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  1. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
    April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…

  2. Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

    psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing
    July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

  3. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet

    psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic
    January 27, 2016 - Study Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Citation Text: Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end tran…

  4. Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet

    psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes
    September 24, 2016 - Study Going blank: factors contributing to interruptions to nurses' work and related outcomes. Citation Text: Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…

  5. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet

    psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
    June 14, 2023 - Study Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. Citation Text: Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…

  6. Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

    psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
    September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

  7. The effect of clinician feedback interventions on opioid prescribing. | PSNet

    psnet.ahrq.gov/issue/effect-clinician-feedback-interventions-opioid-prescribing
    November 17, 2021 - Study The effect of clinician feedback interventions on opioid prescribing. Citation Text: Navathe AS, Liao JM, Yan XS, et al. The effect of clinician feedback interventions on opioid prescribing. Health Aff (Millwood). 2022;41(3):424-433. doi:10.1377/hlthaff.2021.01407. Copy Citation …

  8. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). | PSNet

    psnet.ahrq.gov/issue/validity-ahrq-patient-safety-indicators-derived-icd-10-hospital-discharge-abstract-data-chart
    October 30, 2024 - Study Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study). Citation Text: Quan H, Eastwood C, Cunningham CT, et al. Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart re…

  9. Section5 8 (pdf file)

    hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_8.pdf
    January 01, 2007 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2007 68 EXHIBIT 5.8 Growth in Discharges for Selected Conditions: Medicare Number of Discharges and Cumulative Growth for Principal CCS Conditions Contributing to Body System Change, Medicare, 1997-2007 CUMULATIVE GROWTH 19…

  10. Interruptions and distractions in healthcare: review and reappraisal. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-distractions-healthcare-review-and-reappraisal
    January 19, 2011 - Review Classic Interruptions and distractions in healthcare: review and reappraisal. Citation Text: Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2…

  11. Staying silent about safety issues: conceptualizing and measuring safety silence motives. | PSNet

    psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
    August 28, 2019 - Study Staying silent about safety issues: conceptualizing and measuring safety silence motives. Citation Text: Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…

  12. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. | PSNet

    psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
    August 24, 2016 - Commentary Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. Citation Text: Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.11…

  13. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. | PSNet

    psnet.ahrq.gov/issue/ritualisation-surgical-safety-checklist-and-its-decoupling-patient-safety-goals
    January 19, 2022 - Study The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Citation Text: Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46…

  14. Opioids and falls risk in older adults: a narrative review. | PSNet

    psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative-review
    January 12, 2022 - Review Opioids and falls risk in older adults: a narrative review. Citation Text: Virnes R-E, Tiihonen M, Karttunen N, et al. Opioids and falls risk in older adults: a narrative review. Drugs Aging. 2022;39(3):199-207. doi:10.1007/s40266-022-00929-y. Copy Citation Format: D…

  15. Year-end resident clinic handoffs: narrative review and recommendations for improvement. | PSNet

    psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
    March 28, 2018 - Review Year-end resident clinic handoffs: narrative review and recommendations for improvement. Citation Text: Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…

  16. Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

    psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
    May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

  17. Patient safety climate among orthopaedic surgery residents. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic-surgery-residents
    December 21, 2014 - Study Patient safety climate among orthopaedic surgery residents. Citation Text: Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478. Copy Citation Format: …

  18. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
    March 13, 2013 - Study Improving patient safety and optimizing nursing teamwork using crew resource management techniques. Citation Text: West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…

  19. Quantifying nursing workflow in medication administration. | PSNet

    psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration
    January 07, 2009 - Study Quantifying nursing workflow in medication administration. Citation Text: Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc. Copy Citation Format: …

  20. Five years after 'To Err is Human': what have we learned? | PSNet

    psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
    March 18, 2019 - Commentary Classic Five years after 'To Err is Human': what have we learned? Citation Text: Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. Copy Citation Format: Google Scholar PubMed BibTe…
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