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  1. Diagnostic stewardship to prevent diagnostic error. | PSNet

    psnet.ahrq.gov/issue/diagnostic-stewardship-prevent-diagnostic-error
    May 05, 2021 - Commentary Diagnostic stewardship to prevent diagnostic error. Citation Text: Morgan DJ, Malani PN, Diekema DJ. Diagnostic stewardship to prevent diagnostic error. JAMA. 2023;329(15):1255-1256. doi:10.1001/jama.2023.1678. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  2. Pediatric perioperative medication errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
    July 10, 2024 - Newspaper/Magazine Article Pediatric perioperative medication errors. Citation Text: Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  3. Severity of medication administration errors detected by a bar-code medication administration system. | PSNet

    psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
    June 17, 2010 - Study Severity of medication administration errors detected by a bar-code medication administration system. Citation Text: Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…

  4. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. | PSNet

    psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
    July 19, 2023 - Commentary Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Citation Text: Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…

  5. The normalization of deviance: a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
    December 21, 2016 - Commentary The normalization of deviance: a threat to patient safety. Citation Text: Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002. Copy Citation Format: DOI Google Scholar Pu…

  6. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions
    August 18, 2021 - Study Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Citation Text: Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385. Cop…

  7. Case report of a medication error: in the eye of the beholder. | PSNet

    psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
    April 17, 2019 - Commentary Case report of a medication error: in the eye of the beholder. Citation Text: Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186. Copy Citation Format: DOI Google S…

  8. Using video recording to identify management errors in pediatric trauma resuscitation. | PSNet

    psnet.ahrq.gov/issue/using-video-recording-identify-management-errors-pediatric-trauma-resuscitation
    July 01, 2020 - Study Using video recording to identify management errors in pediatric trauma resuscitation. Citation Text: Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics. 2006;117(3):658-664. Copy Citation …

  9. Measuring safety climate in elderly homes. | PSNet

    psnet.ahrq.gov/issue/measuring-safety-climate-elderly-homes
    March 29, 2023 - Study Measuring safety climate in elderly homes. Citation Text: Yeung K-C, Chan CC. Measuring safety climate in elderly homes. J Safety Res. 2012;43(1):9-20. doi:10.1016/j.jsr.2011.10.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

  10. Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. | PSNet

    psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan
    October 21, 2010 - Commentary Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. Citation Text: SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…

  11. Human factors engineering in patient safety. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
    September 13, 2017 - Commentary Human factors engineering in patient safety. Citation Text: Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  12. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? | PSNet

    psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no-fault
    March 16, 2022 - Study Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? Citation Text: Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N Z Med J. 2006;119(1239):U2099. Copy Citation Format: Goo…

  13. Nurse aides' ratings of the resident safety culture in nursing homes. | PSNet

    psnet.ahrq.gov/issue/nurse-aides-ratings-resident-safety-culture-nursing-homes
    November 27, 2012 - Study Nurse aides' ratings of the resident safety culture in nursing homes. Citation Text: Castle NG. Nurse Aides' ratings of the resident safety culture in nursing homes. Int J Qual Health Care. 2006;18(5):370-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

  14. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. | PSNet

    psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
    June 24, 2010 - Commentary Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Citation Text: McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202. …

  15. Doctors saved her life. She didn’t want them to. | PSNet

    psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
    November 02, 2016 - Newspaper/Magazine Article Doctors saved her life. She didn’t want them to. Citation Text: Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  16. How experiencing preventable medical problems changed patients' interactions with primary health care. | PSNet

    psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
    December 13, 2023 - Study How experiencing preventable medical problems changed patients' interactions with primary health care. Citation Text: Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…

  17. Improving communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/improving-communication-emergency-department
    September 09, 2009 - Study Improving communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  18. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. | PSNet

    psnet.ahrq.gov/issue/comparing-usability-and-reliability-generic-and-domain-specific-medical-error-taxonomy
    June 29, 2011 - Study Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Saf Sci. 2012;50(9):1801…

  19. Strategies to increase reporting of near misses and adverse events. | PSNet

    psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
    September 30, 2012 - Commentary Strategies to increase reporting of near misses and adverse events. Citation Text: Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual. 2007;22(2):102-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  20. Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. | PSNet

    psnet.ahrq.gov/issue/assessing-impact-teaching-patient-safety-principles-medical-students-during-surgical
    November 27, 2012 - Study Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. Citation Text: Stahl K, Augenstein J, Schulman C, et al. Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. J Surg Re…
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