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When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? | PSNet

psnet.ahrq.gov/issue/when-should-multicampus-hospital-be-considered-single-entity-public-reporting-patient-safety

June 28, 2011 - Commentary When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Citation Text: Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safet…

Effect of computerized physician order entry on radiologic examination order indication quality. | PSNet

psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-radiologic-examination-order-indication-quality

June 13, 2015 - Study Effect of computerized physician order entry on radiologic examination order indication quality. Citation Text: Schneider E, Franz W, Spitznagel R, et al. Effect of computerized physician order entry on radiologic examination order indication quality. Arch Intern Med. 2011;171(11…

Identifying modifiable barriers to medication error reporting in the nursing home setting. | PSNet

psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting

March 10, 2011 - Study Identifying modifiable barriers to medication error reporting in the nursing home setting. Citation Text: Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74. C…

Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children. | PSNet

psnet.ahrq.gov/issue/evaluating-potential-severity-look-alike-sound-alike-drug-substitution-errors-children

July 16, 2015 - Study Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children. Citation Text: Basco WT, Garner SS, Ebeling M, et al. Evaluating the Potential Severity of Look-Alike, Sound-Alike Drug Substitution Errors in Children. Acad Pediatr. 2016;16(2):183-1…

Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. | PSNet

psnet.ahrq.gov/issue/guidelines-prevention-diagnosis-and-treatment-ventilator-associated-pneumonia-vap-trauma

October 19, 2022 - Organizational Policy/Guidelines Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. Citation Text: Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…

Do hospital boards matter for better, safer, patient care? | PSNet

psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-care

April 21, 2015 - Study Do hospital boards matter for better, safer, patient care? Citation Text: Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045. Copy Citation Format: DOI G…

Patients' and healthcare workers' perceptions of a patient safety advisory. | PSNet

psnet.ahrq.gov/issue/patients-and-healthcare-workers-perceptions-patient-safety-advisory

March 11, 2013 - Study Patients' and healthcare workers' perceptions of a patient safety advisory. Citation Text: Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062.…

Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based

October 19, 2022 - Study Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. Citation Text: Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…

Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? | PSNet

psnet.ahrq.gov/issue/pharmacists-pharmacovigilance-can-increased-diagnostic-opportunity-community-settings

July 26, 2023 - Commentary Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Citation Text: Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate…

Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet

psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical

May 01, 2019 - Study Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Citation Text: Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…

Mortality related to anaesthesia in France: analysis of deaths related to airway complications. | PSNet

psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications

June 20, 2011 - Study Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Citation Text: Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …

What we know about designing an effective improvement intervention (but too often fail to put into practice). | PSNet

psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice

September 06, 2017 - Commentary What we know about designing an effective improvement intervention (but too often fail to put into practice). Citation Text: Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…

An engineered solution to the maladministration of spinal injections. | PSNet

psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections

March 14, 2022 - Study An engineered solution to the maladministration of spinal injections. Citation Text: Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767. Copy Citation …

Surgical safety checklist: implementation in an ambulatory surgical facility. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-implementation-ambulatory-surgical-facility

September 23, 2020 - Study Surgical safety checklist: implementation in an ambulatory surgical facility. Citation Text: Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. C…

Deploying Six Sigma in a health care system as a work in progress. | PSNet

psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress

March 04, 2011 - Study Deploying Six Sigma in a health care system as a work in progress. Citation Text: Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13. Copy Citation Format: Goo…

Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. | PSNet

psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review

January 01, 2000 - Review Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. Citation Text: Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.…

Scale, nature, preventability and causes of adverse events in hospitalised older patients. | PSNet

psnet.ahrq.gov/issue/scale-nature-preventability-and-causes-adverse-events-hospitalised-older-patients

July 26, 2011 - Study Scale, nature, preventability and causes of adverse events in hospitalised older patients. Citation Text: Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/…

Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. | PSNet

psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and

July 02, 2019 - Study Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes. Citation Text: Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. | PSNet

psnet.ahrq.gov/issue/detection-potential-look-alikesound-alike-medication-errors-using-veterans-affairs

October 04, 2011 - Study Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. Citation Text: Zacher JM, Cunningham FE, Zhao X, et al. Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. …

A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. | PSNet

psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes

November 15, 2023 - Review A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. Citation Text: Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(…

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