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Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet

psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration

June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

The relationship between nurse education level and patient safety: an integrative review. | PSNet

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April 10, 2024 - Review The relationship between nurse education level and patient safety: an integrative review. Citation Text: Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. Copy Citation Format: Goo…

Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. | PSNet

psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety

November 13, 2024 - Commentary Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. Citation Text: Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038…

Implementation of a modified bedside handoff for a postpartum unit. | PSNet

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November 16, 2022 - Commentary Implementation of a modified bedside handoff for a postpartum unit. Citation Text: Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. Copy Cit…

Quality improvement and patient safety activities in academic departments of medicine. | PSNet

psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine

July 02, 2014 - Study Quality improvement and patient safety activities in academic departments of medicine. Citation Text: Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? | PSNet

psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety

May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…

Insights into the climate of safety towards the prevention of falls among hospital staff. | PSNet

psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff

February 14, 2017 - Study Insights into the climate of safety towards the prevention of falls among hospital staff. Citation Text: Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities

February 15, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. Citation Text: Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …

Bar code technology and medication administration error. | PSNet

psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error

June 07, 2023 - Review Bar code technology and medication administration error. Citation Text: Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. Copy Citation Format: DOI Google Scho…

Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. | PSNet

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July 15, 2009 - Commentary Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. Citation Text: Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…

Evaluation of parenteral nutrition errors in an era of drug shortages. | PSNet

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October 02, 2013 - Study Evaluation of parenteral nutrition errors in an era of drug shortages. Citation Text: Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820. Copy Citation For…

Beyond medication reconciliation: the correct medication list. | PSNet

psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list

February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

Using care bundles to reduce in-hospital mortality: quantitative survey. | PSNet

psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey

April 25, 2018 - Study Using care bundles to reduce in-hospital mortality: quantitative survey. Citation Text: Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234. Copy Citation Format: …

Not thinking clearly? Play a game, seriously! | PSNet

psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously

January 17, 2018 - Commentary Not thinking clearly? Play a game, seriously! Citation Text: Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

ASPEN parenteral nutrition safety consensus recommendations. | PSNet

psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations

June 12, 2018 - Commentary ASPEN parenteral nutrition safety consensus recommendations. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992. Copy Citation …

Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet

psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review

March 26, 2014 - Commentary Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. Citation Text: Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/…

Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. | PSNet

psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events

September 11, 2013 - Study Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. Citation Text: Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…

Adverse drug events in the elderly. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-elderly

April 21, 2011 - Review Adverse drug events in the elderly. Citation Text: Cresswell KM, Fernando B, McKinstry B, et al. Adverse drug events in the elderly. Br Med Bull. 2007;83(1). doi:10.1093/bmb/ldm016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

Citing harms, momentum grows to remove race from clinical algorithms. | PSNet

psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms

January 31, 2011 - Commentary Citing harms, momentum grows to remove race from clinical algorithms. Citation Text: Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530. Copy Citation Format: DOI Google Scholar B…

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…

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