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  1. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. | PSNet

    psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
    November 12, 2014 - Review Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Citation Text: Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…

  2. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet

    psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
    September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…

  3. Health literacy, medication errors, and health outcomes: is there a relationship? | PSNet

    psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
    January 02, 2008 - Review Health literacy, medication errors, and health outcomes: is there a relationship? Citation Text: Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. Copy Cita…

  4. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. | PSNet

    psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection
    January 08, 2016 - Study Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Citation Text: Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…

  5. Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
    June 08, 2022 - Newspaper/Magazine Article Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. Citation Text: Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. Copy Citation Format: Go…

  6. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. | PSNet

    psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient
    October 27, 2010 - Study A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. Citation Text: Nakajima K, Kurata Y, Takeda H. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a …

  7. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. | PSNet

    psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
    August 25, 2021 - Study Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. Citation Text: Gounder P, Beers R, Bornschlegel K, et al. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. J Clin Anesth. 2013;25(7)…

  8. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. | PSNet

    psnet.ahrq.gov/issue/practice-gaps-patient-safety-among-dermatology-residents-and-their-teachers-survey-study
    August 19, 2009 - Study Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. Citation Text: Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JA…

  9. Agreement of expert judgment in causality assessment of adverse drug reactions. | PSNet

    psnet.ahrq.gov/issue/agreement-expert-judgment-causality-assessment-adverse-drug-reactions
    November 29, 2023 - Study Agreement of expert judgment in causality assessment of adverse drug reactions. Citation Text: Arimone Y, Bégaud B, Miremont-Salamé G, et al. Agreement of expert judgment in causality assessment of adverse drug reactions. Eur J Clin Pharmacol. 2005;61(3):169-73. Copy Citation …

  10. Getting by: underuse of interpreters by resident physicians. | PSNet

    psnet.ahrq.gov/issue/getting-underuse-interpreters-resident-physicians
    February 21, 2018 - Study Getting by: underuse of interpreters by resident physicians. Citation Text: Diamond LC, Schenker Y, Curry LA, et al. Getting by: underuse of interpreters by resident physicians. J Gen Intern Med. 2009;24(2):256-62. doi:10.1007/s11606-008-0875-7. Copy Citation Format: …

  11. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. | PSNet

    psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
    May 13, 2020 - Study Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. Citation Text: Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…

  12. Work overload is related to increased risk of error during chemotherapy preparation. | PSNet

    psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation
    June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation. Citation Text: Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…

  13. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

  14. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
    February 17, 2017 - Study A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. Citation Text: Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…

  15. There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs. | PSNet

    psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are
    October 05, 2022 - Newspaper/Magazine Article There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs. Citation Text: Guirguis A. There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on…

  16. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. | PSNet

    psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
    October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…

  17. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. | PSNet

    psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
    October 11, 2023 - Study Types, prevalence, and potential clinical significance of medication administration errors in assisted living. Citation Text: Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…

  18. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. | PSNet

    psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
    June 14, 2023 - Review The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Citation Text: Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…

  19. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
    October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

  20. Measuring to improve medication reconciliation in a large subspecialty outpatient practice. | PSNet

    psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
    February 02, 2011 - Study Measuring to improve medication reconciliation in a large subspecialty outpatient practice. Citation Text: Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…
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