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  1. psnet.ahrq.gov/issue/device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life-study
    June 22, 2022 - Study Device use errors among patients with asthma and COPD and the role of training: a real-life study. Citation Text: Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133…
  2. psnet.ahrq.gov/issue/interventions-improve-follow-laboratory-test-results-pending-discharge-systematic-review
    May 19, 2021 - Review Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. Citation Text: Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review. J Hosp Med. 2…
  3. psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
    October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …
  4. psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
    March 05, 2010 - Study Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. Citation Text: Buljac-Samardzic M, van Wijngaarden JD, van Doorn CMD-. Safety culture in long-term care: a cross-sectional analysi…
  5. psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
    January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…
  6. psnet.ahrq.gov/issue/cold-debriefings-after-hospital-cardiac-arrest-international-pediatric-resuscitation-quality
    August 26, 2020 - Study Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative. Citation Text: Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality…
  7. psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study
    December 14, 2016 - Study Pictograms, units and dosing tools, and parent medication errors: a randomized study. Citation Text: Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3…
  8. psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice
    April 25, 2016 - Review Emerging Classic Patient-mediated interventions to improve professional practice. Citation Text: Fønhus MS, Dalsbø TK, Johansen M, et al. Patient-mediated interventions to improve professional practice. Cochrane Database Syst Rev. 2018;9:CD012472. doi:10.…
  9. psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
    September 15, 2011 - Study The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Citation Text: Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…
  10. psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
    March 10, 2019 - Study Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Citation Text: Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …
  11. psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
    May 11, 2016 - Study Quality of handoffs in community pharmacies. Citation Text: Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…
  12. psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
    January 31, 2024 - Study Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Citation Text: Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…
  13. psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
    May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…
  14. psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61110/psn-pdf
    November 11, 2020 - Association between parent comfort with English and adverse events among hospitalized children. November 11, 2020 Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.1001/jamapediatrics.2020.3215.…
  16. psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
    June 24, 2020 - Journal Article E-collection: Safety and Error Prevention in Health. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 3, 2017 The increasing implementation of health informati…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866353/psn-pdf
    July 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. July 24, 2024 Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans with two plan…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72572/psn-pdf
    January 01, 2021 - "At home, with care": lessons from New York City home- based primary care practices managing COVID-19. December 16, 2020 Franzosa E, Gorbenko K, Brody AA, et al. "At home, with care": lessons from New York City home-based primary care practices managing COVID-19. J Am Geriatr Soc. 2021;69(2):300-306. doi:10.1111/j…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39001/psn-pdf
    April 04, 2011 - Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential? April 4, 2011 Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records ach…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43514/psn-pdf
    April 25, 2016 - A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. April 25, 2016 Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: The Focus on System-Related Factors…

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