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  1. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  2. Potentially inappropriate medications and adverse drug effects in elders in the ED. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
    December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in the ED. Citation Text: Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…

  3. Patient safety: latex allergy. | PSNet

    psnet.ahrq.gov/issue/patient-safety-latex-allergy
    October 07, 2013 - Commentary Patient safety: latex allergy. Citation Text: Reines D, Seifert PC. Patient safety: latex allergy. Surg Clin North Am. 2005;85(6):1329-40, xiv. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  4. Approaches to decreasing medication and other care errors in the ICU. | PSNet

    psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other-care-errors-icu
    September 30, 2010 - Review Approaches to decreasing medication and other care errors in the ICU. Citation Text: Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9. Copy Citation Format: DOI …

  5. Patient monitoring alarms in the ICU and in the operating room. | PSNet

    psnet.ahrq.gov/issue/patient-monitoring-alarms-icu-and-operating-room
    May 26, 2021 - Review Patient monitoring alarms in the ICU and in the operating room. Citation Text: Schmid F, Goepfert MS, Reuter DA. Patient monitoring alarms in the ICU and in the operating room. Crit Care. 2013;17(2):216. doi:10.1186/cc12525. Copy Citation Format: DOI Google Scholar…

  6. Documentation of clinical review and vital signs after major surgery. | PSNet

    psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery
    September 30, 2010 - Study Documentation of clinical review and vital signs after major surgery. Citation Text: McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery. Med J Aust. 2008;189(7):380-3. Copy Citation Format: Google Scholar PubMe…

  7. Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. | PSNet

    psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
    April 06, 2022 - Newspaper/Magazine Article Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Citation Text: Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Webb J. Drug Topics. March 10, 2015. Copy Citation Save …

  8. A piece of my mind. The patient you least want to see. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
    August 14, 2024 - Commentary A piece of my mind. The patient you least want to see. Citation Text: Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  9. Quality: performance improvement, teamwork, information technology and protocols. | PSNet

    psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
    November 03, 2015 - Commentary Quality: performance improvement, teamwork, information technology and protocols. Citation Text: Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002. Copy Citat…

  10. Hospital Readmissions Reduction Program: implications for pharmacy. | PSNet

    psnet.ahrq.gov/issue/hospital-readmissions-reduction-program-implications-pharmacy
    September 23, 2020 - Commentary Hospital Readmissions Reduction Program: implications for pharmacy. Citation Text: Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177. Copy Citation …

  11. How to prevent the top 4 medication errors. | PSNet

    psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
    May 20, 2020 - Newspaper/Magazine Article How to prevent the top 4 medication errors. Citation Text: How to prevent the top 4 medication errors. Sederstrom J. Drug Topics. September 17, 2018. Copy Citation Save Save to your library Print Download PDF Share …

  12. Cognitive diagnostic error in internal medicine. | PSNet

    psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
    February 14, 2017 - Review Cognitive diagnostic error in internal medicine. Citation Text: Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med. 2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  13. Systems approaches to surgical quality and safety: from concept to measurement. | PSNet

    psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
    January 19, 2016 - Review Systems approaches to surgical quality and safety: from concept to measurement. Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: …

  14. Cultivating a culture of medication safety in prelicensure nursing students. | PSNet

    psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students
    July 25, 2018 - Commentary Cultivating a culture of medication safety in prelicensure nursing students. Citation Text: Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. C…

  15. Impact of patient safety mandates on medical education in the United States. | PSNet

    psnet.ahrq.gov/issue/impact-patient-safety-mandates-medical-education-united-states
    June 01, 2011 - Review Impact of patient safety mandates on medical education in the United States. Citation Text: Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5. Copy Citation…

  16. ROI for a fall prevention intervention: invest a little, save a lot. | PSNet

    psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
    September 13, 2017 - Study ROI for a fall prevention intervention: invest a little, save a lot. Citation Text: Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248-252. doi:10.1097/naq.0000000000000647. Copy Citation Format: DOI Google Schol…

  17. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0519_02-27-2012.pdf
    January 01, 2012 - Effective Health Care Topic Number: 0437 Document Completion Date: 05-10-12 1 Results of Topic Selection Process & Next Steps  Heart failure hospital readmission prevention will go forward for refinement as an update to or expansion of an existing comparative effectiveness or effectiveness revie…

  18. Bringing the equity lens to patient safety event reporting. | PSNet

    psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
    September 21, 2009 - Commentary Bringing the equity lens to patient safety event reporting. Citation Text: Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. Copy Citation Format: …

  19. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. | PSNet

    psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
    September 24, 2018 - Commentary Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. Citation Text: Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…

  20. How is medication prescribing ceased? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
    June 14, 2019 - Review How is medication prescribing ceased? A systematic review. Citation Text: Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e. Copy Citation Format: DOI Google…
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