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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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.…
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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…
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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. …
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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.
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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:…
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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.
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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…
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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.…
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psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
June 24, 2020 - Journal Article
E-collection: Safety and Error Prevention in Health.
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May 3, 2017
The increasing implementation of health informati…
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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…
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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…
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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…
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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…