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9461. Innovation in safety, and safety in innovation. | PSNet
      psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
      October 27, 2021 - Commentary Innovation in safety, and safety in innovation. Citation Text: Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

9462. Mistake-proofing healthcare: why stopping processes may be a good start. | PSNet
      psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start
      March 14, 2022 - Commentary Mistake-proofing healthcare: why stopping processes may be a good start. Citation Text: Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. Copy Citation Forma…

9463. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet
      psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
      May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …

9464. Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. | PSNet
      psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation
      May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …

9465. ISMP Canada identifies themes associated with fatal medication events in the home. | PSNet
      psnet.ahrq.gov/issue/ismp-canada-identifies-themes-associated-fatal-medication-events-home
      March 15, 2022 - Newspaper/Magazine Article ISMP Canada identifies themes associated with fatal medication events in the home. Citation Text: ISMP Canada identifies themes associated with fatal medication events in the home. ISMP Medication Safety Alert! Acute Care Edition. February 27, 2014;19:1-4. …

9466. Burnout in Primary Care: Assessing and Addressing It in Your Practice. | PSNet
      psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice
      August 16, 2023 - Book/Report Burnout in Primary Care: Assessing and Addressing It in Your Practice. Citation Text: Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD:  Agency for Healthcare Research and Quality; February 2023. AH…

9467. The impact of teamwork on missed nursing care. | PSNet
      psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care
      September 27, 2017 - Study The impact of teamwork on missed nursing care. Citation Text: Kalisch BJ, Lee KH. The impact of teamwork on missed nursing care. Nurs Outlook. 2010;58(5):233-41. doi:10.1016/j.outlook.2010.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

9468. Evaluation of postoperative handover using a tool to assess information transfer and teamwork. | PSNet
      psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
      April 30, 2014 - Study Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Citation Text: Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837. Co…

9469. When medical error becomes personal, activism becomes painful. | PSNet
      psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
      August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

9470. Patient self-medication--a change in hospital practice. | PSNet
      psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
      March 09, 2022 - Study Patient self-medication--a change in hospital practice. Citation Text: Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

9471. Evaluation of an electronic dosing calculator to reduce pediatric medication errors. | PSNet
      psnet.ahrq.gov/issue/evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
      April 24, 2018 - Study Evaluation of an electronic dosing calculator to reduce pediatric medication errors. Citation Text: Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/00…

9472. Health care management during Covid-19: insights from complexity science. | PSNet
      psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
      July 22, 2020 - Commentary Health care management during Covid-19: insights from complexity science. Citation Text: Health care management during Covid-19: insights from complexity science. Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020.  Copy Citation Save Save to you…

9473. Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. | PSNet
      psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
      April 20, 2022 - Newspaper/Magazine Article Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. Citation Text: Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…

9474. AHRQ Health Information Technology Division's 2017 Annual Report. | PSNet
      psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
      May 02, 2018 - Book/Report AHRQ Health Information Technology Division's 2017 Annual Report. Citation Text: AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF. Copy Citation …

9475. Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. | PSNet
      psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration
      May 25, 2016 - Book/Report Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. Citation Text: Electronically Generated Medication Administration and Electr…

9476. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
      April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

9477. Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
      January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…

9478. Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. | PSNet
      psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
      January 13, 2021 - Book/Report Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Citation Text: Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…

9479. Safe Practices for Better Healthcare–2009 Update. | PSNet
      psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
      September 29, 2017 - Multi-use Website Safe Practices for Better Healthcare–2009 Update. Citation Text: Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009. Copy Citation Save Save to your library Print …

9480. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet
      psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
      February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…