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  1. Management of test results in family medicine offices. | PSNet

    psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
    July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

  2. Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
    November 02, 2022 - Commentary Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. Citation Text: McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…

  3. Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. | PSNet

    psnet.ahrq.gov/issue/causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians
    April 16, 2018 - Study Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. Citation Text: Davidenko JM, Snyder LS. Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians. J Electrocardiol. 2007;40(5):450-6. Copy Citation …

  4. Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. | PSNet

    psnet.ahrq.gov/issue/development-and-evaluation-observational-tool-assessing-surgical-flow-disruptions-and-their
    June 17, 2009 - Study Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. Citation Text: Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…

  5. How U.S. teams advanced communication and resolution program adoption at local, state and national levels. | PSNet

    psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
    April 24, 2018 - Study How U.S. teams advanced communication and resolution program adoption at local, state and national levels. Citation Text: LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…

  6. Therapeutic duplication on the general surgical wards. | PSNet

    psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards
    December 22, 2021 - Study Therapeutic duplication on the general surgical wards. Citation Text: Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  7. 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…

  8. Proactive patient safety: focusing on what goes right in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
    April 26, 2023 - Study Proactive patient safety: focusing on what goes right in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…

  9. Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet

    psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
    July 14, 2010 - Commentary Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. Citation Text: Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…

  10. Incorrect surgical counts: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
    September 12, 2012 - Study Incorrect surgical counts: a qualitative analysis. Citation Text: Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  11. The opioid crisis: origins, trends, policies, and the roles of pharmacists. | PSNet

    psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
    December 14, 2022 - Review The opioid crisis: origins, trends, policies, and the roles of pharmacists. Citation Text: Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy08…

  12. Solving alarm fatigue with smartphone technology. | PSNet

    psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
    October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  13. Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. | PSNet

    psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized-implementation-trial
    March 04, 2015 - Study Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. Citation Text: Kane RL, Huckfeldt P, Tappen R, et al. Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implemen…

  14. What do family physicians consider an error? A comparison of definitions and physician perception. | PSNet

    psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
    February 15, 2011 - Study What do family physicians consider an error? A comparison of definitions and physician perception. Citation Text: Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73. Copy Cit…

  15. Clinical handover incident reporting in one UK general hospital. | PSNet

    psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital
    May 03, 2023 - Study Clinical handover incident reporting in one UK general hospital. Citation Text: Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. Copy Citation For…

  16. On the ball: leadership for patient safety and learning in critical care. | PSNet

    psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
    October 16, 2013 - Study On the ball: leadership for patient safety and learning in critical care. Citation Text: Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653. Copy Citatio…

  17. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. | PSNet

    psnet.ahrq.gov/issue/comparing-errors-ed-computer-assisted-vs-conventional-pediatric-drug-dosing-and
    November 22, 2017 - Study Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Citation Text: Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.…

  18. Implementing a human factors approach to RCA(2) : tools, processes and strategies. | PSNet

    psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
    July 21, 2021 - Study Implementing a human factors approach to RCA(2) : tools, processes and strategies. Citation Text: Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…

  19. Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet

    psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
    March 10, 2021 - Commentary Beyond the corrective action hierarchy: a systems approach to organizational change. Citation Text: Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…

  20. Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
    April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …
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