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  1. psnet.ahrq.gov/issue/adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications
    May 06, 2020 - Study Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Citation Text: Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …
  2. psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
    August 28, 2024 - Study Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. Citation Text: Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication a…
  3. psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
    December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…
  4. psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
    October 20, 2021 - Study Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. Citation Text: Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…
  5. psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
    August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…
  6. psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic
    August 26, 2020 - Review Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. Citation Text: Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …
  7. psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
    May 01, 2015 - Study Classic A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. Citation Text: Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
  8. psnet.ahrq.gov/issue/three-scans-are-better-two-follow-automatic-method-finding-missed-and-misidentified-lesions
    August 17, 2022 - Study Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. Citation Text: Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic…
  9. psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
    August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…
  10. psnet.ahrq.gov/issue/incidents-resulting-staff-leaving-normal-duties-attend-medical-emergency-team-calls
    July 13, 2010 - Study Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Citation Text: Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. …
  11. psnet.ahrq.gov/issue/psychological-safety-and-error-reporting-within-veterans-health-administration-hospitals
    November 24, 2021 - Study Psychological safety and error reporting within Veterans Health Administration hospitals. Citation Text: Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/…
  12. psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
    May 18, 2022 - Study The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. Citation Text: Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication ad…
  13. psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
    September 24, 2017 - Study Classic Mortality trends after a voluntary checklist-based surgical safety collaborative. Citation Text: Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
  14. psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
    November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…
  15. psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
    November 25, 2020 - Study Classic Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. Citation Text: Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…
  16. psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
    June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…
  17. psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
    August 30, 2017 - Study Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. Citation Text: Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…
  18. psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years
    November 17, 2021 - Study The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. Citation Text: Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…
  19. psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
    February 07, 2018 - Study Scaling safety: the South Carolina Surgical Safety Checklist experience. Citation Text: Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717. …
  20. psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult
    July 29, 2020 - Review Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Citation Text: McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …

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