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The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. | PSNet

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December 21, 2022 - Study The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. Citation Text: Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department…

Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. | PSNet

psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric

November 16, 2015 - Study Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. Citation Text: Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…

Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. | PSNet

psnet.ahrq.gov/issue/impact-regionalized-care-concordance-plan-and-preventable-adverse-events-general-medicine

November 16, 2022 - Study Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. Citation Text: Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine service…

Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. | PSNet

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August 26, 2011 - Study Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. Citation Text: Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…

Educating seniors to be patient safety self-advocates in primary care. | PSNet

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December 15, 2011 - Study Educating seniors to be patient safety self-advocates in primary care. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. Copy Citation Form…

Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet

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June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…

Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. | PSNet

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July 26, 2023 - Book/Report Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. Citation Text: Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in V…

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. | PSNet

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August 20, 2018 - Study Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Citation Text: Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…

Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. | PSNet

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September 13, 2023 - Study Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. Citation Text: Magerøy MR, Macrae C, Braut GS, et al. Managing patient safety and staff safety in nursing homes: exploring how lead…

Providers' and patients' perspectives on diagnostic errors in the acute care setting. | PSNet

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October 20, 2021 - Study Providers' and patients' perspectives on diagnostic errors in the acute care setting. Citation Text: Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…

A 38-year-old woman with fetal loss and hysterectomy. | PSNet

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January 12, 2011 - Commentary Classic A 38-year-old woman with fetal loss and hysterectomy. Citation Text: Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. Copy Citation Format: DOI Google Schola…

Determinants of patient–oncologist prognostic discordance in advanced cancer. | PSNet

psnet.ahrq.gov/issue/determinants-patient-oncologist-prognostic-discordance-advanced-cancer

July 13, 2022 - Study Determinants of patient–oncologist prognostic discordance in advanced cancer. Citation Text: Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861. Cop…

In search of common ground in handoff documentation in an intensive care unit. | PSNet

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March 23, 2011 - Study In search of common ground in handoff documentation in an intensive care unit. Citation Text: Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …

Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. | PSNet

psnet.ahrq.gov/issue/parent-engagement-perinatal-mortality-reviews-online-survey-clinicians-six-high-income

April 13, 2022 - Study Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. Citation Text: Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high‐income countries. BJ…

Managing competing organizational priorities in clinical handover across organizational boundaries. | PSNet

psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational

February 07, 2024 - Study Managing competing organizational priorities in clinical handover across organizational boundaries. Citation Text: Sujan MA, Chessum P, Rudd M, et al. Managing competing organizational priorities in clinical handover across organizational boundaries. J Health Serv Res Policy. 2015;…

Clinical oversight: conceptualizing the relationship between supervision and safety. | PSNet

psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety

June 23, 2010 - Study Clinical oversight: conceptualizing the relationship between supervision and safety. Citation Text: Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. Copy Citation …

Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet

psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care

December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …

FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). | PSNet

psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting

August 05, 2020 - Press Release/Announcement FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). Citation Text: FDA Drug Safety Communication: FDA warns ab…

Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. | PSNet

psnet.ahrq.gov/issue/automated-communication-tools-and-computer-based-medication-reconciliation-decrease-hospital

September 23, 2020 - Study Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. Citation Text: Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Dischar…

Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. | PSNet

psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc-issues-voluntary-nationwide-recall-cisatracurium-besylate

February 03, 2021 - Press Release/Announcement Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP 10mg per 5mL due to mislabeling. Citation Text: Meitheal Pharmaceuticals, Inc. issues voluntary nationwide recall of Cisatracurium Besylate Injection, USP…

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