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Evaluation of critical incidents in general surgery. | PSNet

psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery

April 29, 2009 - Study Evaluation of critical incidents in general surgery. Citation Text: Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296. Copy Citation Format: DOI Google Scholar PubMed …

Prescribing errors in children: why they happen and how to prevent them. | PSNet

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December 13, 2017 - Newspaper/Magazine Article Prescribing errors in children: why they happen and how to prevent them. Citation Text: Conn R, Fox A, Carrington A, et al. Prescribing errors in children: why they happen and how to prevent them. Pharmaceutical Journal. 2023;310:7973. doi:10.1211/pj.2023.1.184…

The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. | PSNet

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November 27, 2012 - Commentary The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. Citation Text: Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…

Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. | PSNet

psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency

June 22, 2009 - Review Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Citation Text: Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…

Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. | PSNet

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March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…

Care and outcomes of patients with in-hospital stroke. | PSNet

psnet.ahrq.gov/issue/care-and-outcomes-patients-hospital-stroke

September 18, 2024 - Study Care and outcomes of patients with in-hospital stroke. Citation Text: Saltman AP, Silver FL, Fang J, et al. Care and Outcomes of Patients With In-Hospital Stroke. JAMA Neurol. 2015;72(7):749-55. doi:10.1001/jamaneurol.2015.0284. Copy Citation Format: DOI Google Schola…

HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. | PSNet

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December 16, 2009 - Book/Report HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. Citation Text: Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…

Patient safety: this is public health. | PSNet

psnet.ahrq.gov/issue/patient-safety-public-health

July 19, 2023 - Commentary Patient safety: this is public health. Citation Text: Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

The architecture of safety: an emerging priority for improving patient safety. | PSNet

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June 09, 2011 - Review The architecture of safety: an emerging priority for improving patient safety. Citation Text: Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. | PSNet

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December 30, 2014 - Study High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. Citation Text: Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…

Using improvement science methods to increase accuracy of surgical consents. | PSNet

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October 05, 2011 - Study Using improvement science methods to increase accuracy of surgical consents. Citation Text: Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. Copy Cit…

Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. | PSNet

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March 12, 2019 - Book/Report Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Citation Text: Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Silver Spring, MD: US Department of Health and Human Services, Food and Drug …

We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. | PSNet

psnet.ahrq.gov/issue/we-may-remember-what-did-we-learn-dealing-errors-crimes-and-misdemeanours-around-adverse

December 29, 2014 - Commentary We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. Citation Text: Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN? DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVE…

Assessing the quality of patient handoffs at care transitions. | PSNet

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April 24, 2013 - Study Assessing the quality of patient handoffs at care transitions. Citation Text: Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430. Copy Citation Format: …

Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. | PSNet

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April 06, 2022 - Newspaper/Magazine Article Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Citation Text: Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Webb J. Drug Topics. March 10, 2015. Copy Citation Save …

Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. | PSNet

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November 28, 2018 - Book/Report Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Citation Text: Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Silver Spring, MD: US Food and Drug Administration; April 2018. Copy Citation Sav…

Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. | PSNet

psnet.ahrq.gov/issue/medication-errors-ambulatory-treatment-pediatric-attention-deficit-hyperactivity-disorder

April 08, 2011 - Study Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. Citation Text: Bundy DG, Rinke ML, Shore AD, et al. Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. Jt Comm J Qual Patient Sa…

Pediatric perioperative medication errors. | PSNet

psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors

July 10, 2024 - Newspaper/Magazine Article Pediatric perioperative medication errors. Citation Text: Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. | PSNet

psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between

April 08, 2020 - Government Resource FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. Citation Text: FDA Drug Safety Communication: FDA cautions about dosing errors when switchi…

VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. | PSNet

psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening

September 28, 2010 - Government Resource VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. Citation Text: VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…

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