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  1. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

    psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
    December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

  2. Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

    psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
    September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

  3. A review of medical error taxonomies: a human factors perspective. | PSNet

    psnet.ahrq.gov/issue/review-medical-error-taxonomies-human-factors-perspective
    July 25, 2012 - Review A review of medical error taxonomies: a human factors perspective. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014. Copy Citation Forma…

  4. Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. | PSNet

    psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-based-approach
    July 13, 2010 - Commentary Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Citation Text: Patterson ES, Zhang J, Abbott P, et al. Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Jt Comm J Qual Patient…

  5. Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. | PSNet

    psnet.ahrq.gov/issue/lost-translation-addressing-barriers-application-industrial-process-improvement-methodologies
    May 11, 2019 - Commentary Lost in translation? Addressing barriers in the application of industrial process improvement methodologies to health care. Citation Text: Gray D, Johnson KD, Watts B. Lost In Translation? Addressing Barriers in the Application of Industrial Process Improvement Methodologies t…

  6. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

    psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
    December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

  7. Mistreatment in health care among women in Appalachia. | PSNet

    psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
    October 04, 2023 - Study Mistreatment in health care among women in Appalachia. Citation Text: Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. Copy Citation Format: DOI …

  8. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. | PSNet

    psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
    December 02, 2009 - Study Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Citation Text: Thomas AN, Taylor RJ. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Anaesthesia. 2012;67(7):7…

  9. Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist. | PSNet

    psnet.ahrq.gov/issue/advanced-auditory-displays-and-head-mounted-displays-advantages-and-disadvantages-monitoring
    September 26, 2016 - Study Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist. Citation Text: Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays: advantages and disadvantages for m…

  10. Duty hours restriction and their effect on resident education and academic departments: the American perspective. | PSNet

    psnet.ahrq.gov/issue/duty-hours-restriction-and-their-effect-resident-education-and-academic-departments-american
    November 16, 2022 - Review Duty hours restriction and their effect on resident education and academic departments: the American perspective. Citation Text: Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…

  11. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet

    psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
    March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…

  12. Patient safety superheroes in training: using a comic book to teach patient safety to residents. | PSNet

    psnet.ahrq.gov/issue/patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents
    May 11, 2022 - Study Patient safety superheroes in training: using a comic book to teach patient safety to residents. Citation Text: Maatman TC, Prigmore H, Williams JS, et al. Patient safety superheroes in training: using a comic book to teach patient safety to residents. BMJ Qual Saf. 2019;28(11):934…

  13. Errors prevented by and associated with bar-code medication administration systems. | PSNet

    psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
    October 16, 2019 - Study Errors prevented by and associated with bar-code medication administration systems. Citation Text: Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245. Cop…

  14. The effect of automated alerts on provider ordering behavior in an outpatient setting.   | PSNet

    psnet.ahrq.gov/issue/effect-automated-alerts-provider-ordering-behavior-outpatient-setting
    November 23, 2016 - Study The effect of automated alerts on provider ordering behavior in an outpatient setting.   Citation Text: Steele AW, Eisert S, Witter J, et al. The effect of automated alerts on provider ordering behavior in an outpatient setting. PLoS Med. 2005;2(9):e255. doi:10.1371/journal.pmed.…

  15. Opioid prescribing and potential overdose errors among children 0 to 36 months old. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-and-potential-overdose-errors-among-children-0-36-months-old
    March 23, 2016 - Study Opioid prescribing and potential overdose errors among children 0 to 36 months old. Citation Text: Basco WT, Ebeling M, Garner SS, et al. Opioid Prescribing and Potential Overdose Errors Among Children 0 to 36 Months Old. Clin Pediatr (Phila). 2015;54(8):738-44. doi:10.1177/0009922…

  16. Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. | PSNet

    psnet.ahrq.gov/issue/acute-hepatitis-c-virus-infections-attributed-unsafe-injection-practices-endoscopy-clinic
    February 27, 2019 - Government Resource Acute Hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. Citation Text: Prevention C for DC and. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic--Nevada, 2007.…

  17. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
    August 12, 2020 - Study Diffusing aviation innovations in a hospital in the Netherlands. Citation Text: de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. Copy Citation Format: Go…

  18. A patient safety dilemma: obesity in the surgical patient. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
    October 29, 2012 - Study A patient safety dilemma: obesity in the surgical patient. Citation Text: Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  19. Computer-Based Training Modules: Nasal Iodophor

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-iodophor.pptx
    March 01, 2022 - Computer-Based Training Modules: Nasal Iodophor Decolonization of Non-ICU Patients With Devices Section 11-8 Nursing Protocol Training Nasal Iodophor (10% Povidone-Iodine) AHRQ Pub. No. 20(22)-0036 March 2022 1 Targeted Decolonization Introduction Our hospital is adopting a targeted decolonization protocol for …

  20. Computer-Based Training Modules: Nasal Mupirocin

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pptx
    March 01, 2022 - Computer-Based Training Modules: Nasal Mupirocin AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 11-7 Nursing Protocol Training Nasal Mupirocin 1 Targeted Decolonization Introduction Our hospital is adopting a targeted decolonization protocol for adult non-intensive …
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