOI Google Scho…

  17. On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. | PSNet

    psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection
    January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…

  18. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. | PSNet

    psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency
    October 08, 2013 - Study Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. Citation Text: Chamberlain JM, Shaw KN, Lillis KA, et al. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emer…

  19. Normal Accidents: Living with High-Risk Technologies. | PSNet

    psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
    March 06, 2005 - Book/Report Classic Normal Accidents: Living with High-Risk Technologies. Citation Text: Normal Accidents: Living with High-Risk Technologies. Perrow C. Princeton NJ: Princeton University Press; 1999. Copy Citation Save Save to you…

  20. Medication safety systems and the important role of pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
    July 19, 2023 - Review Medication safety systems and the important role of pharmacists. Citation Text: Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. Copy Citation Format: DOI Google Scholar PubMed …
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