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Safety-II and the study of healthcare safety routines: two paths forward for research. | PSNet

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May 25, 2022 - Commentary Safety-II and the study of healthcare safety routines: two paths forward for research. Citation Text: Rydenfält C. Safety-II and the study of healthcare safety routines: two paths forward for research. J Patient Saf Risk Manag. 2022;27(3):124-128. doi:10.1177/25160435221102129…

Pediatric surgical errors: a systematic scoping review. | PSNet

psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review

August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet

psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes

July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…

Identification of adverse events in ground transport emergency medical services. | PSNet

psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services

August 26, 2020 - Study Identification of adverse events in ground transport emergency medical services. Citation Text: Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…

The impact of the medical emergency team on the resuscitation practice of critical care nurses. | PSNet

psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses

December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system

July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error

February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

Rescue me: saving the vulnerable non-ICU patient population. | PSNet

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June 01, 2011 - Study Rescue me: saving the vulnerable non-ICU patient population. Citation Text: Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205. Copy Citation Format: Google Scholar PubMed Bib…

A patient safety objective structured clinical examination. | PSNet

psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination

October 06, 2011 - Study A patient safety objective structured clinical examination. Citation Text: Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2. Copy Citation Format: DOI Google…

The effect of medical emergency teams on patient outcome: a review of the literature. | PSNet

psnet.ahrq.gov/issue/effect-medical-emergency-teams-patient-outcome-review-literature

September 23, 2020 - Review The effect of medical emergency teams on patient outcome: a review of the literature. Citation Text: Laurens NH, Dwyer TA. The effect of medical emergency teams on patient outcome: a review of the literature. Int J Nurs Pract. 2010;16(6):533-44. doi:10.1111/j.1440-172X.2010.0187…

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…

Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening

August 18, 2010 - Study Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Citation Text: van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…

Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet

psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp

June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…

Assessing system failures in operating rooms and intensive care units. | PSNet

psnet.ahrq.gov/issue/assessing-system-failures-operating-rooms-and-intensive-care-units

June 15, 2011 - Study Assessing system failures in operating rooms and intensive care units. Citation Text: van Beuzekom M, Akerboom SP, Boer F. Assessing system failures in operating rooms and intensive care units. Qual Saf Health Care. 2007;16(1):45-50. Copy Citation Format: Google Sch…

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline

May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. | PSNet

psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery

May 21, 2019 - Study A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. Citation Text: Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…

Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. | PSNet

psnet.ahrq.gov/issue/conditions-influence-impact-malpractice-litigation-risk-physicians-behavior-regarding-patient

January 07, 2015 - Study Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safety. Citation Text: Renkema E, Broekhuis M, Ahaus K. Conditions that influence the impact of malpractice litigation risk on physicians' behavior regarding patient safet…

Understanding complaints made about surgical departments in a UK district general hospital. | PSNet

psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital

September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet

psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software

September 25, 2008 - Commentary Emerging Classic U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. Citation Text: Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …

Please reconcile, not wait a while. | PSNet

psnet.ahrq.gov/issue/please-reconcile-not-wait-while

April 19, 2023 - Commentary Please reconcile, not wait a while. Citation Text: Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. Copy Citation Format: DOI Google Scholar BibTe…

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