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  1. Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? | PSNet

    psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
    September 02, 2020 - Study Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? Citation Text: Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…

  2. The Public's Views on Medical Error in Massachusetts. | PSNet

    psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
    January 30, 2019 - Book/Report The Public's Views on Medical Error in Massachusetts. Citation Text: The Public's Views on Medical Error in Massachusetts. Boston, MA: Harvard School of Public Health; December 2014. Copy Citation Save Save to your library Print Download PDF …

  3. Inter-rater reliability of a classification system for hospital adverse drug event reports. | PSNet

    psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
    March 30, 2011 - Study Inter-rater reliability of a classification system for hospital adverse drug event reports. Citation Text: Haynes K, Hennessy S, Morales KH, et al. Inter-rater reliability of a classification system for hospital adverse drug event reports. Clin Pharmacol Ther. 2008;83(3):485-8. …

  4. Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. | PSNet

    psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
    October 19, 2022 - Study Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. Citation Text: Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…

  5. Data as a catalyst for change: stories from the frontlines. | PSNet

    psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines
    July 28, 2023 - Commentary Data as a catalyst for change: stories from the frontlines. Citation Text: Siegal D, Ruoff G. Data as a catalyst for change: stories from the frontlines. J Healthc Risk Manag. 2015;34(3):18-25. doi:10.1002/jhrm.21161. Copy Citation Format: DOI Google Scholar PubM…

  6. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access
    August 21, 2024 - Commentary Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Citation Text: Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Phar…

  7. "First, do no harm": balancing competing priorities in surgical practice. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice
    December 12, 2012 - Study "First, do no harm": balancing competing priorities in surgical practice. Citation Text: Leung A, Luu S, Regehr G, et al. "First, do no harm": balancing competing priorities in surgical practice. Acad Med. 2012;87(10):1368-74. Copy Citation Format: Google Scholar Pub…

  8. 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. | PSNet

    psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health
    September 06, 2017 - Study 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. Citation Text: Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…

  9. Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-critical-care-big-challenge-exciting-opportunitylamelioration-de-la
    December 22, 2018 - Commentary Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. Citation Text: Dodek P. Improving patient safety in critical care: big challenge,…

  10. Emergency department discharge prescription interventions by emergency medicine pharmacists. | PSNet

    psnet.ahrq.gov/issue/emergency-department-discharge-prescription-interventions-emergency-medicine-pharmacists
    September 22, 2021 - Study Emergency department discharge prescription interventions by emergency medicine pharmacists. Citation Text: Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214…

  11. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. | PSNet

    psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
    November 16, 2022 - Study Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. Citation Text: Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …

  12. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. | PSNet

    psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
    March 11, 2020 - Commentary The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. Citation Text: Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…

  13. How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/how-improve-change-shift-handovers-and-collaborative-grounding-and-what-role-does-electronic
    June 29, 2022 - Review How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. Citation Text: Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding …

  14. Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework. | PSNet

    psnet.ahrq.gov/issue/assessing-safety-culture-care-homes-multimethod-evaluation-adaptation-face-validity-and
    June 28, 2017 - Study Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework. Citation Text: Marshall M, Cruickshank L, Shand J, et al. Assessing the safety culture of care homes: a multimethod eval…

  15. Classification of adverse events occurring in a surgical intensive care unit. | PSNet

    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - Study Classification of adverse events occurring in a surgical intensive care unit. Citation Text: Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. Copy Citation Format: Goog…

  16. Patients' and healthcare workers' perceptions of a patient safety advisory. | PSNet

    psnet.ahrq.gov/issue/patients-and-healthcare-workers-perceptions-patient-safety-advisory
    March 11, 2013 - Study Patients' and healthcare workers' perceptions of a patient safety advisory. Citation Text: Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062.…

  17. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
    June 01, 2012 - Study Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Citation Text: Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …

  18. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? | PSNet

    psnet.ahrq.gov/issue/pharmacists-pharmacovigilance-can-increased-diagnostic-opportunity-community-settings
    July 26, 2023 - Commentary Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Citation Text: Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate…

  19. Human factors–focused reporting system for improving care quality and safety in hospital wards. | PSNet

    psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
    February 17, 2010 - Study Human factors–focused reporting system for improving care quality and safety in hospital wards. Citation Text: Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. …

  20. The value of 'gentle reminder' on safe medical behaviour. | PSNet

    psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
    August 26, 2011 - Study The value of 'gentle reminder' on safe medical behaviour. Citation Text: Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. Copy Citation Format: DOI Goog…
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