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Showing results for "standards".

  1. Lessons learned: basic evidence-based advice for preventing medication errors in children. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
    December 22, 2008 - Commentary Lessons learned: basic evidence-based advice for preventing medication errors in children. Citation Text: Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Eme…

  2. Devastatingly human: an analysis of registered nurses' medication error accounts. | PSNet

    psnet.ahrq.gov/issue/devastatingly-human-analysis-registered-nurses-medication-error-accounts
    June 27, 2018 - Study Devastatingly human: an analysis of registered nurses' medication error accounts. Citation Text: Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228. Copy Cita…

  3. Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. | PSNet

    psnet.ahrq.gov/issue/validity-retrospective-review-medical-records-means-identifying-adverse-events-comparison
    October 25, 2023 - Study Validity of retrospective review of medical records as a means of identifying adverse events: comparison between medical records and accident reports. Citation Text: Kobayashi M, Ikeda S, Kitazawa N, et al. Validity of retrospective review of medical records as a means of identif…

  4. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

  5. Is there evidence of a July effect among patients undergoing hysterectomy surgery? | PSNet

    psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
    April 24, 2018 - Study Is there evidence of a July effect among patients undergoing hysterectomy surgery? Citation Text: Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…

  6. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? | PSNet

    psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
    August 04, 2021 - Study Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Citation Text: Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…

  7. Measuring to improve medication reconciliation in a large subspecialty outpatient practice. | PSNet

    psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
    February 02, 2011 - Study Measuring to improve medication reconciliation in a large subspecialty outpatient practice. Citation Text: Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…

  8. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. | PSNet

    psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
    August 16, 2023 - Commentary A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. Citation Text: Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …

  9. Methods to increase reliability in quality improvement projects. | PSNet

    psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
    October 20, 2021 - Commentary Methods to increase reliability in quality improvement projects. Citation Text: Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340. Copy Citation Format:…

  10. Handoff practices in undergraduate medical education. | PSNet

    psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education
    June 07, 2023 - Study Handoff practices in undergraduate medical education. Citation Text: Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0. Copy Citation Format: DOI Google Scho…

  11. Changes in intern attitudes toward medical error and disclosure. | PSNet

    psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
    November 10, 2021 - Study Changes in intern attitudes toward medical error and disclosure. Citation Text: Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x. Copy Citation Fo…

  12. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric
    August 20, 2018 - Study Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Citation Text: Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf …

  13. Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? | PSNet

    psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
    September 02, 2020 - Study Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? Citation Text: Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…

  14. Seasoned surgeons assessed in a laparoscopic surgical crisis. | PSNet

    psnet.ahrq.gov/issue/seasoned-surgeons-assessed-laparoscopic-surgical-crisis
    July 02, 2008 - Study Seasoned surgeons assessed in a laparoscopic surgical crisis. Citation Text: Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. Copy Citation For…

  15. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. | PSNet

    psnet.ahrq.gov/issue/simulation-and-diagnostic-process-pilot-study-trauma-and-rapid-response-teams
    July 16, 2015 - Study Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Citation Text: Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/…

  16. The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. | PSNet

    psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
    October 19, 2022 - Study The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. Citation Text: Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…

  17. Sentinel events, serious reportable events, and root cause analysis. | PSNet

    psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
    February 26, 2014 - Commentary Sentinel events, serious reportable events, and root cause analysis. Citation Text: Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672. Copy Citation …

  18. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet

    psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
    December 12, 2012 - Study Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Citation Text: Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. d…

  19. Minimizing electronic health record patient–note mismatches. | PSNet

    psnet.ahrq.gov/issue/minimizing-electronic-health-record-patient-note-mismatches
    December 27, 2014 - Study Minimizing electronic health record patient–note mismatches. Citation Text: Wilcox AB, Chen Y-H, Hripcsak G. Minimizing electronic health record patient-note mismatches. J Am Med Inform Assoc. 2011;18(4):511-4. doi:10.1136/amiajnl-2010-000068. Copy Citation Format: …

  20. Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
    January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …
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