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Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. | PSNet

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August 04, 2021 - Study Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. Citation Text: Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural pr…

A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. | PSNet

psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after

December 15, 2021 - Review A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. Citation Text: Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …

Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. | PSNet

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June 12, 2013 - Review Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. Citation Text: Cadet T, Cusimano J, McKearney S, et al. Describing the evidence linking interprofessional education interventio…

Sources of medication omissions among hospitalized older adults with polypharmacy. | PSNet

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January 18, 2023 - Study Sources of medication omissions among hospitalized older adults with polypharmacy. Citation Text: Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jg…

How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? | PSNet

psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous-thromboembolism

April 03, 2017 - Study How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? Citation Text: White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;4…

Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. | PSNet

psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety

December 19, 2012 - Study Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Citation Text: Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …

An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. | PSNet

psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent

March 25, 2021 - Study An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. Citation Text: Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…

Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet

psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event

August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

Learning in radiation oncology: 12-month experience with a new incident learning system. | PSNet

psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system

February 16, 2022 - Study Learning in radiation oncology: 12-month experience with a new incident learning system. Citation Text: Crouch K, Adamson L, Beldham‐Collins R, et al. Learning in radiation oncology: 12‐month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10…

Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. | PSNet

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June 12, 2024 - Study Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. Citation Text: Øyri SF, Søreide K, Søreide E, et al. Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with s…

Factors determining safety culture in hospitals: a scoping review. | PSNet

psnet.ahrq.gov/issue/factors-determining-safety-culture-hospitals-scoping-review

March 09, 2022 - Review Factors determining safety culture in hospitals: a scoping review. Citation Text: Carvalho REFL de, Bates DW, Syrowatka A, et al. Factors determining safety culture in hospitals: a scoping review. BMJ Open Qual. 2023;12(4):e002310. doi:10.1136/bmjoq-2023-002310. Copy Citation …

Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet

psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical

August 09, 2023 - Study Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. Citation Text: Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care …

Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. | PSNet

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March 24, 2019 - Review Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. Citation Text: Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and suppo…

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans

September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

Older adults' awareness of deprescribing: a population-based survey. | PSNet

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June 22, 2009 - Study Older adults' awareness of deprescribing: a population-based survey. Citation Text: Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079. Copy Citation Format: DOI …

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events. | PSNet

psnet.ahrq.gov/issue/relationship-between-complaints-and-quality-care-new-zealand-descriptive-analysis

October 21, 2010 - Study Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events. Citation Text: Bismark MM, Brennan TA, Paterson RJ, et al. Relationship between complaints and quality of care in New Zealand:…

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. | PSNet

psnet.ahrq.gov/issue/secure-multicentre-survey-safety-emergency-care-uk-emergency-departments

June 16, 2009 - Study SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. Citation Text: Flowerdew L, Tipping M. SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. Emerg Med J. 2021;38(10):769-775. doi:10.1136/emermed-2019-2089…

Five topics health care simulation can address to improve patient safety: results from a consensus process. | PSNet

psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus

June 28, 2023 - Study Five topics health care simulation can address to improve patient safety: results from a consensus process. Citation Text: Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Sa…

Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report

January 12, 2022 - Study Diagnostic error in the emergency department: learning from national patient safety incident report analysis. Citation Text: Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…

Autopsy as a quality control measure for radiology, and vice versa. | PSNet

psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa

April 24, 2018 - Study Autopsy as a quality control measure for radiology, and vice versa. Citation Text: Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. Copy Citation Fo…

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