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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
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.
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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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psnet.ahrq.gov/issue/hand-communications
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.
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient safety.
Citation Text:
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
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psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
October 13, 2010 - Commentary
Application of failure mode and effect analysis in a radiology department.
Citation Text:
Thornton E, Brook OR, Mendiratta-Lala M, et al. Application of Failure Mode and Effect Analysis in a Radiology Department. RadioGraphics. 2010;31(1):281-293. doi:10.1148/rg.311105018.
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psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic
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.
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous
Delay
March 1, 2018
O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
The Case
A 35-year-old woman with no prior cardiac history calle…
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psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english
October 19, 2022 - Study
Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.
Citation Text:
Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.…
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psnet.ahrq.gov/issue/artificial-intelligence-powered-chatbots-search-engines-cross-sectional-study-quality-and
April 21, 2021 - Study
Artificial intelligence-powered chatbots in search engines: a cross-sectional study on the quality and risks of drug information for patients.
Citation Text:
Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a cross-sectional …
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psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
July 29, 2020 - Study
Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.
Citation Text:
Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2007
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.
Citation Text:
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2007. Am J Health Syst Pharm…
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psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention
March 23, 2022 - Study
Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety.
Citation Text:
Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…
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psnet.ahrq.gov/issue/field-test-world-health-organization-multi-professional-patient-safety-curriculum-guide
June 04, 2014 - Study
Field test of the World Health Organization Multi-professional Patient Safety Curriculum Guide.
Citation Text:
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1…
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - taking a national certification examination showed that, for cases involving diagnosis, changing an answer … from incorrect to correct occurred nearly twice as often as changing an answer from correct to incorrect … And my answer was always the same, "Well one day it will be."
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psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology
May 12, 2010 - Study
Improving patient safety: effects of a safety program on performance and culture in a department of radiology.
Citation Text:
Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiolo…
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psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
April 21, 2011 - Study
Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.
Citation Text:
Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188.
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psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
June 19, 2018 - Commentary
The problem with…using stories as a source of evidence and learning.
Citation Text:
Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221.
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psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
December 04, 2016 - Commentary
Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.
Citation Text:
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…
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psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care
June 28, 2010 - Study
Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.
Citation Text:
Kopp BJ, Mrsan M, Erstad BL, et al. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist. Am J H…
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psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
December 29, 2014 - Study
Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit.
Citation Text:
Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …