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Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. | PSNet

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December 31, 2014 - Study Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Citation Text: Hundt AS, Adams JA, Schmid A, et al. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. Int J Med Inform…

A paradigm shift to balance safety and quality in pediatric pain management. | PSNet

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July 01, 2020 - Study A paradigm shift to balance safety and quality in pediatric pain management. Citation Text: Avansino JR, Peters LM, Stockfish SL, et al. A paradigm shift to balance safety and quality in pediatric pain management. Pediatrics. 2013;131(3):e921-7. doi:10.1542/peds.2012-1378. Copy C…

A team disclosure of error educational activity: objective outcomes. | PSNet

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January 31, 2018 - Study A team disclosure of error educational activity: objective outcomes. Citation Text: Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. Copy Citation Forma…

Patient safety: let's measure what matters. | PSNet

psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters

July 03, 2016 - Commentary Patient safety: let's measure what matters. Citation Text: Thomas EJ, Classen D. Patient safety: let's measure what matters. Ann Intern Med. 2014;160(9):642-3. doi:10.7326/M13-2528. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. | PSNet

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January 19, 2012 - Study Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health record-based study. Citation Text: Singh H, Hirani K, Kadiyala H, et al. Characteristics and predictors of missed opportunities in lung cancer diagnosis: an electronic health rec…

Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. | PSNet

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May 01, 2013 - Commentary Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Citation Text: Flemming DJ, White C, Fox E, et al. Diagnostic errors in musculoskeletal oncology and possible mitigation strategies. Skeletal Radiol. 2023;52(3):493-503. doi:10.1007/s00256-022-04…

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries. | PSNet

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November 26, 2014 - Study The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries. Citation Text: Press MJ, Silber JH, Rosen AK, et al. The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries. J Gen Intern Med. 2011;26(4):…

Defining speaking up in the healthcare system: a systematic review. | PSNet

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September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. Citation Text: Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. Copy Citation Forma…

Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. | PSNet

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October 04, 2023 - Review Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. Citation Text: Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. …

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

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May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. | PSNet

psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence-integrated-operating-room

March 18, 2013 - Study Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. Citation Text: Buzink SN, van Lier L, de Hingh IHJT, et al. Risk-sensitive events during laparoscopic cholecystectomy: the influence of the…

Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet

psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and

May 19, 2021 - Study Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. Citation Text: Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…

An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/intervention-improve-transitions-nicu-ambulatory-care-quasi-experimental-study

December 30, 2014 - Study An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. Citation Text: Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. …

The effect on medication errors of pharmacists charting medication in an emergency department. | PSNet

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November 16, 2022 - Study The effect on medication errors of pharmacists charting medication in an emergency department. Citation Text: Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9.…

SAFER Care: improving caregiver comprehension of discharge instructions. | PSNet

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October 26, 2022 - Study SAFER Care: improving caregiver comprehension of discharge instructions. Citation Text: Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. Copy Citation Fo…

Readiness for organisational change among general practice staff. | PSNet

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April 24, 2018 - Study Readiness for organisational change among general practice staff. Citation Text: Christl B, Harris MF, Jayasinghe UW, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12. doi:10.1136/qshc.2009.033373. Copy Citation F…

Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/medical-costs-alzheimers-disease-misdiagnosis-among-us-medicare-beneficiaries

August 20, 2018 - Study Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Citation Text: Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.0…

Racial and ethnic harm in patient care is a patient safety issue. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue

October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety

July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

Ambulatory patient safety. What we know and need to know. | PSNet

psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-know-and-need-know

May 27, 2015 - Study Ambulatory patient safety. What we know and need to know. Citation Text: Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007. Copy Citation Format: …

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