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Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics

July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

Radiologist age and diagnostic errors. | PSNet

psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors

March 02, 2022 - Study Radiologist age and diagnostic errors. Citation Text: Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. | PSNet

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September 18, 2024 - Organizational Policy/Guidelines Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Citation Text: Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. | PSNet

psnet.ahrq.gov/issue/postdischarge-adverse-events-1-day-hospital-admissions-older-adults-admitted-emergency

May 18, 2022 - Study Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department. Citation Text: Pines JM, Mongelluzzo J, Hilton JA, et al. Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency depa…

Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet

psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared

September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. Citation Text: Imfeld K, Keith M, Stoyanoff L, et al. Diet order entry by registered dietitians results in a reduction in error rates and time …

Disclosure of "nonharmful" medical errors and other events: duty to disclose. | PSNet

psnet.ahrq.gov/issue/disclosure-nonharmful-medical-errors-and-other-events-duty-disclose

January 23, 2017 - Commentary Disclosure of "nonharmful" medical errors and other events: duty to disclose. Citation Text: Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005. …

Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. | PSNet

psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died

September 30, 2020 - Book/Report Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Citation Text: Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Repor…

Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. | PSNet

psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors

May 10, 2017 - Study Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Citation Text: Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med …

Patients' and healthcare workers' perceptions of a patient safety advisory. | PSNet

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March 11, 2013 - Study Patients' and healthcare workers' perceptions of a patient safety advisory. Citation Text: Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062.…

Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. | PSNet

psnet.ahrq.gov/issue/safe-practices-copy-and-paste-ehr-systematic-review-recommendations-and-novel-model-health-it

April 08, 2018 - Review Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. Citation Text: Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for…

Trial and error: learning from malpractice claims in childhood surgery. | PSNet

psnet.ahrq.gov/issue/trial-and-error-learning-malpractice-claims-childhood-surgery

March 09, 2022 - Study Trial and error: learning from malpractice claims in childhood surgery. Citation Text: Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. Copy Citation Fo…

The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-checklist-quality-post-anaesthesia-patient-handover-randomized-controlled-trial

February 15, 2012 - Study The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Citation Text: Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int…

Mentorship for newly appointed physicians: a strategy for enhancing patient safety? | PSNet

psnet.ahrq.gov/issue/mentorship-newly-appointed-physicians-strategy-enhancing-patient-safety

April 22, 2012 - Study Mentorship for newly appointed physicians: a strategy for enhancing patient safety? Citation Text: Harrison R, McClean S, Lawton R, et al. Mentorship for newly appointed physicians: a strategy for enhancing patient safety? J Patient Saf. 2014;10(3):159-67. doi:10.1097/PTS.0b013e318…

Identifying modifiable barriers to medication error reporting in the nursing home setting. | PSNet

psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting

March 10, 2011 - Study Identifying modifiable barriers to medication error reporting in the nursing home setting. Citation Text: Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74. C…

Teaching a 'good' ward round. | PSNet

psnet.ahrq.gov/issue/teaching-good-ward-round

October 28, 2020 - Commentary Teaching a 'good' ward round. Citation Text: Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

Characteristics of medical professional liability claims against internists. | PSNet

psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-against-internists

April 21, 2010 - Study Characteristics of medical professional liability claims against internists. Citation Text: Mangalmurti SS, Harold JG, Parikh PD, et al. Characteristics of medical professional liability claims against internists. JAMA Intern Med. 2014;174(6):993-5. doi:10.1001/jamainternmed.2014.1…

Using pharmacists to optimize patient outcomes and costs in the ED. | PSNet

psnet.ahrq.gov/issue/using-pharmacists-optimize-patient-outcomes-and-costs-ed

October 13, 2015 - Review Using pharmacists to optimize patient outcomes and costs in the ED. Citation Text: Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. Copy Citation For…

Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay

December 22, 2008 - Commentary Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. Citation Text: Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…

Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12

February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

Fixed-dose combination antihypertensives and risk of medication errors. | PSNet

psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors

September 28, 2016 - Study Fixed-dose combination antihypertensives and risk of medication errors. Citation Text: Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492. Copy Citation Format: …

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