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  1. Surgical adverse events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
    June 01, 2012 - Review Surgical adverse events: a systematic review. Citation Text: Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  2. A simple checklist for preventing major complications associated with cesarean delivery. | PSNet

    psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
    January 10, 2024 - Commentary A simple checklist for preventing major complications associated with cesarean delivery. Citation Text: Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763. …

  3. Special Issue on Prescription Drug Misuse. | PSNet

    psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse
    November 25, 2020 - Special or Theme Issue Special Issue on Prescription Drug Misuse. Citation Text: Special Issue on Prescription Drug Misuse. Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056. Copy Citation Save Save to your library Print …

  4. Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet

    psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
    July 10, 2017 - Commentary Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. Citation Text: Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…

  5. Preventing pressure ulcers: the goal is zero. | PSNet

    psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
    September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. Citation Text: Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  6. Patient safety: lessons learned. | PSNet

    psnet.ahrq.gov/issue/patient-safety-lessons-learned
    October 18, 2017 - Commentary Patient safety: lessons learned. Citation Text: Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…

  7. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0012_03-21-2008.pdf
    January 01, 2008 - Effective Health Care Topic Number(s): 0064 Document Completion Date: 11-18-09 1 Results of Topic Selection Process & Next Steps  Subclinical hypothyroidism will go forward for refinement as a comparative effectiveness or effectiveness review. Although the topic was initially thought to be cove…

  8. The effect of nurse staffing patterns on medical errors and nurse burnout.  | PSNet

    psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
    October 11, 2023 - Review The effect of nurse staffing patterns on medical errors and nurse burnout.  Citation Text: Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022. Copy Citation Format: DOI G…

  9. Creating a foundation for the design of culturally-informed health IT - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-it/annual-summary/2011
    January 01, 2011 - Creating a foundation for the design of culturally-informed health IT - 2011 Project Name Creating a Foundation for the Design of Culturally-Informed Health Information Technology Principal Investigator Valdez, Rupa Sheth Organization University of Wisconsin - Madison …

  10. Medical errors kill thousands of people each year. But are hospitals getting any safer? | PSNet

    psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
    June 17, 2020 - Newspaper/Magazine Article Medical errors kill thousands of people each year. But are hospitals getting any safer? Citation Text: Medical errors kill thousands of people each year. But are hospitals getting any safer? Weintraub K. USA Today. May 3, 2023. Copy Citation …

  11. Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. | PSNet

    psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
    December 27, 2018 - Newspaper/Magazine Article Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. Citation Text: Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. ISMP Medication Safety Alert! Acute Care Edition. Apri…

  12. Is it time to move beyond errors in clinical reasoning and discuss accuracy? | PSNet

    psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
    September 26, 2016 - Commentary Is it time to move beyond errors in clinical reasoning and discuss accuracy? Citation Text: Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. Copy Citatio…

  13. Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. | PSNet

    psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
    December 16, 2020 - Book/Report Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Citation Text: Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022. Copy Citation Save S…

  14. Advancing the research agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
    May 25, 2022 - Review Advancing the research agenda for diagnostic error reduction. Citation Text: Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. Copy Citation Format: DOI G…

  15. Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. | PSNet

    psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-infections
    August 01, 2012 - Grant Announcement Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. Citation Text: Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. Rockville, MD: Agency for Healthcare Research and Quality; July …

  16. FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. | PSNet

    psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
    June 29, 2016 - Government Resource FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Citation Text: FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…

  17. Eliminating Medication Overload: A National Action Plan. | PSNet

    psnet.ahrq.gov/issue/eliminating-medication-overload-national-action-plan
    June 19, 2019 - Book/Report Eliminating Medication Overload: A National Action Plan. Citation Text: Eliminating Medication Overload: A National Action Plan. Working Group on Medication Overload. Brookline, MA: Lown Institute; 2020. Copy Citation Save Save to your library …

  18. Preventing errors with high-risk medications. | PSNet

    psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
    May 20, 2020 - Newspaper/Magazine Article Preventing errors with high-risk medications. Citation Text: Preventing errors with high-risk medications. Wiley F. Drug Topics. August 2019;1633:16-18. Copy Citation Save Save to your library Print Download PDF Share …

  19. Improving care transitions: optimizing medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
    June 17, 2014 - Commentary Improving care transitions: optimizing medication reconciliation. Citation Text: Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…

  20. 2005 Quest for Quality Prize. | PSNet

    psnet.ahrq.gov/issue/2005-quest-quality-prize
    June 17, 2014 - Award Recipient 2005 Quest for Quality Prize. Citation Text: Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66. Copy Citation Format: Google Scholar PubMed BibTeX En…
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