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Implementing a commercial rule base as a medication order safety net. | PSNet

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January 03, 2017 - Study Implementing a commercial rule base as a medication order safety net. Citation Text: Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9. Copy Citation Format: Google…

Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. | PSNet

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March 14, 2022 - Study Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. Citation Text: Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. do…

Implementation of computerized physician order entry in seven countries. | PSNet

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April 05, 2017 - Study Implementation of computerized physician order entry in seven countries. Citation Text: Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff (Millwood). 2009;28(2):404-414. doi:10.1377/hlthaff.28.2.404. Copy Citation Format: …

Same-hospital readmission rates as a measure of pediatric quality of care. | PSNet

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September 18, 2024 - Study Same-hospital readmission rates as a measure of pediatric quality of care. Citation Text: Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129. …

Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet

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August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…

Using a change model to reduce the risk of surgical site infection. | PSNet

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June 06, 2018 - Commentary Using a change model to reduce the risk of surgical site infection. Citation Text: Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

Organizational and cultural changes for providing safe patient care. | PSNet

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June 01, 2022 - Study Organizational and cultural changes for providing safe patient care. Citation Text: Odwazny R, Hasler S, Abrams R, et al. Organizational and cultural changes for providing safe patient care. Qual Manag Health Care. 2005;14(3):132-143. Copy Citation Format: Google Sc…

Revisiting old slides—how worthwhile is it? | PSNet

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October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. | PSNet

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February 12, 2020 - Review Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. Citation Text: Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04. Copy Citation …

Potential medical adverse events associated with death: a forensic pathology perspective. | PSNet

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July 31, 2019 - Study Potential medical adverse events associated with death: a forensic pathology perspective. Citation Text: Sakai K, Takatsu A, Shigeta A, et al. Potential medical adverse events associated with death: a forensic pathology perspective. International Journal for Quality in Health Car…

Unprofessional workplace conduct...defining and defusing it. | PSNet

psnet.ahrq.gov/issue/unprofessional-workplace-conductdefining-and-defusing-it

November 12, 2014 - Commentary Unprofessional workplace conduct...defining and defusing it. Citation Text: MacLean L, Coombs C, Breda K. Unprofessional workplace conduct..defining and defusing it. Nurs Manage. 2016;47(9):30-34. doi:10.1097/01.NUMA.0000491126.68354.be. Copy Citation Format: DOI…

The role of South--North partnerships in promoting shared learning and knowledge transfer. | PSNet

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July 29, 2020 - Commentary The role of South--North partnerships in promoting shared learning and knowledge transfer. Citation Text: Basu L, Pronovost P, Molello NE, et al. The role of South-North partnerships in promoting shared learning and knowledge transfer. Global Health. 2017;13(1):64. doi:10.1186…

Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. | PSNet

psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles

December 31, 2014 - Study Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. Citation Text: Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacl…

The safety of emergency medicine. | PSNet

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November 21, 2021 - Review The safety of emergency medicine. Citation Text: Ramlakhan S, Qayyum H, Burke D, et al. The safety of emergency medicine. Emerg Med J. 2016;33(4):293-9. doi:10.1136/emermed-2014-204564. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

The perianesthesia nurse's role in the prevention of opioid-related sentinel events. | PSNet

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November 25, 2020 - Commentary The perianesthesia nurse's role in the prevention of opioid-related sentinel events. Citation Text: Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. Copy Citat…

Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? | PSNet

psnet.ahrq.gov/issue/prompting-physicians-address-daily-checklist-antibiotics-do-we-need-co-pilot-icu

September 23, 2020 - Review Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Citation Text: Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52.…

Frequency, types, and potential clinical significance of medication-dispensing errors. | PSNet

psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors

February 03, 2011 - Study Frequency, types, and potential clinical significance of medication-dispensing errors. Citation Text: Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6. Copy Citation …

Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. | PSNet

psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department

March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…

A living will misinterpreted as a DNR order: confusion compromises patient care. | PSNet

psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care

September 11, 2019 - Commentary A living will misinterpreted as a DNR order: confusion compromises patient care. Citation Text: Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014. Co…

Narrativizing errors of care: critical incident reporting in clinical practice. | PSNet

psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice

September 06, 2017 - Commentary Narrativizing errors of care: critical incident reporting in clinical practice. Citation Text: Iedema R, Flabouris A, Grant S, et al. Narrativizing errors of care: critical incident reporting in clinical practice. Soc Sci Med. 2006;62(1):134-44. Copy Citation Format: …

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