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  1. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. | PSNet

    psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
    March 08, 2023 - Study Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Citation Text: Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …

  2. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
    April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…

  3. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

    psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
    June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

  4. Nurses' satisfaction with medication administration point-of-care technology. | PSNet

    psnet.ahrq.gov/issue/nurses-satisfaction-medication-administration-point-care-technology
    January 09, 2008 - Study Nurses' satisfaction with medication administration point-of-care technology. Citation Text: Hurley A, Bane A, Fotakis S, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007;37(7-8):343-349. Copy Citation Format: Goo…

  5. Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. | PSNet

    psnet.ahrq.gov/issue/bridging-gap-framework-and-strategies-integrating-quality-and-safety-mission-teaching
    April 24, 2018 - Commentary Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. Citation Text: Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Saf…

  6. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. | PSNet

    psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
    September 21, 2022 - Study Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Citation Text: Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…

  7. Safety in home care: a mapping review of the international literature. | PSNet

    psnet.ahrq.gov/issue/safety-home-care-mapping-review-international-literature
    February 10, 2012 - Review Safety in home care: a mapping review of the international literature. Citation Text: Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027. Copy C…

  8. Protecting children from iatrogenic harm during COVID19 pandemic. | PSNet

    psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic
    December 02, 2020 - Commentary Protecting children from iatrogenic harm during COVID19 pandemic. Citation Text: Camporesi A, Díaz‐Rubio F, Carroll CL, et al. Protecting children from iatrogenic harm during COVID19 pandemic. J Paediatr Child Health. 2020;56(7):1010-1012. doi:10.1111/jpc.14989. Copy Citatio…

  9. Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. | PSNet

    psnet.ahrq.gov/issue/recommended-guidelines-monitoring-reporting-and-conducting-research-medical-emergency-team
    August 04, 2021 - Commentary Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. Citation Text: Peberdy MA, Cretikos MA, Abella BS, et al. Recommended Guidelines for Monitoring, …

  10. Preventable deaths in patients admitted from emergency department. | PSNet

    psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
    September 27, 2017 - Study Preventable deaths in patients admitted from emergency department. Citation Text: Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J. 2006;23(6):452-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

  11. Understanding the peer, manager, and system influence on patient safety. | PSNet

    psnet.ahrq.gov/issue/understanding-peer-manager-and-system-influence-patient-safety
    July 22, 2020 - Study Understanding the peer, manager, and system influence on patient safety. Citation Text: Forbes TH, Wynn J, Anderson T, et al. Understanding the peer, manager, and system influence on patient safety. Nurs Manage. 2020;51(12):36-42. doi:10.1097/01.numa.0000721828.72471.4a. Copy Cit…

  12. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. | PSNet

    psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
    December 06, 2013 - Study Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Citation Text: Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;…

  13. Measuring mobile patient safety information system success: an empirical study. | PSNet

    psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study
    September 27, 2017 - Study Measuring mobile patient safety information system success: an empirical study. Citation Text: Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. Copy Cit…

  14. National patterns of codeine prescriptions for children in the emergency department. | PSNet

    psnet.ahrq.gov/issue/national-patterns-codeine-prescriptions-children-emergency-department
    November 16, 2022 - Study National patterns of codeine prescriptions for children in the emergency department. Citation Text: Kaiser S, Asteria-Peñaloza R, Vittinghoff E, et al. National patterns of codeine prescriptions for children in the emergency department. Pediatrics. 2014;133(5):e1139-47. doi:10.1542…

  15. Enhanced free-text search for aggregated medication error report analysis and risk detection. | PSNet

    psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
    April 12, 2019 - Study Enhanced free-text search for aggregated medication error report analysis and risk detection. Citation Text: Valkonen V, Saano S, Haatainen K, et al. Enhanced free-text search for aggregated medication error report analysis and risk detection. J Patient Saf. 2024;20(4):259-266. doi…

  16. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. | PSNet

    psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
    September 27, 2016 - Study Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Citation Text: Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in f…

  17. Factors associated with medication errors in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/factors-associated-medication-errors-pediatric-emergency-department
    March 09, 2022 - Study Factors associated with medication errors in the pediatric emergency department. Citation Text: Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294. doi:…

  18. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. | PSNet

    psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals
    October 20, 2021 - Study Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Citation Text: Morse KE, Chadwick WA, Paul W, et al. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. Pediatr Qual Saf. 2021;6(4):e436. doi:10.1097/pq9.0000000000000436.…

  19. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/automated-dispensing-cabinet-overrides-evaluation-necessity-pediatric-emergency-department
    October 21, 2020 - Study Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. Citation Text: Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 202…

  20. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. | PSNet

    psnet.ahrq.gov/issue/how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-response-teams
    June 19, 2013 - Study How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Citation Text: Leach LS, Mayo A, O'Rourke M. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Qual Saf Health Care. 2010;19(5):e1…
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