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Pharmacist linkage in care transitions: from academic medical center to community. | PSNet

psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community

November 16, 2022 - Study Pharmacist linkage in care transitions: from academic medical center to community. Citation Text: Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j…

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet

psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges

July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…

Standardizing medication reconciliation in a pediatric emergency department. | PSNet

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March 10, 2019 - Study Standardizing medication reconciliation in a pediatric emergency department. Citation Text: Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. …

Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. | PSNet

psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted

March 15, 2023 - Study Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Citation Text: Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…

Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent

April 24, 2019 - Study Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Citation Text: Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…

Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study

March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…

Exploring relationships between hospital patient safety culture and adverse events. | PSNet

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August 27, 2012 - Study Exploring relationships between hospital patient safety culture and adverse events. Citation Text: Mardon RE, Khanna K, Sorra J, et al. Exploring relationships between hospital patient safety culture and adverse events. J Patient Saf. 2010;6(4):226-32. doi:10.1097/PTS.0b013e3181fd1…

Chemotherapy errors: a call for a standardized approach to measurement and reporting. | PSNet

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October 28, 2020 - Commentary Chemotherapy errors: a call for a standardized approach to measurement and reporting. Citation Text: Lennes IT, Bohlen N, Park ER, et al. Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. J Oncol Pract. 2016;12(4):e495-501. doi:10.1200/JOP.2…

Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. | PSNet

psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident

July 27, 2016 - Study Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. Citation Text: Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident…

The impact of mobile technology on teamwork and communication in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review

January 29, 2020 - Review Emerging Classic The impact of mobile technology on teamwork and communication in hospitals: a systematic review. Citation Text: Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…

Flying lessons for clinicians: developing system 2 practice. | PSNet

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April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…

The costs of adverse drug events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients

February 10, 2011 - Study Classic The costs of adverse drug events in hospitalized patients. Citation Text: Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. Copy…

Fifteen years after To Err Is Human: a success story to learn from. | PSNet

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August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. | PSNet

psnet.ahrq.gov/issue/reduced-duty-hours-model-senior-internal-medicine-residents-qualitative-analysis-residents

June 25, 2014 - Study A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. Citation Text: Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residen…

The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled

January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-patient-outcomes-among-hospitalized-children-cared-general-pediatricians

March 23, 2016 - Study Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. Citation Text: Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.…

Reducing potential errors associated with insulin administration: an integrative review. | PSNet

psnet.ahrq.gov/issue/reducing-potential-errors-associated-insulin-administration-integrative-review

March 31, 2021 - Review Reducing potential errors associated with insulin administration: an integrative review. Citation Text: Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. Copy Cita…

Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-hospital-participation-regional-trauma-quality-improvement-collaborative-patient

August 20, 2018 - Study Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. Citation Text: Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…

Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. | PSNet

psnet.ahrq.gov/issue/analysis-consistency-emergency-department-physician-variation-propensity-admission-across

May 19, 2021 - Study Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. Citation Text: Khidir H, McWilliams JM, O’Malley AJ, et al. Analysis of consistency in emergency department physician variation in propensity for …

Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet

psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture

August 01, 2018 - Study Leveraging a safety event management system to improve organizational learning and safety culture. Citation Text: Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407…

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