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Prolonged hospital stay and the resident duty hour rules of 2003. | PSNet

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February 18, 2011 - Study Prolonged hospital stay and the resident duty hour rules of 2003. Citation Text: Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. Copy Citation Format: …

How are medication errors defined? A systematic literature review of definitions and characteristics. | PSNet

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May 30, 2012 - Review How are medication errors defined? A systematic literature review of definitions and characteristics. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How are medication errors defined? A systematic literature review of definitions and characteristics. International Journal f…

Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. | PSNet

psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality

February 04, 2016 - Study Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Citation Text: McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

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January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. | PSNet

psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting

September 27, 2010 - Study Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. Citation Text: Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam M…

Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. | PSNet

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July 18, 2016 - Study Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. Citation Text: Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…

Intensive care unit safety culture and outcomes: a US multicenter study. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-safety-culture-and-outcomes-us-multicenter-study

June 16, 2011 - Study Intensive care unit safety culture and outcomes: a US multicenter study. Citation Text: Huang DT, Clermont G, Kong L, et al. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 2010;22(3):151-61. doi:10.1093/intqhc/mzq017. Copy Citat…

Prioritising the prevention of medication handling errors. | PSNet

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October 22, 2008 - Study Prioritising the prevention of medication handling errors. Citation Text: Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3. Copy Citation Format: DOI…

Nurses' satisfaction with medication administration point-of-care technology. | PSNet

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January 09, 2008 - Study Nurses' satisfaction with medication administration point-of-care technology. Citation Text: Hurley A, Bane A, Fotakis S, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007;37(7-8):343-349. Copy Citation Format: Goo…

Follow-up of outpatient test results: a survey of house-staff practices and perceptions. | PSNet

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July 14, 2010 - Study Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Citation Text: Lin JJ, Dunn A, Moore C. Follow-up of outpatient test results: a survey of house-staff practices and perceptions. Am J Med Qual. 2006;21(3):178-84. Copy Citation Format: …

Multiprofessional survey of protocol use in the intensive care unit. | PSNet

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August 30, 2017 - Study Multiprofessional survey of protocol use in the intensive care unit. Citation Text: LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. Multiprofessional survey of protocol use in the intensive care unit. J Crit Care. 2012;27(6):738.e9-17. doi:10.1016/j.jcrc.2012.07.012. Copy Citation…

Use of an electronic information system to identify adverse events resulting in an emergency department visit. | PSNet

psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department

March 13, 2015 - Study Use of an electronic information system to identify adverse events resulting in an emergency department visit. Citation Text: Ackroyd-Stolarz S, MacKinnon NJ, Zed PJ, et al. Use of an electronic information system to identify adverse events resulting in an emergency department vi…

Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. | PSNet

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February 03, 2011 - Study Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Citation Text: Parnes B, Fernald D, Quintela J, et al. Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. Qual Saf Health Care. 2007;16(1):12-6. Copy Citation …

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. | PSNet

psnet.ahrq.gov/issue/pharmacy-clarification-prescriptions-ordered-primary-care-report-applied-strategies-improving

March 28, 2011 - Commentary Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. Citation Text: Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary ca…

Making Healthcare Safer III. | PSNet

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March 27, 2019 - Book/Report Making Healthcare Safer III. Citation Text: Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. Copy Citation Save Save to your library…

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;…

Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. | PSNet

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September 20, 2012 - Review Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Citation Text: Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…

Medical errors and patient safety in palliative care: a review of current literature. | PSNet

psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature

December 04, 2016 - Review Medical errors and patient safety in palliative care: a review of current literature. Citation Text: Dietz I, Borasio GD, Schneider G, et al. Medical errors and patient safety in palliative care: a review of current literature. J Palliat Med. 2010;13(12):1469-74. doi:10.1089/jpm.2…

Partnering to prevent falls: using a multimodal multidisciplinary team. | PSNet

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June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …

Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute

January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

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