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  1. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-patterns-potentially-avoidable-hospitalizations-us-long-term-care-setting
    August 04, 2021 - Study Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Citation Text: Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Int J Qual Health Care. …

  2. Imagining improved interactions: patients' designs to address implicit bias. | PSNet

    psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias
    March 27, 2019 - Study Imagining improved interactions: patients' designs to address implicit bias. Citation Text: Imagining improved interactions: patients' designs to address implicit bias. Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. Copy Citation Sav…

  3. Peer support: healthcare professionals supporting each other after adverse medical events. | PSNet

    psnet.ahrq.gov/issue/peer-support-healthcare-professionals-supporting-each-other-after-adverse-medical-events
    July 24, 2024 - Study Peer support: healthcare professionals supporting each other after adverse medical events. Citation Text: van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. …

  4. Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. | PSNet

    psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
    May 18, 2022 - Study Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. Citation Text: Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. McCarthy L, Dolovich L, Haq M, et a…

  5. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. | PSNet

    psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
    November 16, 2022 - Study Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. Citation Text: Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …

  6. Impact of senior clinical review on patient disposition from the emergency department. | PSNet

    psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
    August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…

  7. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. | PSNet

    psnet.ahrq.gov/issue/advancing-diagnostic-equity-through-clinician-engagement-community-partnerships-and-connected
    June 22, 2022 - Commentary Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. Citation Text: Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;…

  8. Structural racism and adverse maternal health outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review
    February 15, 2023 - Review Structural racism and adverse maternal health outcomes: a systematic review. Citation Text: Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. …

  9. Debiasing health-related judgments and decision making: a systematic review. | PSNet

    psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
    January 04, 2010 - Review Debiasing health-related judgments and decision making: a systematic review. Citation Text: Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. Copy Citation Forma…

  10. Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
    May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

  11. Carers' medication administration errors in the domiciliary setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
    December 18, 2017 - Review Carers' medication administration errors in the domiciliary setting: a systematic review. Citation Text: Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…

  12. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. | PSNet

    psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
    June 27, 2018 - Study Classic A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Citation Text: Hickson GB, Pichert JW, Webb LE, et al. A complementary approach to promoting professionalism: identifying, mea…

  13. Patient-reported safety and quality of care in outpatient oncology. | PSNet

    psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
    January 23, 2012 - Study Patient-reported safety and quality of care in outpatient oncology. Citation Text: Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94. Copy Citation Format: Google S…

  14. Advising patients about patient safety: current initiatives risk shifting responsibility. | PSNet

    psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
    May 20, 2015 - Commentary Advising patients about patient safety: current initiatives risk shifting responsibility. Citation Text: Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494.…

  15. Low literacy impairs comprehension of prescription drug warning labels. | PSNet

    psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-warning-labels
    January 21, 2009 - Study Low literacy impairs comprehension of prescription drug warning labels. Citation Text: Davis TC, Wolf MS, Bass PF, et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006;21(8):847-51. Copy Citation Format: Google Schola…

  16. The patient died: what about involvement in the investigation process? | PSNet

    psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
    June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…

  17. Nurse leader attitudes and beliefs regarding medical errors. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

  18. Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. | PSNet

    psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking
    October 19, 2022 - Study Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. Citation Text: Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…

  19. Learning from latent safety threats identified during simulation to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
    June 10, 2020 - Study Learning from latent safety threats identified during simulation to improve patient safety. Citation Text: Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…

  20. Dispensing error rates in pharmacy: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
    June 10, 2020 - Review Dispensing error rates in pharmacy: a systematic review and meta-analysis. Citation Text: Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis. Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003. Copy Citation …
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