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  1. Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. | PSNet

    psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module
    June 03, 2013 - Study Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Citation Text: Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…

  2. Double checking: a second look. | PSNet

    psnet.ahrq.gov/issue/double-checking-second-look
    August 28, 2017 - Study Double checking: a second look. Citation Text: Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  3. Defining health information technology–related errors: new developments since To Err Is Human. | PSNet

    psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
    December 06, 2023 - Commentary Classic Defining health information technology–related errors: new developments since To Err Is Human. Citation Text: Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med.…

  4. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/vestibular-syndromes-diagnosis-and-diagnostic-errors-patients-dizziness-presenting-emergency
    May 17, 2023 - Study Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness presenting to the emergency department: a cross-sectional study. Citation Text: Comolli L, Korda A, Zamaro E, et al. Vestibular syndromes, diagnosis and diagnostic errors in patients with dizziness pre…

  5. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. | PSNet

    psnet.ahrq.gov/issue/pediatric-patient-safety-events-during-hospitalization-approaches-accounting-institution
    December 23, 2012 - Study Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. Citation Text: Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. He…

  6. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review
    January 07, 2015 - Review The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Citation Text: Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-related patient harm in the hospital: a systematic review. Br…

  7. Association of past and future paid medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/association-past-and-future-paid-medical-malpractice-claims
    February 01, 2023 - Study Association of past and future paid medical malpractice claims. Citation Text: Hyman DA, Lerner J, Magid DJ, et al. Association of past and future paid medical malpractice claims. JAMA Health Forum. 2023;4(2):e225436. doi:10.1001/jamahealthforum.2022.5436. Copy Citation Forma…

  8. The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

    psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
    March 15, 2017 - Study The effects of computerized provider order entry implementation on communication in intensive care units. Citation Text: Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med I…

  9. Medication errors in paediatric outpatients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients
    December 15, 2011 - Study Medication errors in paediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  10. Accuracy of infection reporting in US nursing home ratings. | PSNet

    psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
    August 24, 2022 - Study Accuracy of infection reporting in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195. Copy Citation Format: DOI…

  11. Patients use an internet technology to report when things go wrong. | PSNet

    psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
    July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…

  12. What happens when healthcare innovations collide? | PSNet

    psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
    December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

  13. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. | PSNet

    psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
    September 14, 2022 - Study Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…

  14. Electronic tools to support medication reconciliation—a systematic review. | PSNet

    psnet.ahrq.gov/issue/electronic-tools-support-medication-reconciliation-systematic-review
    August 18, 2021 - Review Electronic tools to support medication reconciliation—a systematic review. Citation Text: Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068. Copy Citation…

  15. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency
    April 24, 2018 - Review Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Citation Text: Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. A…

  16. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. | PSNet

    psnet.ahrq.gov/issue/prevalence-potentially-harmful-multidrug-interactions-medication-lists-elderly-ambulatory
    May 27, 2011 - Study Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. Citation Text: Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication lists of elderly ambulatory patients. BMC Geriatr. 2021…

  17. How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. | PSNet

    psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture
    July 07, 2021 - Commentary How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. Citation Text: Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…

  18. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. | PSNet

    psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
    January 09, 2018 - Commentary The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities for implementation. Citation Text: Pickup L, Lang A, Atkinson S, et al. The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities f…

  19. Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. | PSNet

    psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
    May 27, 2020 - Study Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. Citation Text: Gray BM, Vandergrift JL, McCoy R…

  20. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. | PSNet

    psnet.ahrq.gov/issue/cardiopulmonary-arrest-and-mortality-trends-and-their-association-rapid-response-system
    January 15, 2009 - Study Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Citation Text: Chen J, Ou L, Hillman KM, et al. Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion. Med J Aust. 2014;201(3):…
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