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The safety of inpatient health care. | PSNet

psnet.ahrq.gov/issue/safety-inpatient-health-care

May 15, 2024 - Study The safety of inpatient health care. Citation Text: Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

Patient participation: current knowledge and applicability to patient safety. | PSNet

psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety

February 01, 2011 - Commentary Classic Patient participation: current knowledge and applicability to patient safety. Citation Text: Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010;85(1):53-62. doi:…

The value of learning from near misses to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review

April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

Effect of noise on auditory processing in the operating room. | PSNet

psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room

November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …

Seniors managing multiple medications: using mixed methods to view the home care safety lens. | PSNet

psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens

June 23, 2021 - Study Seniors managing multiple medications: using mixed methods to view the home care safety lens. Citation Text: Lang A, Macdonald M, Marck P, et al. Seniors managing multiple medications: using mixed methods to view the home care safety lens. BMC Health Serv Res. 2015;15:548. doi:10.1…

Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. | PSNet

psnet.ahrq.gov/issue/minor-flow-disruptions-traffic-related-factors-and-their-effect-major-flow-disruptions

August 19, 2020 - Study Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. Citation Text: Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating roo…

Implementation of medication reconciliation in outpatient cancer care. | PSNet

psnet.ahrq.gov/issue/implementation-medication-reconciliation-outpatient-cancer-care

December 20, 2023 - Study Implementation of medication reconciliation in outpatient cancer care. Citation Text: Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. Copy Citation Fo…

Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. | PSNet

psnet.ahrq.gov/issue/pharmacy-leadership-amid-pandemic-maintaining-patient-safety-during-uncertain-times

March 29, 2023 - Commentary Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Citation Text: Derrong Lin I, Hertig JB. Pharmacy leadership amid the pandemic: maintaining patient safety during uncertain times. Hosp Pharm. 2022;57(3):323-328. doi:10.1177/001857872110…

Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19

October 29, 2017 - Study Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. Citation Text: Edmonds JK, George EK, Iobst SE, et al. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. J Obstet Gynecol Neon…

Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. | PSNet

psnet.ahrq.gov/issue/improving-safety-evaluating-impact-supply-chain-and-drug-shortages-health-systems

November 04, 2020 - Commentary Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Citation Text: Patel V, Cieslak K, Hertig JB. Improving safety by evaluating the impact of the supply chain and drug shortages on health-systems. Hosp Pharm. 2023;58(2):120-124.…

Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. | PSNet

psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration

April 24, 2018 - Organizational Policy/Guidelines Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. Citation Text: Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and Responding to…

Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. | PSNet

psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse

August 20, 2018 - Study Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. Citation Text: Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is …

Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. | PSNet

psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning

February 23, 2022 - Study Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Citation Text: Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. | PSNet

psnet.ahrq.gov/issue/5th-national-audit-project-nap5-accidental-awareness-during-general-anaesthesia-patient

October 01, 2014 - Study The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. Citation Text: Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness …

US poison control center calls for infants 6 months of age and younger. | PSNet

psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger

November 16, 2022 - Study US poison control center calls for infants 6 months of age and younger. Citation Text: Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. Copy Citation Format: DOI G…

Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. | PSNet

psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource

October 29, 2012 - Study Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. Citation Text: Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. …

Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. | PSNet

psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term

April 21, 2021 - Study Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. Citation Text: Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand-repackaging of medicat…

Obstetrician-gynecologist views of pregnancy-related medication safety. | PSNet

psnet.ahrq.gov/issue/obstetrician-gynecologist-views-pregnancy-related-medication-safety

July 29, 2020 - Study Obstetrician-gynecologist views of pregnancy-related medication safety. Citation Text: SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. …

Factors associated with workarounds in barcode-assisted medication administration in hospitals. | PSNet

psnet.ahrq.gov/issue/factors-associated-workarounds-barcode-assisted-medication-administration-hospitals

January 23, 2019 - Study Factors associated with workarounds in barcode-assisted medication administration in hospitals. Citation Text: Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode‐assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. d…

Performance variability in perioperative sentinel events: report on a nationwide data set. | PSNet

psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set

November 04, 2020 - Study Performance variability in perioperative sentinel events: report on a nationwide data set. Citation Text: Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.109…

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