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  1. Guidelines in Practice: prevention of unintentionally retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
    August 03, 2022 - Commentary Guidelines in Practice: prevention of unintentionally retained surgical items. Citation Text: Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. Copy Citation Format: DOI …

  2. Unreported errors in the intensive care unit: a case study of the way we work. | PSNet

    psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
    December 12, 2012 - Commentary Unreported errors in the intensive care unit: a case study of the way we work. Citation Text: Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35. Copy Citation Format: Google Sc…

  3. Experts offer smart tips for smart pumps. | PSNet

    psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps
    May 20, 2020 - Newspaper/Magazine Article Experts offer smart tips for smart pumps. Citation Text: Experts offer smart tips for smart pumps. Gebhart F. Drug Topics. July 23, 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  4. System failure versus personal accountability--the case for clean hands. | PSNet

    psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
    February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands. Citation Text: Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. Copy Citation Format: Google Scholar PubMed BibTeX End…

  5. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
    September 12, 2018 - Commentary When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. Citation Text: Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…

  6. Families are struggling to use medicines at home — we must truly involve them in their own safety. | PSNet

    psnet.ahrq.gov/issue/families-are-struggling-use-medicines-home-we-must-truly-involve-them-their-own-safety
    February 02, 2022 - Newspaper/Magazine Article Families are struggling to use medicines at home — we must truly involve them in their own safety. Citation Text: Families are struggling to use medicines at home — we must truly involve them in their own safety. Morris S, O’Hara J. Pharmacuetical Journal.…

  7. Approaches and Challenges to Electronically Matching Patients' Records Across Providers. | PSNet

    psnet.ahrq.gov/issue/approaches-and-challenges-electronically-matching-patients-records-across-providers
    September 25, 2019 - Book/Report Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Citation Text: Approaches and Challenges to Electronically Matching Patients' Records Across Providers. Washington, DC: United States Government Accountability Office; January 2019. Publi…

  8. How to Identify and Address Unsafe Conditions Associated With Health IT. | PSNet

    psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
    June 29, 2016 - Book/Report How to Identify and Address Unsafe Conditions Associated With Health IT. Citation Text: How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…

  9. Introducing the New SOPS Hospital Survey 2.0. | PSNet

    psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
    October 23, 2019 - Webinar Introducing the New SOPS Hospital Survey 2.0. Citation Text: Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019. Copy Citation Save Save to your library Print Download PDF Share …

  10. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-patient-safety-and-agency-healthcare-research-and-quality
    May 20, 2009 - Commentary The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Citation Text: Clancy CM. The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality. Am J Med Qual. 2006;21(5):348-51. Copy Citation Format: …

  11. Consumer Engagement in Developing Electronic Health Information Systems | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/consumer-engagement-developing-electronic-health-information-systems
    January 01, 2023 - Consumer Engagement in Developing Electronic Health Information Systems Project Final Report ( PDF , 372.87 KB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - …

  12. Testing a classification model for emergency department errors. | PSNet

    psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
    March 02, 2010 - Study Testing a classification model for emergency department errors. Citation Text: Henneman EA, Blank FSJ, Gattasso S, et al. Testing a classification model for emergency department errors. J Adv Nurs. 2006;55(1):90-9. Copy Citation Format: Google Scholar PubMed BibTeX …

  13. Strategies used by nurses to recover medical errors in an academic emergency department setting. | PSNet

    psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
    September 26, 2016 - Study Strategies used by nurses to recover medical errors in an academic emergency department setting. Citation Text: Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-…

  14. Design for reliability: barcoded medication administration. | PSNet

    psnet.ahrq.gov/issue/design-reliability-barcoded-medication-administration
    July 21, 2021 - Newspaper/Magazine Article Design for reliability: barcoded medication administration. Citation Text: Design for reliability: barcoded medication administration. Hayden AC; Lanoue ET; Still CJ. Copy Citation Save Save to your library Print Download PDF …

  15. Characteristics of medication errors made by students during the administration phase: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
    July 13, 2009 - Study Characteristics of medication errors made by students during the administration phase: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…

  16. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. | PSNet

    psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
    August 16, 2023 - Study The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. Citation Text: Jirapaet V, Jirapaet K, Sopajaree C. The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand. J Obstet Gynecol Neonatal …

  17. Guideline for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
    April 26, 2023 - Commentary Guideline for prevention of retained surgical items. Citation Text: Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  18. Guideline implementation: prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
    October 23, 2024 - Commentary Guideline implementation: prevention of retained surgical items. Citation Text: Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. Copy Citation Format: DOI Google Scholar PubMed B…

  19. Communication failure: basic components, contributing factors, and the call for structure. | PSNet

    psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
    March 04, 2011 - Commentary Communication failure: basic components, contributing factors, and the call for structure. Citation Text: Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47. Copy Ci…

  20. Minnesota Hospital Association Statewide Project: SAFE from FALLS. | PSNet

    psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
    May 05, 2014 - Commentary Minnesota Hospital Association Statewide Project: SAFE from FALLS. Citation Text: Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b. Copy Citation Format: …
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