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Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. | PSNet

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May 08, 2019 - Study Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. Citation Text: Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;4…

Implementation of an electronic system for medication reconciliation. | PSNet

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December 02, 2020 - Study Implementation of an electronic system for medication reconciliation. Citation Text: Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. Copy Citati…

The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. | PSNet

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April 10, 2019 - Book/Report The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. Citation Text: Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence: From Passive Reception Towards Co-Design. Rockville, MD: Agency…

Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

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August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

Can Research Help Us Improve the Medical Liability System? | PSNet

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March 01, 2012 - One answer is neither: reforms should generate more appropriate claiming behavior. … itself was a big shift from litigation gamesmanship to a more fundamental question that I knew we could answer … We didn't need a court to answer, "Was our care reasonable, and did it meet our standards under the circumstances … So I guess the short answer is that yes, they all have shades of gray, but it is in the nature of academic … It really isn't as hard as you might think to answer whether this is the care that we expect of ourselves

In Conversation With… Richard C. Boothman, JD | PSNet

psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd

March 01, 2012 - itself was a big shift from litigation gamesmanship to a more fundamental question that I knew we could answer … We didn't need a court to answer, "Was our care reasonable, and did it meet our standards under the circumstances … So I guess the short answer is that yes, they all have shades of gray, but it is in the nature of academic … It really isn't as hard as you might think to answer whether this is the care that we expect of ourselves … One answer is neither: reforms should generate more appropriate claiming behavior.

Development of a trigger tool to identify adverse events and harm in emergency medical services. | PSNet

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August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…

Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

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February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…

Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. | PSNet

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March 20, 2024 - Study Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Citation Text: Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …

Blink or think: can further reflection improve initial diagnostic impressions? | PSNet

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November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…

Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. | PSNet

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December 19, 2011 - Study Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment. Citation Text: Apker J, Mallak LA, Applegate B, et al. Exploring emergency physician-hospitalist handoff interactions: development of the Handoff Communication Ass…

Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? | PSNet

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February 06, 2014 - Study Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Citation Text: Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…

Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. | PSNet

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February 27, 2009 - Study Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. Citation Text: Gardner B, Graner K. Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. Jt Comm J Qual Patient Saf. 2009;35(5):278-82. Copy …

Pharmacist medication assessments in a surgical preadmission clinic. | PSNet

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October 15, 2008 - Study Pharmacist medication assessments in a surgical preadmission clinic. Citation Text: Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. Copy Citation Format: Google Scholar…

The wisdom of patients and families: ignore it at our peril. | PSNet

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March 13, 2013 - Commentary The wisdom of patients and families: ignore it at our peril. Citation Text: Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573. Copy Citation Format: DOI Google Scholar PubMe…

Medication errors in the management of anaphylaxis in a pediatric emergency department. | PSNet

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April 24, 2018 - Study Medication errors in the management of anaphylaxis in a pediatric emergency department. Citation Text: Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jem…

The road to zero preventable birth injuries. | PSNet

psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries

January 05, 2012 - Commentary The road to zero preventable birth injuries. Citation Text: Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

Hand-off Communications. | PSNet

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January 04, 2017 - Multi-use Website Hand-off Communications. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Copy Citation Format: Google Scholar P…

Anatomy and pathophysiology of errors occurring in clinical radiology practice. | PSNet

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February 01, 2011 - Commentary Anatomy and pathophysiology of errors occurring in clinical radiology practice. Citation Text: Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. d…

Legality of technicians' involvement in medication reconciliation not clear. | PSNet

psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear

June 13, 2011 - Newspaper/Magazine Article Legality of technicians' involvement in medication reconciliation not clear. Citation Text: Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the A…

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