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Recommendations from a national panel on quality improvement in obstetrics. | PSNet

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July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. | PSNet

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October 03, 2011 - Study Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. Citation Text: Rothberg MB, Belforti R, Fitzgerald J, et al. Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. J Hosp Med. 2012;7(2):9…

American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. | PSNet

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August 16, 2023 - Organizational Policy/Guidelines Classic American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappro…

Medication reconciliation for reducing drug-discrepancy adverse events. | PSNet

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October 10, 2018 - Study Medication reconciliation for reducing drug-discrepancy adverse events. Citation Text: Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43. Copy Citation Format: …

Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. | PSNet

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September 28, 2022 - Commentary Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. Citation Text: Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;2…

Americans' Experiences With Medical Errors and Views on Patient Safety. | PSNet

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January 06, 2015 - Book/Report Classic Americans' Experiences With Medical Errors and Views on Patient Safety. Citation Text: Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…

Surgical never events in the United States. | PSNet

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September 10, 2014 - Study Surgical never events in the United States. Citation Text: Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

The prevalence of wrong level surgery among spine surgeons. | PSNet

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March 09, 2022 - Study The prevalence of wrong level surgery among spine surgeons. Citation Text: Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1. Copy Citation Format: …

Capturing essential information to achieve safe interoperability. | PSNet

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February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

Understanding risk factors for complaints against pharmacists: a content analysis. | PSNet

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February 07, 2024 - Study Understanding risk factors for complaints against pharmacists: a content analysis. Citation Text: Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217. …

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet

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July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …

Fast does not imply flawed: analyzing emergency physician productivity and medical errors. | PSNet

psnet.ahrq.gov/issue/fast-does-not-imply-flawed-analyzing-emergency-physician-productivity-and-medical-errors

January 25, 2023 - Study Fast does not imply flawed: analyzing emergency physician productivity and medical errors. Citation Text: Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e1284…

A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. | PSNet

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August 15, 2013 - Study A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. Citation Text: Anderson O, Brodie A, Vincent CA, et al. A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. Ann Surg. 2012;255(6):1086-92. doi:10.1097…

Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. | PSNet

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July 31, 2019 - Review Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. Citation Text: Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30…

Professionalism in the era of duty hours: time for a shift change? | PSNet

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September 22, 2010 - Commentary Professionalism in the era of duty hours: time for a shift change? Citation Text: Arora V, Farnan JM, Humphrey HJ. Professionalism in the era of duty hours: time for a shift change? JAMA. 2012;308(21):2195-6. doi:10.1001/jama.2012.14584. Copy Citation Format: D…

Failure mode and effects analysis: a comparison of two common risk prioritisation methods. | PSNet

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September 09, 2015 - Study Failure mode and effects analysis: a comparison of two common risk prioritisation methods. Citation Text: McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10…

Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. | PSNet

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July 13, 2022 - Book/Report Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. Citation Text: Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…

Electronic prescription writing errors in the pediatric emergency department. | PSNet

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November 16, 2022 - Study Electronic prescription writing errors in the pediatric emergency department. Citation Text: Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428. Copy Citation …

The 80-hour work guidelines and resident survey perceptions of quality. | PSNet

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June 18, 2008 - Study The 80-hour work guidelines and resident survey perceptions of quality. Citation Text: Biller K, Antonacci AC, Pelletier S, et al. The 80-hour work guidelines and resident survey perceptions of quality. J Surg Res. 2006;135(2):275-81. Copy Citation Format: Google Sc…

Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. | PSNet

psnet.ahrq.gov/issue/using-agency-healthcare-research-and-quality-patient-safety-indicators-targeting-nursing

April 03, 2017 - Study Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. Citation Text: Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing qua…

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