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  1. Medication error reduction and the use of PDA technology. | PSNet

    psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
    August 28, 2024 - Study Medication error reduction and the use of PDA technology. Citation Text: Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  2. Briefings, checklists, geese, and surgical safety. | PSNet

    psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
    August 02, 2015 - Commentary Briefings, checklists, geese, and surgical safety. Citation Text: Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  3. Instrument count sheets and set reviews as patient safety tools. | PSNet

    psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
    February 28, 2011 - Commentary Instrument count sheets and set reviews as patient safety tools. Citation Text: Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007. Copy Citation Format: DOI Google Scholar PubMed …

  4. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. | PSNet

    psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
    October 17, 2018 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the cont…

  5. Quantifying distraction and interruption in urological surgery. | PSNet

    psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
    March 11, 2009 - Study Quantifying distraction and interruption in urological surgery. Citation Text: Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9. Copy Citation Format: Google Scholar PubMed BibTeX …

  6. Engaging Patients for Patient Safety: Advocacy Brief. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
    January 29, 2019 - Book/Report Engaging Patients for Patient Safety: Advocacy Brief. Citation Text: Engaging Patients for Patient Safety: Advocacy Brief. WHO Patient Safety Flagship. Geneva; World Health Organization; December 2023. ISBN: 9789240081987. Copy Citation Save Sav…

  7. The U.S. is repeating its deadliest pandemic mistake. | PSNet

    psnet.ahrq.gov/issue/us-repeating-its-deadliest-pandemic-mistake
    September 02, 2020 - Newspaper/Magazine Article The U.S. is repeating its deadliest pandemic mistake. Citation Text: KHAZAN OLGA. The U.S. is repeating its deadliest pandemic mistake. The Atlantic. 2020;July 6. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  8. Making checklists work: South Carolina's statewide experiment. | PSNet

    psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
    April 01, 2015 - Newspaper/Magazine Article Making checklists work: South Carolina's statewide experiment. Citation Text: Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  9. Education is “predictably disappointing” and should never be relied upon alone to improve safety. | PSNet

    psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
    June 15, 2022 - Newspaper/Magazine Article Education is “predictably disappointing” and should never be relied upon alone to improve safety. Citation Text: Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …

  10. Look-alike and sound-alike medicines: risks and 'solutions.' | PSNet

    psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions
    March 29, 2023 - Commentary Look-alike and sound-alike medicines: risks and 'solutions.' Citation Text: Emmerton LM, Rizk MFS. Look-alike and sound-alike medicines: risks and 'solutions'. Int J Clin Pharm. 2012;34(1):4-8. doi:10.1007/s11096-011-9595-x. Copy Citation Format: DOI Google Sch…

  11. Miro's dots and lines. | PSNet

    psnet.ahrq.gov/issue/miros-dots-and-lines
    September 21, 2016 - Commentary Miro's dots and lines. Citation Text: Taran S, Detsky AS. Miro’s Dots and Lines. JAMA Intern Med. 2019;179(8):1019–1020. doi:10.1001/jamainternmed.2019.1922. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. No bad apples. | PSNet

    psnet.ahrq.gov/issue/no-bad-apples
    May 15, 2019 - Newspaper/Magazine Article No bad apples. Citation Text: Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  13. Complicated: medical missteps are not inevitable. | PSNet

    psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
    August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  14. The effect of hospital organizational characteristics on postoperative complications. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-organizational-characteristics-postoperative-complications
    December 18, 2017 - Study The effect of hospital organizational characteristics on postoperative complications. Citation Text: Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf. 2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b. Copy Citation …

  15. The tension between promoting mobility and preventing falls in the hospital. | PSNet

    psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
    April 24, 2018 - Commentary The tension between promoting mobility and preventing falls in the hospital. Citation Text: Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …

  16. Heart Failure: The Decline of a Historic Transplant Program. | PSNet

    psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
    July 22, 2020 - Special or Theme Issue Heart Failure: The Decline of a Historic Transplant Program. Citation Text: Heart Failure: The Decline of a Historic Transplant Program. Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica. May 2018-May 2019. Copy Citation Save Save t…

  17. Governing the surgical count through communication interactions: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
    November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…

  18. Eight-year experience with a neurosurgical checklist. | PSNet

    psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
    September 27, 2023 - Study Eight-year experience with a neurosurgical checklist. Citation Text: Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  19. An Agenda for Research in Ambulatory Patient Safety. | PSNet

    psnet.ahrq.gov/issue/agenda-research-ambulatory-patient-safety
    December 22, 2008 - Meeting/Conference Proceedings An Agenda for Research in Ambulatory Patient Safety. Citation Text: An Agenda for Research in Ambulatory Patient Safety. Hammons T; Piland NF; Small SD; Hatlie MJ; Burstin HR; Medical Group Management Association; MGMA Copy Citation Save …

  20. Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
    April 15, 2015 - Book/Report Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Citation Text: Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Miller RG, …
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