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  1. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? | PSNet

    psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
    May 26, 2021 - Commentary Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Citation Text: Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …

  2. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. | PSNet

    psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
    December 12, 2012 - Study Nurses' behaviors and visual scanning patterns may reduce patient identification errors. Citation Text: Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…

  3. What have we learned about interventions to reduce medical errors? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
    June 26, 2019 - Review What have we learned about interventions to reduce medical errors? Citation Text: Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…

  4. Medical errors recovered by critical care nurses. | PSNet

    psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
    June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

  5. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

    psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
    February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

  6. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? | PSNet

    psnet.ahrq.gov/issue/there-benefit-multidisciplinary-rounds-open-trauma-intensive-care-unit-regarding-ventilator
    January 06, 2010 - Study Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? Citation Text: Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding v…

  7. Improving the quality and safety of patient care in cardiac anesthesia. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
    September 26, 2012 - Review Improving the quality and safety of patient care in cardiac anesthesia. Citation Text: Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018. Copy Cit…

  8. Care transitions and home health care. | PSNet

    psnet.ahrq.gov/issue/care-transitions-and-home-health-care
    August 25, 2011 - Review Care transitions and home health care. Citation Text: Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  9. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. | PSNet

    psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
    September 17, 2010 - Study Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Citation Text: Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…

  10. The quest for safe surgical care: are we missing the obvious? | PSNet

    psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious
    September 12, 2018 - Commentary The quest for safe surgical care: are we missing the obvious? Citation Text: Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  11. Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
    February 11, 2015 - Study Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Citation Text: Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Poirier RH; Brown CS; Baggenstos YT; …

  12. The impact of technology on safe medicines use and pharmacy practice in the US. | PSNet

    psnet.ahrq.gov/issue/impact-technology-safe-medicines-use-and-pharmacy-practice-us
    September 30, 2020 - Review The impact of technology on safe medicines use and pharmacy practice in the US. Citation Text: Schneider PJ. The Impact of Technology on Safe Medicines Use and Pharmacy Practice in the US. Front Pharmacol. 2018;9:1361. doi:10.3389/fphar.2018.01361. Copy Citation Format: …

  13. Medication errors: an overview for clinicians. | PSNet

    psnet.ahrq.gov/issue/medication-errors-overview-clinicians
    September 20, 2011 - Review Medication errors: an overview for clinicians. Citation Text: Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  14. Interventions to reduce medication errors in pediatric intensive care. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-errors-pediatric-intensive-care
    March 12, 2014 - Review Interventions to reduce medication errors in pediatric intensive care. Citation Text: Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795. Copy Citation…

  15. Improved obstetric safety through programmatic collaboration. | PSNet

    psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
    September 23, 2020 - Commentary Improved obstetric safety through programmatic collaboration. Citation Text: Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. Copy Citation Format: …

  16. Interdisciplinary team training identifies discrepancies in institutional policies and practices. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
    November 26, 2012 - Study Interdisciplinary team training identifies discrepancies in institutional policies and practices. Citation Text: Andreatta P, Frankel J, Smith SB, et al. Interdisciplinary team training identifies discrepancies in institutional policies and practices. Am J Obstet Gynecol. 2011;20…

  17. Pediatric antidepressant medication errors in a national error reporting database. | PSNet

    psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
    September 21, 2008 - Study Pediatric antidepressant medication errors in a national error reporting database. Citation Text: Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…

  18. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. | PSNet

    psnet.ahrq.gov/issue/big-dog-effect-variability-assessing-causes-error-diagnoses-patients-lung-cancer
    March 28, 2012 - Study The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. Citation Text: Raab SS, Meier FA, Zarbo RJ, et al. The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer. J Clin Oncol. 2…

  19. A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center
    April 07, 2019 - Study A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Citation Text: Kalina M, Tinkoff G, Gleason W, et al. A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center. Ped Emerg …

  20. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. | PSNet

    psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs
    September 29, 2010 - Study A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. Citation Text: Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…
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