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An international review of patient safety measures in radiotherapy practice. | PSNet

psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice

May 22, 2019 - Review An international review of patient safety measures in radiotherapy practice. Citation Text: Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007. Co…

An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. | PSNet

psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative

October 15, 2014 - Study An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. Citation Text: Katz MG, Rockne WY, Braga R, et al. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. A…

Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. | PSNet

psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review

September 23, 2020 - Review Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. Citation Text: Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of publ…

Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology

July 14, 2010 - Study Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Citation Text: Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;6…

The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet

psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge

February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. | PSNet

psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective

March 20, 2024 - Study The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. Citation Text: Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to prescribing error: a prospe…

Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. | PSNet

psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery

October 09, 2013 - Study Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Citation Text: Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…

Development of trigger tools for surveillance of adverse events in ambulatory surgery. | PSNet

psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery

October 01, 2014 - Study Development of trigger tools for surveillance of adverse events in ambulatory surgery. Citation Text: Kaafarani HMA, Rosen AK, Nebeker JR, et al. Development of trigger tools for surveillance of adverse events in ambulatory surgery. Qual Saf Health Care. 2010;19(5):425-9. doi:10.…

How are medication errors defined? A systematic literature review of definitions and characteristics. | PSNet

psnet.ahrq.gov/issue/how-are-medication-errors-defined-systematic-literature-review-definitions-and

May 30, 2012 - Review How are medication errors defined? A systematic literature review of definitions and characteristics. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How are medication errors defined? A systematic literature review of definitions and characteristics. International Journal f…

Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet

psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2

January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…

Patient identification and tube labelling—a call for harmonisation. | PSNet

psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation

April 29, 2020 - Commentary Patient identification and tube labelling—a call for harmonisation. Citation Text: van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…

In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review

March 13, 2013 - Review In-facility delirium programs as a patient safety strategy: a systematic review. Citation Text: Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158…

Hospitalized patients' participation and its impact on quality of care and patient safety. | PSNet

psnet.ahrq.gov/issue/hospitalized-patients-participation-and-its-impact-quality-care-and-patient-safety

March 23, 2012 - Study Hospitalized patients' participation and its impact on quality of care and patient safety. Citation Text: Weingart SN, Zhu J, Chiappetta L, et al. Hospitalized patients' participation and its impact on quality of care and patient safety. Int J Qual Health Care. 2011;23(3):269-77. d…

Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection

May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. | PSNet

psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach

October 29, 2014 - Study Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. Citation Text: Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…

Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting

March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Citation Text: Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…

The compliance with a patient safety bundle for management of placenta accreta spectrum. | PSNet

psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum

October 19, 2022 - Study The compliance with a patient safety bundle for management of placenta accreta spectrum. Citation Text: Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…

Crisis checklists for the operating room: development and pilot testing. | PSNet

psnet.ahrq.gov/issue/crisis-checklists-operating-room-development-and-pilot-testing

April 21, 2015 - Study Crisis checklists for the operating room: development and pilot testing. Citation Text: Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031…

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. | PSNet

psnet.ahrq.gov/issue/empirically-derived-taxonomy-factors-affecting-physicians-willingness-disclose-medical-errors

February 15, 2011 - Review An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. Citation Text: Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Inter…

Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. | PSNet

psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors

April 30, 2014 - Study Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Citation Text: Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. Copy Citatio…

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