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  1. Antimicrobial stewardship: another focus for patient safety? | PSNet

    psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety
    May 29, 2024 - Review Antimicrobial stewardship: another focus for patient safety? Citation Text: Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077. Copy Citation Format: DO…

  2. A tool for the concise analysis of patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
    August 09, 2018 - Study A tool for the concise analysis of patient safety incidents. Citation Text: Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33. Copy Citation Format: Google Scholar PubMed Bib…

  3. Transformational leadership in nursing and medication safety education: a discussion paper. | PSNet

    psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
    September 08, 2021 - Commentary Transformational leadership in nursing and medication safety education: a discussion paper. Citation Text: Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper.  J Nurs Manag. 2016;24(7):970-980…

  4. The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. | PSNet

    psnet.ahrq.gov/issue/courage-speak-out-study-describing-nurses-attitudes-report-unsafe-practices-patient-care
    April 24, 2018 - Study The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care. Citation Text: Cole DA, Bersick E, Skarbek A, et al. The courage to speak out: A study describing nurses' attitudes to report unsafe practices in patient care. J Nurs Manag. 2…

  5. 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
    November 30, 2016 - Book/Report 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Citation Text: 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healt…

  6. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-department-discharge-prescriptions-requiring-pharmacy-clarification
    October 05, 2011 - Study Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Citation Text: Caruso MC, Gittelman MA, Widecan ML, et al. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Pediatr Emerg Care. 2015;31(6):403-8. doi:10.…

  7. Near miss research in the healthcare system: a scoping review. | PSNet

    psnet.ahrq.gov/issue/near-miss-research-healthcare-system-scoping-review
    July 15, 2020 - Review Near miss research in the healthcare system: a scoping review. Citation Text: Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. Copy Citation Format: …

  8. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. | PSNet

    psnet.ahrq.gov/issue/pediatric-faculty-knowledge-and-comfort-discussing-diagnostic-errors-pilot-survey-understand
    April 22, 2020 - Study Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. Citation Text: Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to un…

  9. Ensuring primary care diagnostic quality in the era of telemedicine. | PSNet

    psnet.ahrq.gov/issue/ensuring-primary-care-diagnostic-quality-era-telemedicine
    May 25, 2022 - Commentary Ensuring primary care diagnostic quality in the era of telemedicine. Citation Text: Willis JS, Tyler C, Schiff GD, et al. Ensuring primary care diagnostic quality in the era of telemedicine. Am J Med. 2021;134(9):1101-1103. doi:10.1016/j.amjmed.2021.04.027. Copy Citation …

  10. Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. | PSNet

    psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
    November 12, 2014 - Study Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Citation Text: Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…

  11. Telehealth in the COVID-19 era: a balancing act to avoid harm. | PSNet

    psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm
    September 28, 2010 - Commentary Classic Telehealth in the COVID-19 era: a balancing act to avoid harm. Citation Text: Reeves JJ, Ayers JW, Longhurst CA. Telehealth in the COVID-19 Era: a balancing act to avoid harm. J Med Internet Res. 2021;23(2):e24785. doi:10.2196/24785. Copy Ci…

  12. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. | PSNet

    psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
    November 16, 2022 - Commentary I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…

  13. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. | PSNet

    psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
    February 28, 2024 - Study “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. Citation Text: Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…

  14. The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet

    psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
    April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…

  15. An invisible disability: communication, patient safety and dual sensory impairment in older persons. | PSNet

    psnet.ahrq.gov/issue/invisible-disability-communication-patient-safety-and-dual-sensory-impairment-older-persons
    July 01, 2019 - Commentary An invisible disability: communication, patient safety and dual sensory impairment in older persons. Citation Text: Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub …

  16. Safety of medication use in primary care. | PSNet

    psnet.ahrq.gov/issue/safety-medication-use-primary-care
    March 04, 2011 - Review Safety of medication use in primary care. Citation Text: Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  17. Improving medication-related safety for residents in nursing homes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
    March 24, 2019 - Study Improving medication-related safety for residents in nursing homes: a qualitative study. Citation Text: Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…

  18. Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/evaluation-and-accurate-diagnoses-pediatric-diseases-using-artificial-intelligence
    April 15, 2020 - Study Classic Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Citation Text: Liang H, Tsui BY, Ni H, et al. Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Nat Med. 2019;25(3):433-438.…

  19. Health technology, quality and safety in a learning health system. | PSNet

    psnet.ahrq.gov/issue/health-technology-quality-and-safety-learning-health-system
    February 09, 2022 - Commentary Health technology, quality and safety in a learning health system. Citation Text: Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383. Copy Citation Format: …

  20. Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. | PSNet

    psnet.ahrq.gov/issue/education-next-frontier-patient-safety-longitudinal-resident-curriculum-diagnostic-error
    January 16, 2019 - Commentary Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error. Citation Text: Ruedinger E, Olson M, Yee J, et al. Education for the Next Frontier in Patient Safety: A Longitudinal Resident Curriculum on Diagnostic Error. Am J Med Qua…
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