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  1. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. | PSNet

    psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
    August 08, 2018 - Study Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Citation Text: Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer…

  2. Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
    August 04, 2021 - Study Improving team performance during the preprocedure time-out in pediatric interventional radiology. Citation Text: Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…

  3. Safety of inpatient care in surgical settings: cohort study. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…

  4. Costs and benefits of an early-alert surveillance system for hospital inpatients. | PSNet

    psnet.ahrq.gov/issue/costs-and-benefits-early-alert-surveillance-system-hospital-inpatients
    January 24, 2024 - Study Costs and benefits of an early-alert surveillance system for hospital inpatients. Citation Text: Marchetti A, Jacobs J, Young M, et al. Costs and benefits of an early-alert surveillance system for hospital inpatients. Curr Med Res Opin. 2007;23(1):9-16. Copy Citation Format…

  5. Complications: acknowledging, managing, and coping with human error. | PSNet

    psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
    March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…

  6. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

    psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
    October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…

  7. Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? | PSNet

    psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad
    September 23, 2020 - Study Perioperative safety in plastic surgery: is the World Health Organization checklist useful in a broad practice? Citation Text: Biskup N, Workman AD, Kutzner E, et al. Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad Practice? Ann…

  8. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

    psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic
    November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

  9. Challenges in communication from referring clinicians to pathologists in the electronic health record era. | PSNet

    psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
    June 29, 2011 - Study Challenges in communication from referring clinicians to pathologists in the electronic health record era. Citation Text: Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform.…

  10. Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. | PSNet

    psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident
    March 26, 2014 - Study Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. Citation Text: Renkema E, Broekhuis MH, Ahaus K. Explaining the unexplainable - the impact of physicians' attitude towards litigation on their incident disclos…

  11. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
    March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Citation Text: Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…

  12. Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet

    psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
    April 26, 2006 - Book/Report Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Citation Text: Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Washington, DC: VA Office of Inspector General; April 20, 201…

  13. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

    psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
    March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

  14. Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
    July 22, 2020 - Review Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. Citation Text: Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…

  15. Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet

    psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
    March 09, 2022 - Study Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. Citation Text: Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…

  16. A model of disruptive surgeon behavior in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
    February 05, 2020 - Study A model of disruptive surgeon behavior in the perioperative environment. Citation Text: Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. Copy Citation Format…

  17. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing. | PSNet

    psnet.ahrq.gov/issue/popi-pediatrics-omission-prescriptions-and-inappropriate-prescriptions-development-tool
    June 30, 2011 - Study POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing. Citation Text: Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): deve…

  18. Classification of adverse events occurring in a surgical intensive care unit. | PSNet

    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - Study Classification of adverse events occurring in a surgical intensive care unit. Citation Text: Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. Copy Citation Format: Goog…

  19. Medication reconciliation in a community pharmacy setting. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-community-pharmacy-setting
    November 16, 2022 - Study Medication reconciliation in a community pharmacy setting. Citation Text: Johnson CM, Marcy TR, Harrison DL, et al. Medication reconciliation in a community pharmacy setting. J Am Pharm Assoc (2003). 2010;50(4):523-6. doi:10.1331/JAPhA.2010.09121. Copy Citation Format: …

  20. Leveraging trainees to improve quality and safety at the point of care: three models for engagement. | PSNet

    psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
    September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…
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