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Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet

psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement

November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…

Medication errors, routines, and differences between perioperative and non-perioperative nurses. | PSNet

psnet.ahrq.gov/issue/medication-errors-routines-and-differences-between-perioperative-and-non-perioperative-nurses

June 27, 2018 - Study Medication errors, routines, and differences between perioperative and non-perioperative nurses. Citation Text: Treiber LA, Jones JH. Medication errors, routines, and differences between perioperative and non-perioperative nurses. AORN J. 2012;96(3):285-94. doi:10.1016/j.aorn.201…

Patient safety outcomes in small urban and small rural hospitals. | PSNet

psnet.ahrq.gov/issue/patient-safety-outcomes-small-urban-and-small-rural-hospitals

July 23, 2010 - Study Patient safety outcomes in small urban and small rural hospitals. Citation Text: Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health. 2010;26(1):58-66. doi:10.1111/j.1748-0361.2009.00266.x. Copy Citation Format: …

Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. | PSNet

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April 11, 2012 - Review Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. Citation Text: Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11…

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. | PSNet

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December 15, 2010 - Study A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals. Citation Text: Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administrati…

Introducing new technology safely. | PSNet

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April 01, 2010 - Commentary Introducing new technology safely. Citation Text: Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care. 2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Bullying: a hidden threat to patient safety. | PSNet

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August 22, 2012 - Commentary Bullying: a hidden threat to patient safety. Citation Text: Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet

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August 21, 2005 - Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing Citation Text: Giannini J, Wong M, Dager W, et al. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

The Perils of Contrast Media | PSNet

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March 01, 2007 - SPOTLIGHT CASE The Perils of Contrast Media Citation Text: Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX En…

Patient safety: examining the adequacy of the 5 rights of medication administration. | PSNet

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March 02, 2016 - Commentary Patient safety: examining the adequacy of the 5 rights of medication administration. Citation Text: Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f. Copy…

Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. | PSNet

psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists

September 22, 2010 - Commentary Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Citation Text: Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Ameri…

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. | PSNet

psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals

November 17, 2010 - Study National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Citation Text: Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. Copy Citation Format: …

Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. | PSNet

psnet.ahrq.gov/issue/office-based-physicians-are-responding-incentives-and-assistance-adopting-and-using

August 07, 2013 - Study Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Citation Text: Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health record…

Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. | PSNet

psnet.ahrq.gov/issue/optimising-surgical-training-use-feedback-reduce-errors-during-simulated-surgical-procedure

February 19, 2014 - Study Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Citation Text: Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 201…

Reducing health care hazards: lessons from the Commercial Aviation Safety Team. | PSNet

psnet.ahrq.gov/issue/reducing-health-care-hazards-lessons-commercial-aviation-safety-team

September 17, 2010 - Commentary Reducing health care hazards: lessons from the Commercial Aviation Safety Team. Citation Text: Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hl…

When the 5 rights go wrong: medication errors from the nursing perspective. | PSNet

psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective

June 27, 2018 - Study When the 5 rights go wrong: medication errors from the nursing perspective. Citation Text: Jones JH, Treiber LA. When the 5 rights go wrong: medication errors from the nursing perspective. J Nurs Care Qual. 2010;25(3):240-247. doi:10.1097/NCQ.0b013e3181d5b948. Copy Citation …

Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. | PSNet

psnet.ahrq.gov/issue/transferring-responsibility-and-accountability-maternity-care-clinicians-defining-their

August 19, 2009 - Study Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. Citation Text: Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care: clinicians d…

Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies

September 02, 2009 - Study Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Citation Text: Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. Copy Citati…

Making an infusion error: the second victims of infusion therapy-related medication errors. | PSNet

psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors

June 27, 2018 - Study Making an infusion error: the second victims of infusion therapy-related medication errors. Citation Text: Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.00000000000…

Explainable artificial intelligence for safe intraoperative decision support. | PSNet

psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support

October 13, 2015 - Commentary Explainable artificial intelligence for safe intraoperative decision support. Citation Text: Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821. Copy Citation F…

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