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Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. | PSNet

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March 16, 2022 - Book/Report Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Citation Text: Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…

Responding to medical errors — implementing the modern ethical paradigm. | PSNet

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August 18, 2021 - Commentary Responding to medical errors — implementing the modern ethical paradigm. Citation Text: Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554. Copy Citation Format:…

Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet

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December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. | PSNet

psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational

November 12, 2014 - Study Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Citation Text: Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. | PSNet

psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization

January 22, 2017 - Study Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. Citation Text: Watts RG, Parsons K. Chemotherapy medication errors in a pe…

Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. | PSNet

psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician

December 02, 2020 - Study Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Citation Text: Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…

What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. | PSNet

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April 17, 2017 - Study What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. Citation Text: Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in…

Assessing the value of electronic prescribing in ambulatory care: A focus group study. | PSNet

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September 01, 2016 - Study Assessing the value of electronic prescribing in ambulatory care: A focus group study. Citation Text: Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j…

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. | PSNet

psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical

June 11, 2014 - Study Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Citation Text: Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm…

Factors contributing to preventing operating room "never events": a machine learning analysis. | PSNet

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July 26, 2023 - Study Factors contributing to preventing operating room "never events": a machine learning analysis. Citation Text: Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…

Developing critical thinking skills for delivering optimal care | PSNet

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June 23, 2021 - Commentary Developing critical thinking skills for delivering optimal care Citation Text: Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. Copy Citation Format: DO…

Danger in discharge summaries: abbreviations create confusion for both author and recipient. | PSNet

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March 15, 2017 - Study Danger in discharge summaries: abbreviations create confusion for both author and recipient. Citation Text: Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…

What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. | PSNet

psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow

June 22, 2022 - Commentary What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. Citation Text: Narayana S, Rajkomar A, Harrison JD, et al. What Happened to My Patient? An Educational Intervention to Facilitate Postdischarge Patient Follow-Up. J Grad Med…

Near miss research in the healthcare system: a scoping review. | PSNet

psnet.ahrq.gov/issue/near-miss-research-healthcare-system-scoping-review

July 15, 2020 - Review Near miss research in the healthcare system: a scoping review. Citation Text: Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. Copy Citation Format: …

Use of electronic health records in US hospitals. | PSNet

psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals

February 17, 2011 - Meeting/Conference Proceedings Use of electronic health records in US hospitals. Citation Text: Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

I-PASS mentored implementation handoff curriculum: champion training materials. | PSNet

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November 16, 2022 - Commentary I-PASS mentored implementation handoff curriculum: champion training materials. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794…

Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. | PSNet

psnet.ahrq.gov/issue/pediatric-faculty-knowledge-and-comfort-discussing-diagnostic-errors-pilot-survey-understand

April 22, 2020 - Study Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. Citation Text: Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to un…

Electronic health record adoption by children's hospitals in the United States. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-adoption-childrens-hospitals-united-states

February 17, 2011 - Study Electronic health record adoption by children's hospitals in the United States. Citation Text: Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/arc…

Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? | PSNet

psnet.ahrq.gov/issue/compliance-guidelines-prevent-surgical-site-infections-simple-1-2-3

January 21, 2019 - Study Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? Citation Text: Meeks DW, Lally KP, Carrick MM, et al. Compliance with guidelines to prevent surgical site infections: As simple as 1-2-3? Am J Surg. 2011;201(1):76-83. doi:10.1016/j.amjsurg.2009.0…

Zero harm in health care. | PSNet

psnet.ahrq.gov/issue/zero-harm-health-care

August 12, 2020 - Commentary Zero harm in health care. Citation Text: Gandhi TK, Feeley D, Schummers D. Zero Harm in Health Care. NEJM Catal Innov Care Deliv. 2020;1(2). doi:10.1056/cat.19.1137. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

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