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7921. Beyond medication reconciliation: the correct medication list. | PSNet
      psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
      February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

7922. 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:…

7923. The practice of medicine: understanding diagnostic error. | PSNet
      psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
      July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. Citation Text: Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

7924. 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…

7925. Ensuring staff safety when treating potentially violent patients. | PSNet
      psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
      July 14, 2010 - Commentary Ensuring staff safety when treating potentially violent patients. Citation Text: Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. Copy Citation Format: DOI G…

7926. The struggle to improve patient care in the face of professional boundaries. | PSNet
      psnet.ahrq.gov/issue/struggle-improve-patient-care-face-professional-boundaries
      November 13, 2019 - Study The struggle to improve patient care in the face of professional boundaries. Citation Text: Powell AE, Davies H. The struggle to improve patient care in the face of professional boundaries. Soc Sci Med. 2012;75(5):807-14. doi:10.1016/j.socscimed.2012.03.049. Copy Citation F…

7927. 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: …

7928. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. | PSNet
      psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
      July 15, 2015 - Commentary Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s0…

7929. EACTS guidelines for the use of patient safety checklists. | PSNet
      psnet.ahrq.gov/issue/eacts-guidelines-use-patient-safety-checklists
      October 31, 2012 - Commentary EACTS guidelines for the use of patient safety checklists. Citation Text: Clark SC, Dunning J, Alfieri OR, et al. EACTS guidelines for the use of patient safety checklists. Eur J Cardiothorac Surg. 2012;41(5):993-1004. doi:10.1093/ejcts/ezs009. Copy Citation Format: …

7930. A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet
      psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
      December 09, 2020 - Newspaper/Magazine Article A system-based approach to managing patient safety in ambulatory care (and beyond). Citation Text: A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…

7931. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet
      psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
      December 16, 2020 - Study Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Citation Text: Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. C…

7932. Independent double-checks for high-alert medications: essential practice. | PSNet
      psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
      February 01, 2023 - Commentary Independent double-checks for high-alert medications: essential practice. Citation Text: Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. Copy Citation …

7933. High fidelity simulation-based training in neonatal nursing. | PSNet
      psnet.ahrq.gov/issue/high-fidelity-simulation-based-training-neonatal-nursing
      April 11, 2011 - Study High fidelity simulation-based training in neonatal nursing. Citation Text: Yaeger KA, Halamek LP, Coyle M, et al. High-fidelity simulation-based training in neonatal nursing. Adv Neonatal Care. 2004;4(6):326-31. Copy Citation Format: Google Scholar PubMed BibTeX En…

7934. The nexus of nursing leadership and a culture of safer patient care. | PSNet
      psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
      January 18, 2018 - Review The nexus of nursing leadership and a culture of safer patient care. Citation Text: Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980. Copy Citation Format: DOI…

7935. Eliminating perioperative adverse events at Ascension Health. | PSNet
      psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
      November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

7936. What causes adverse events in prehospital care? A human-factors approach. | PSNet
      psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
      July 26, 2023 - Study What causes adverse events in prehospital care? A human-factors approach. Citation Text: Price R, Bendall JC, Patterson JA, et al. What causes adverse events in prehospital care? A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. Copy Cit…

7937. Monitoring teamwork: a narrative review. | PSNet
      psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review
      November 06, 2015 - Review Monitoring teamwork: a narrative review. Citation Text: Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

7938. Building a culture of safety through team training and engagement. | PSNet
      psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-engagement
      September 23, 2017 - Study Building a culture of safety through team training and engagement. Citation Text: Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf. 2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011. Copy Citation Format: DOI Google S…

7939. Our other prescription drug problem. | PSNet
      psnet.ahrq.gov/issue/our-other-prescription-drug-problem
      May 17, 2017 - Commentary Our other prescription drug problem. Citation Text: Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693-695. doi:10.1056/NEJMp1715050. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

7940. "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. | PSNet
      psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
      September 04, 2024 - Commentary "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. Citation Text: Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3…