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  1. Health Information Technology Leadership Panel: Final Report. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
    March 30, 2022 - Government Resource Health Information Technology Leadership Panel: Final Report. Citation Text: Health Information Technology Leadership Panel: Final Report. Lewin Group: Falls Church, VA; March 2005. Copy Citation Save Save to your library Print Do…

  2. Improving medication safety in the ICU: the pharmacist's role. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
    April 20, 2022 - Commentary Improving medication safety in the ICU: the pharmacist's role. Citation Text: Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337. Copy Citation Format: DOI Google…

  3. Video technology to advance safety in the operating room and perioperative environment. | PSNet

    psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
    April 27, 2010 - Commentary Video technology to advance safety in the operating room and perioperative environment. Citation Text: Xiao Y, Schimpff S, Mackenzie CF, et al. Video technology to advance safety in the operating room and perioperative environment. Surg Innov. 2007;14(1):52-61. Copy Citati…

  4. Rating the raters: an evaluation of publicly reported hospital quality rating systems. | PSNet

    psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
    April 06, 2022 - Study Rating the raters: an evaluation of publicly reported hospital quality rating systems. Citation Text: Rating the raters: an evaluation of publicly reported hospital quality rating systems. Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019. Copy Citation…

  5. Racism as a Root Cause approach: a new framework. | PSNet

    psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
    December 17, 2020 - Commentary Racism as a Root Cause approach: a new framework. Citation Text: Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. Copy Citation Format: DOI Google Scholar BibTeX En…

  6. Legal and policy interventions to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/legal-and-policy-interventions-improve-patient-safety
    February 17, 2011 - Review Legal and policy interventions to improve patient safety. Citation Text: Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety. Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880. Copy Citation Format: …

  7. Preventable mortality after common urological surgery: failing to rescue? | PSNet

    psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
    July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

  8. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. | PSNet

    psnet.ahrq.gov/issue/use-standardized-protocol-decrease-medication-errors-and-adverse-events-related-sliding-scale
    January 05, 2017 - Study Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. Citation Text: Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insul…

  9. A patient safety checklist for the cardiac catheterisation laboratory. | PSNet

    psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
    October 19, 2022 - Commentary A patient safety checklist for the cardiac catheterisation laboratory. Citation Text: Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. Copy Citation …

  10. Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? | PSNet

    psnet.ahrq.gov/issue/direct-oral-anticoagulants-new-drugs-practical-problems-how-can-nurses-help-prevent-patient
    November 16, 2022 - Commentary Direct oral anticoagulants: new drugs with practical problems. How can nurses help prevent patient harm? Citation Text: Barras MA, Hughes D, Ullner M. Direct oral anticoagulants: New drugs with practical problems. How can nurses help prevent patient harm? Nurs Health Sci. 2016…

  11. Physical and verbal violence against health care workers. | PSNet

    psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
    December 23, 2016 - Sentinel Event Alerts Physical and verbal violence against health care workers. Citation Text: Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  12. Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-elderly-when-good-drugs-lead-bad-outcomes-teachable-moment
    September 29, 2017 - Commentary Polypharmacy in the elderly--when good drugs lead to bad outcomes: a teachable moment. Citation Text: Carroll C, Hassanin A. Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment. JAMA Intern Med. 2017;177(6):871. doi:10.1001/jamainternmed.2017.0…

  13. Reversing the rise in maternal mortality. | PSNet

    psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
    January 18, 2017 - Commentary Reversing the rise in maternal mortality. Citation Text: Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  14. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. | PSNet

    psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence
    October 19, 2022 - Review Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. Citation Text: Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. …

  15. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. | PSNet

    psnet.ahrq.gov/issue/triangle-model-evaluating-effect-health-information-technology-healthcare-quality-and-safety
    May 25, 2010 - Commentary The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. Citation Text: Ancker JS, Kern LM, Abramson EL, et al. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety…

  16. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. | PSNet

    psnet.ahrq.gov/issue/comparing-usability-and-reliability-generic-and-domain-specific-medical-error-taxonomy
    June 29, 2011 - Study Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. Comparing the usability and reliability of a generic and a domain-specific medical error taxonomy. Saf Sci. 2012;50(9):1801…

  17. Administering and monitoring high-alert medications in acute care. | PSNet

    psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
    February 01, 2017 - Commentary Administering and monitoring high-alert medications in acute care. Citation Text: Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. Copy Citation Format: DOI Google Scholar…

  18. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet

    psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
    August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…

  19. Getting doctors to clean their hands: lead the followers. | PSNet

    psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - Study Getting doctors to clean their hands: lead the followers. Citation Text: Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396. Copy Citation Format: DOI Go…

  20. The application of Aronson's taxonomy to medication errors in nursing. | PSNet

    psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
    January 15, 2009 - Study The application of Aronson's taxonomy to medication errors in nursing. Citation Text: Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14. Copy Citation Format: …
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