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  1. Improving the accuracy of patient identification in the medication-use process. | PSNet

    psnet.ahrq.gov/issue/improving-accuracy-patient-identification-medication-use-process
    May 09, 2014 - Commentary Improving the accuracy of patient identification in the medication-use process. Citation Text: Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2. Copy Citation …

  2. The human face of simulation: patient-focused simulation training. | PSNet

    psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
    January 13, 2010 - Study The human face of simulation: patient-focused simulation training. Citation Text: Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81(10):919-24. Copy Citation Format: Google Scholar PubMed BibT…

  3. Personalised performance feedback reduces narcotic prescription errors in a NICU. | PSNet

    psnet.ahrq.gov/issue/personalised-performance-feedback-reduces-narcotic-prescription-errors-nicu
    July 13, 2010 - Study Personalised performance feedback reduces narcotic prescription errors in a NICU. Citation Text: Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. C…

  4. The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety. | PSNet

    psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
    March 13, 2013 - Commentary The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety. Citation Text: Wachter R, Shojania KG. The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safety. J…

  5. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. | PSNet

    psnet.ahrq.gov/issue/normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
    June 15, 2022 - Study Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. Citation Text: Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…

  6. Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. | PSNet

    psnet.ahrq.gov/issue/interruptions-wild-development-sociotechnical-systems-model-interruptions-emergency
    August 31, 2016 - Review Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Citation Text: Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…

  7. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. | PSNet

    psnet.ahrq.gov/issue/hospital-ethical-climate-and-teamwork-acute-care-moderating-role-leaders
    October 15, 2016 - Study Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Citation Text: Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.7…

  8. Informatics confronts drug–drug interactions. | PSNet

    psnet.ahrq.gov/issue/informatics-confronts-drug-drug-interactions
    February 18, 2011 - Review Informatics confronts drug–drug interactions. Citation Text: Percha B, Altman RB. Informatics confronts drug-drug interactions. Trends Pharmacol Sci. 2013;34(3):178-84. doi:10.1016/j.tips.2013.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  9. Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. | PSNet

    psnet.ahrq.gov/issue/walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
    May 29, 2019 - Commentary Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. Citation Text: Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043…

  10. A model for medication safety event detection. | PSNet

    psnet.ahrq.gov/issue/model-medication-safety-event-detection
    May 14, 2008 - Commentary A model for medication safety event detection. Citation Text: Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  11. Analysis of medical malpractice claims to improve quality of care: cautionary remarks. | PSNet

    psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks
    May 09, 2012 - Commentary Analysis of medical malpractice claims to improve quality of care: cautionary remarks. Citation Text: Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. Copy Cit…

  12. The role of information technology in healthcare communications, efficiency, and patient safety: application and results. | PSNet

    psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
    October 19, 2022 - Commentary The role of information technology in healthcare communications, efficiency, and patient safety: application and results. Citation Text: Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and patient safety: application and res…

  13. NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0. | PSNet

    psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
    September 09, 2020 - Book/Report NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0. Citation Text: NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…

  14. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data
    January 06, 2017 - Study Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. Citation Text: Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. Copy Citati…

  15. Severity of medication administration errors detected by a bar-code medication administration system. | PSNet

    psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system
    June 17, 2010 - Study Severity of medication administration errors detected by a bar-code medication administration system. Citation Text: Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…

  16. Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. | PSNet

    psnet.ahrq.gov/issue/simulation-operational-readiness-new-freestanding-emergency-department-strategy-and-tactics
    August 20, 2018 - Study Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. Citation Text: Kerner RL, Gallo K, Cassara M, et al. Simulation for Operational Readiness in a New Freestanding Emergency Department. Simul Healthc. 2016;11(5). doi:10.1097/sih.00…

  17. Geometric probability distribution for modeling of error risk during prescription dispensing. | PSNet

    psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing
    December 24, 2008 - Study Geometric probability distribution for modeling of error risk during prescription dispensing. Citation Text: Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…

  18. Disclosing medical errors to patients: a challenge for health care professionals and institutions. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
    April 19, 2017 - Commentary Disclosing medical errors to patients: a challenge for health care professionals and institutions. Citation Text: Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…

  19. Medication administration errors by nurses: adherence to guidelines. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
    July 08, 2020 - Study Medication administration errors by nurses: adherence to guidelines. Citation Text: Kim J, Bates DW. Medication administration errors by nurses: adherence to guidelines. J Clin Nurs. 2013;22(3-4):590-8. doi:10.1111/j.1365-2702.2012.04344.x. Copy Citation Format: DOI …

  20. ASHP guidelines on remote medication order processing. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …
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