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6521. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet
      psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
      January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Citation Text: de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …

6522. Impact of a daily huddle on safety in perioperative services. | PSNet
      psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
      March 03, 2021 - Study Impact of a daily huddle on safety in perioperative services. Citation Text: Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. Copy Citation …

6523. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. | PSNet
      psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000-2021
      October 30, 2024 - Study Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Citation Text: DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.154…

6524. Increasing patient safety event reporting in an emergency medicine residency. | PSNet
      psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency
      August 04, 2021 - Commentary Increasing patient safety event reporting in an emergency medicine residency. Citation Text: Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. …

6525. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. | PSNet
      psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
      July 13, 2010 - Study Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Citation Text: Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…

6526. Development and validation of a taxonomy of adverse handover events in hospital settings. | PSNet
      psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
      March 05, 2014 - Study Development and validation of a taxonomy of adverse handover events in hospital settings. Citation Text: Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…

6527. Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet
      psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
      December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

6528. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. | PSNet
      psnet.ahrq.gov/issue/perceptions-quality-and-safety-and-experience-adverse-events-27-european-union-healthcare
      March 21, 2012 - Study Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. Citation Text: Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009-…

6529. Integrate MAT for OUD Ambulatory Care Setting | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/plan-integrate-mat-for-oud
      June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

6530. Internet of things in healthcare for patient safety: an empirical study. | PSNet
      psnet.ahrq.gov/issue/internet-things-healthcare-patient-safety-empirical-study
      March 18, 2020 - Study Internet of things in healthcare for patient safety: an empirical study. Citation Text: Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study. BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3. Copy Citation …

6531. Not just "getting by": factors influencing providers' choice of interpreters. | PSNet
      psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
      August 23, 2023 - Study Not just "getting by": factors influencing providers' choice of interpreters. Citation Text: Hsieh E. Not just "getting by": factors influencing providers' choice of interpreters. J Gen Intern Med. 2015;30(1):75-82. doi:10.1007/s11606-014-3066-8. Copy Citation Format: …

6532. Unintended adverse consequences of introducing electronic health records in residential aged care homes. | PSNet
      psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
      March 24, 2019 - Study Unintended adverse consequences of introducing electronic health records in residential aged care homes. Citation Text: Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…

6533. Disparities in patient safety voluntary event reporting: a scoping review. | PSNet
      psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
      November 16, 2022 - Review Disparities in patient safety voluntary event reporting: a scoping review. Citation Text: Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009. Co…

6534. An organization-specific and modifiable inpatient safety composite measure. | PSNet
      psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
      June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

6535. Human error, not communication and systems, underlies surgical complications. | PSNet
      psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
      November 18, 2020 - Study Human error, not communication and systems, underlies surgical complications. Citation Text: Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. C…

6536. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. | PSNet
      psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
      October 19, 2022 - Study Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. Citation Text: Scherr K, Wilson DM, Wagner J, et al. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. AACN Adv Crit Care. 2012;23(1):32-42. doi:10.1097/NCI.0b013e31824…

6537. Active surveillance of vaccine safety: a system to detect early signs of adverse events. | PSNet
      psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
      March 29, 2010 - Study Active surveillance of vaccine safety: a system to detect early signs of adverse events. Citation Text: Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. Copy Citation …

6538. Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet
      psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
      September 10, 2014 - Book/Report Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. Citation Text: Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…

6539. Best practices: an electronic drug alert program to improve safety in an accountable care environment. | PSNet
      psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment
      May 29, 2019 - Study Best practices: an electronic drug alert program to improve safety in an accountable care environment. Citation Text: Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pha…

6540. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. | PSNet
      psnet.ahrq.gov/issue/missed-opportunities-initiate-endoscopic-evaluation-colorectal-cancer-diagnosis
      February 15, 2011 - Study Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Citation Text: Singh H, Daci K, Petersen L, et al. Missed opportunities to initiate endoscopic evaluation for colorectal cancer diagnosis. Am J Gastroenterol. 2009;104(10):2543-2554. doi:10.103…