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The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness. | PSNet

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January 19, 2012 - Study The role of patients and their relatives in 'speaking up' about their own safety—a qualitative study of acute illness. Citation Text: Rainey H, Ehrich K, Mackintosh N, et al. The role of patients and their relatives in 'speaking up' about their own safety - a qualitative study of a…

Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

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March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

Effect of hospital follow-up appointment on clinical event outcomes and mortality. | PSNet

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April 24, 2018 - Study Effect of hospital follow-up appointment on clinical event outcomes and mortality. Citation Text: Grafft CA, McDonald FS, Ruud KL, et al. Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med. 2010;170(11):955-60. doi:10.1001/archinternm…

Implementing online medication reconciliation at a large academic medical center. | PSNet

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January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

Institution of just culture physician peer review in an academic medical center. | PSNet

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October 20, 2021 - Study Institution of just culture physician peer review in an academic medical center. Citation Text: Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.00000000000…

Outcomes with overlapping surgery at a large academic medical center. | PSNet

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May 03, 2023 - Study Outcomes with overlapping surgery at a large academic medical center. Citation Text: Ponce BA, Wills BW, Hudson PW, et al. Outcomes With Overlapping Surgery at a Large Academic Medical Center. Ann Surg. 2019;269(3):465-470. doi:10.1097/SLA.0000000000002701. Copy Citation Form…

Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

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August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis. | PSNet

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April 06, 2011 - Review Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis. Citation Text: Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse events and hospital admis…

Promising roles for pharmacists in addressing the U.S. opioid crisis. | PSNet

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May 19, 2021 - Commentary Promising roles for pharmacists in addressing the U.S. opioid crisis. Citation Text: Compton WM, Jones CM, Stein JB, et al. Promising roles for pharmacists in addressing the U.S. opioid crisis. Res Social Adm Pharm. 2019;15(8):910-916. doi:10.1016/j.sapharm.2017.12.009. Copy…

Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

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June 10, 2020 - Study Vital signs: changes in opioid prescribing in the United States, 2006-2015. Citation Text: Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4. Copy…

Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. | PSNet

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January 13, 2010 - Study Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. Citation Text: Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory …

Surgical safety does not happen by accident: learning from perioperative near miss case studies. | PSNet

psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies

August 04, 2021 - Commentary Surgical safety does not happen by accident: learning from perioperative near miss case studies. Citation Text: Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. …

Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. | PSNet

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November 18, 2016 - Commentary Learning to overcome hierarchical pressures to achieve safer patient care: an interprofessional simulation for nursing, medical, and physician assistant students. Citation Text: Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve …

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. | PSNet

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April 27, 2010 - Study Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. Citation Text: Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online …

Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? | PSNet

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November 16, 2022 - Review Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Citation Text: Randles MA. Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship? Drugs Aging. 2022;39(8…

Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. | PSNet

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March 04, 2009 - Study Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital discharge. Citation Text: Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation for reducing medication errors after hospital …

Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet

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September 04, 2019 - Commentary Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. Citation Text: Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning Environment That Perpetuate Mistreatment. Ac…

Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. | PSNet

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March 30, 2022 - Study Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Citation Text: Ryser MD, Lange J, Inoue LYT, et al. Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. Ann Intern Med. 2022;175(4):471-478. doi:10.7326/m21-3577. Copy Citation …

Assessing adverse events among home care clients in three Canadian provinces using chart review. | PSNet

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June 28, 2017 - Study Assessing adverse events among home care clients in three Canadian provinces using chart review. Citation Text: Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. do…

Improving resident physician participation in reporting patient safety and quality concerns. | PSNet

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May 18, 2022 - Study Improving resident physician participation in reporting patient safety and quality concerns. Citation Text: Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.…

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