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Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

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July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Citation Text: Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…

Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet

psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims

January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. | PSNet

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January 18, 2023 - Commentary Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. Citation Text: Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention …

A 2-year study of patient safety competency assessment in 29 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories

December 14, 2016 - Study A 2-year study of patient safety competency assessment in 29 clinical laboratories. Citation Text: Reed RC, Kim S, Farquharson K, et al. A 2-Year Study of Patient Safety Competency Assessment in 29 Clinical Laboratories. Am J Clin Pathol. 2008;129(6). doi:10.1309/bm8jje1auca408tq…

Clinical impact associated with corrected results in clinical microbiology testing. | PSNet

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December 03, 2008 - Study Clinical impact associated with corrected results in clinical microbiology testing. Citation Text: Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93. Copy Citation For…

Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet

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February 28, 2024 - Commentary Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. Citation Text: Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…

Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery. | PSNet

psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery

October 05, 2022 - Study Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery. Citation Text: Hamilton EC, Pham DH, Minzenmayer AN, et al. Are we missing the near misses in the OR?-underreporting of safety incidents in pediatric surgery. J Surg Res. 2018;221:336…

Infection control hazards and near misses reported by nursing students. | PSNet

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February 11, 2009 - Study Infection control hazards and near misses reported by nursing students. Citation Text: Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001. Copy Cit…

Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. | PSNet

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November 27, 2012 - Study Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. Citation Text: Stahl K, Augenstein J, Schulman C, et al. Assessing the impact of teaching patient safety principles to medical students during surgical clerkships. J Surg Re…

Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. | PSNet

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June 16, 2021 - Press Release/Announcement Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. Citation Text: Public comment period extended for strategies to improve patient safety: Draft Re…

Zero Suicide Initiative. | PSNet

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July 03, 2013 - Grant Announcement Zero Suicide Initiative. Citation Text: Zero Suicide Initiative. Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. Copy Citation Save Save to your library Print…

Interruptions and medication administration in critical care. | PSNet

psnet.ahrq.gov/issue/interruptions-and-medication-administration-critical-care

December 08, 2021 - Review Interruptions and medication administration in critical care. Citation Text: Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. Copy Citation Format: DOI Google Scho…

Characteristics associated with postdischarge medication errors. | PSNet

psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors

April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …

Hospital nurses' work environment characteristics and patient safety outcomes: a literature review. | PSNet

psnet.ahrq.gov/issue/hospital-nurses-work-environment-characteristics-and-patient-safety-outcomes-literature

October 24, 2018 - Review Hospital nurses' work environment characteristics and patient safety outcomes: a literature review. Citation Text: Lee SE, Scott LD. Hospital Nurses' Work Environment Characteristics and Patient Safety Outcomes: A Literature Review. West J Nurs Res. 2018;40(1):121-145. doi:10.1177…

Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. | PSNet

psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and

August 12, 2020 - Commentary Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Citation Text: Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…

Creating the web-based intensive care unit safety reporting system. | PSNet

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October 13, 2018 - Commentary Creating the web-based intensive care unit safety reporting system. Citation Text: Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. Copy Citati…

Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis

April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet

psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear

May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …

Weaving a healthcare tapestry of safety and communication. | PSNet

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September 29, 2017 - Commentary Weaving a healthcare tapestry of safety and communication. Citation Text: Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage. 2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d. Copy Citation Format: DOI Google…

The Physician Practice Patient Safety Assessment. | PSNet

psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment

April 24, 2018 - Measurement Tool/Indicator The Physician Practice Patient Safety Assessment. Citation Text: Pohl JM, Nath R, Zheng K, et al. Use of a comprehensive patient safety tool in primary care practices. Journal of the American Association of Nurse Practitioners. 2013;25(8):415-8. doi:10.1111/174…

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