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Reducing the incidence of retained surgical instrument fragments. | PSNet

psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments

June 01, 2021 - Commentary Reducing the incidence of retained surgical instrument fragments. Citation Text: Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014. Copy Citation Format: …

Using standardized OR checklists and creating extended time-out checklists. | PSNet

psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists

February 15, 2011 - Commentary Using standardized OR checklists and creating extended time-out checklists. Citation Text: Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. Copy Citation Format: …

LeDeR - Learning from Lives and Deaths. | PSNet

psnet.ahrq.gov/issue/leder-learning-lives-and-deaths

October 19, 2022 - Multi-use Website LeDeR - Learning from Lives and Deaths. Citation Text: LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England. Copy Citation Save Save to your library Print Download PDF Share Fa…

Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality

September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

The Caregiver Advise, Record, Enable (CARE) act. | PSNet

psnet.ahrq.gov/issue/caregiver-advise-record-enable-care-act

March 15, 2017 - Commentary The Caregiver Advise, Record, Enable (CARE) act. Citation Text: Anthony M. The Caregiver Advise, Record, Enable (CARE) Act. Home Healthc Now. 2018;36(2):69-70. doi:10.1097/nhh.0000000000000655. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

Reducing clinical errors in cancer education: interpreter training. | PSNet

psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-education-interpreter-training

October 19, 2022 - Study Reducing clinical errors in cancer education: interpreter training. Citation Text: Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9. Copy Citation Format: …

Measure twice, cut once. | PSNet

psnet.ahrq.gov/issue/measure-twice-cut-once

June 14, 2023 - Commentary Measure twice, cut once. Citation Text: Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

Cost of medication-related problems at a university hospital. | PSNet

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January 13, 2021 - Study Classic Cost of medication-related problems at a university hospital. Citation Text: Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE Copy Citation Save Save to yo…

What constitutes a prescribing error in paediatrics? | PSNet

psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics

March 05, 2010 - Study What constitutes a prescribing error in paediatrics? Citation Text: Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf Health Care. 2005;14(5):352-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Medication safety in community pharmacy: a qualitative study of the sociotechnical context. | PSNet

psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context

February 06, 2019 - Study Medication safety in community pharmacy: a qualitative study of the sociotechnical context. Citation Text: Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186…

Are they safe in there? Patient safety and trainees in the practice. | PSNet

psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice

September 22, 2021 - Commentary Are they safe in there? Patient safety and trainees in the practice. Citation Text: Byrnes PD, Crawford M, Wong B. Are they safe in there? - patient safety and trainees in the practice. Aust Fam Physician. 2012;41(1-2):26-9. Copy Citation Format: Google Scholar P…

Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet

psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention

August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …

It's always something: hospital nurses managing risk. | PSNet

psnet.ahrq.gov/issue/its-always-something-hospital-nurses-managing-risk

September 29, 2017 - Study It's always something: hospital nurses managing risk. Citation Text: Groves PS, Finfgeld-Connett D, Wakefield BJ. It's always something: hospital nurses managing risk. Clin Nurs Res. 2014;23(3):296-313. doi:10.1177/1054773812468755. Copy Citation Format: DOI Google Sc…

Reducing pediatric medication errors: children are especially at risk for medication errors. | PSNet

psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors

May 18, 2022 - Commentary Reducing pediatric medication errors: children are especially at risk for medication errors. Citation Text: Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim. Cop…

Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. | PSNet

psnet.ahrq.gov/issue/alternative-perspectives-safety-home-delivered-health-care-sequential-exploratory-mixed

February 17, 2016 - Study Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. Citation Text: Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi…

The investigation and analysis of critical incidents and adverse events in healthcare. | PSNet

psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare

March 05, 2014 - Study Classic The investigation and analysis of critical incidents and adverse events in healthcare. Citation Text: Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health …

Nurse prescribing: reflections on safety in practice. | PSNet

psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice

June 21, 2017 - Study Nurse prescribing: reflections on safety in practice. Citation Text: Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

Auto identification technology and its impact on patient safety in the operating room of the future. | PSNet

psnet.ahrq.gov/issue/auto-identification-technology-and-its-impact-patient-safety-operating-room-future

June 22, 2009 - Commentary Auto identification technology and its impact on patient safety in the operating room of the future. Citation Text: Egan MT, Sandberg WS. Auto identification technology and its impact on patient safety in the Operating Room of the Future. Surg Innov. 2007;14(1):41-50; discus…

Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. | PSNet

psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement

August 11, 2021 - Review Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. Citation Text: Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…

Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. | PSNet

psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large

January 16, 2019 - Study Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital. Citation Text: Sacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a…

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