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Update: Patient Engagement in Safety | PSNet

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January 01, 2017 - medication discrepancies , but lack of integration with the EHR made the discrepancies difficult to correct

Managing the risks of direct oral anticoagulants. | PSNet

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December 23, 2016 - Sentinel Event Alerts Managing the risks of direct oral anticoagulants. Citation Text: Managing the risks of direct oral anticoagulants. Sentinel Event Alert. July 30, 2019;(61):1-5. Copy Citation Save Save to your library Print Download PDF Sh…

Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. | PSNet

psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective

March 10, 2021 - Commentary Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. Citation Text: Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. …

Safer Healthcare: Strategies for the Real World. | PSNet

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March 23, 2022 - Book/Report Classic Safer Healthcare: Strategies for the Real World. Citation Text: Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 Copy Citation Save Save to your library Pr…

Smart pumps: implications for nurse leaders. | PSNet

psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders

February 02, 2022 - Commentary Smart pumps: implications for nurse leaders. Citation Text: Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet

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January 26, 2023 - Press Release/Announcement 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: 2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada. Copy…

Patients as Partners: How to Involve Patients and Families in Their Own Care. | PSNet

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July 12, 2006 - Book/Report Patients as Partners: How to Involve Patients and Families in Their Own Care. Citation Text: Patients as Partners: How to Involve Patients and Families in Their Own Care. McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964. Copy Citation …

Sentinel Event Alert. | PSNet

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May 30, 2012 - Newsletter/Journal Sentinel Event Alert. Citation Text: Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. | PSNet

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May 20, 2015 - Book/Report Classic Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. Citation Text: Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. Joint Commission Reso…

Patient Safety Curriculum. | PSNet

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March 27, 2005 - Multi-use Website Patient Safety Curriculum. Citation Text: Patient Safety Curriculum. Ann Arbor, MI: National Center for Patient Safety. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

Medication Reconciliation Handbook, 2nd edition. | PSNet

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May 04, 2015 - Book/Report Medication Reconciliation Handbook, 2nd edition. Citation Text: Medication Reconciliation Handbook, 2nd edition. American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009…

Meeting the Joint Commission's 2013 National Patient Safety Goals. | PSNet

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September 26, 2012 - Book/Report Meeting the Joint Commission's 2013 National Patient Safety Goals. Citation Text: Meeting the Joint Commission's 2013 National Patient Safety Goals. Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555. Copy Citation S…

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. | PSNet

psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople

August 21, 2024 - Study Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. Citation Text: White AA, King AM, D’Addario AE, et al. Video-based communicat…

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization

April 28, 2021 - Study Emerging Classic Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. Citation Text: Gurwitz JH, Kapoor A, Garber L, et al. Effect of …

Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. | PSNet

psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients

July 07, 2021 - Study Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. Citation Text: Masoudi FA, Magid DJ, Vinson DR, e…

Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk

December 02, 2020 - Study Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Citation Text: Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…

Public sector organizational failure: a study of collective denial in the UK national health service. | PSNet

psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service

June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…

Hemolysis Holdup | PSNet

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July 03, 2016 - The laboratory cannot correct for the increase in analyte concentration resulting from release of red

Strategies for learning from failure. | PSNet

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September 25, 2024 - Commentary Classic Strategies for learning from failure. Citation Text: Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review

June 19, 2024 - Review Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. Citation Text: Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…

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