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  1. Learning from no-fault treatment injury claims to improve the safety of older patients. | PSNet

    psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
    September 27, 2023 - Study Learning from no-fault treatment injury claims to improve the safety of older patients. Citation Text: Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. Copy Citation Format:…

  2. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  3. Investigating workplace support and the importance of psychological safety in general surgery residency training. | PSNet

    psnet.ahrq.gov/issue/investigating-workplace-support-and-importance-psychological-safety-general-surgery-residency
    July 16, 2015 - Study Investigating workplace support and the importance of psychological safety in general surgery residency training. Citation Text: Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological safety in general surgery residency training. …

  4. Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

    psnet.ahrq.gov/issue/medical-errors-reported-french-general-practitioners-training-results-survey-and-individual
    March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

  5. A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/work-observation-study-nuclear-medicine-technologists-interruptions-resilience-and
    May 25, 2011 - Study A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. Citation Text: Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications f…

  6. Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected
    January 14, 2009 - Book/Report Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Citation Text: Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. Levinson DR. Washington, DC: US Departmen…

  7. Adverse Events in Hospitals: State Reporting Systems. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
    January 14, 2009 - Book/Report Adverse Events in Hospitals: State Reporting Systems. Citation Text: Adverse Events in Hospitals: State Reporting Systems. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471. …

  8. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet

    psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
    April 11, 2011 - Study Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. Citation Text: MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a L…

  9. Reducing errors resulting from commonly missed chest radiography findings. | PSNet

    psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
    August 20, 2018 - Commentary Reducing errors resulting from commonly missed chest radiography findings. Citation Text: Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. Copy Citation Format: …

  10. Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet

    psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
    August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

  11. The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. | PSNet

    psnet.ahrq.gov/issue/impact-drug-shortages-patients-cardiovascular-disease-causes-consequences-and-call-action
    October 10, 2012 - Review The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. Citation Text: Reed BN, Fox ER, Konig M, et al. The impact of drug shortages on patients with cardiovascular disease: causes, consequences, and a call to action. Am He…

  12. Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. | PSNet

    psnet.ahrq.gov/issue/communication-and-information-deficits-patients-discharged-rehabilitation-facilities
    January 11, 2017 - Study Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. Citation Text: Gandara E, Moniz T, Ungar J, et al. Communication and information deficits in patients discharged to rehabilitation facilities: An …

  13. Resident perceptions of the impact of work hour limitations. | PSNet

    psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
    August 04, 2021 - Study Resident perceptions of the impact of work hour limitations. Citation Text: Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  14. Changing the work environment in ICUs to achieve patient-focused care: the time has come. | PSNet

    psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
    April 05, 2023 - Commentary Changing the work environment in ICUs to achieve patient-focused care: the time has come. Citation Text: McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8. Copy Citation Format: …

  15. 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…

  16. 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…

  17. 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…

  18. 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…

  19. 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…

  20. 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…
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