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Interdisciplinary teamwork | PSNet

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September 15, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Interdisciplinary teamwork Download Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet T…

Missing the near miss: recognizing valuable learning opportunities in radiation oncology. | PSNet

psnet.ahrq.gov/issue/missing-near-miss-recognizing-valuable-learning-opportunities-radiation-oncology

November 18, 2020 - Study Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Citation Text: Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.101…

The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. | PSNet

psnet.ahrq.gov/issue/incidence-and-cost-unexpected-hospital-use-after-scheduled-outpatient-endoscopy

October 31, 2012 - Study The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Citation Text: Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/arc…

Measuring harm in health care: optimizing adverse event review. | PSNet

psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review

May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. Citation Text: Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. Copy Citation Format: DOI…

Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. | PSNet

psnet.ahrq.gov/issue/use-strategies-high-reliability-organisations-patient-hand-resident-physicians-practical

July 02, 2014 - Study Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Citation Text: Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qu…

Medication errors among adults and children with cancer in the outpatient setting. | PSNet

psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting

January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic

February 15, 2023 - Commentary Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Citation Text: Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Int J Qual Health Care. 2021;3…

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. | PSNet

psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review

May 05, 2021 - Review The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. Citation Text: Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1…

Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. | PSNet

psnet.ahrq.gov/issue/early-diagnostic-suggestions-improve-accuracy-family-physicians-randomized-controlled-trial

April 07, 2021 - Study Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Citation Text: Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam P…

Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. | PSNet

psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events

July 31, 2024 - Study Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. Citation Text: Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to hi…

Incomplete EHR adoption: late uptake of patient safety and cost control functions. | PSNet

psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions

July 25, 2011 - Commentary Incomplete EHR adoption: late uptake of patient safety and cost control functions. Citation Text: Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26. Copy Citation …

Near-miss events detected using the emergency department trigger tool. | PSNet

psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool

August 24, 2022 - Study Near-miss events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092. Copy Citation …

Toward learning from patient safety reporting systems. | PSNet

psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems

January 02, 2017 - Study Toward learning from patient safety reporting systems. Citation Text: Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. | PSNet

psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx

April 13, 2022 - Study Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer Dx Learning Lab. Citation Text: Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing the Safer…

Medication safety incidents associated with the remote delivery of primary care: a rapid review. | PSNet

psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review

June 29, 2022 - Review Medication safety incidents associated with the remote delivery of primary care: a rapid review. Citation Text: Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495…

Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-interventions-medication-errors-hospitalized-pediatric-patients-systematic

August 04, 2021 - Review Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis. Citation Text: Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients:…

Errors in breast imaging: how to reduce errors and promote a safety environment. | PSNet

psnet.ahrq.gov/issue/errors-breast-imaging-how-reduce-errors-and-promote-safety-environment

July 22, 2020 - Commentary Errors in breast imaging: how to reduce errors and promote a safety environment. Citation Text: Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. Cop…

Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool

December 18, 2013 - Study Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Citation Text: Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e12…

Omissions of care in nursing home settings: a narrative review. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review

November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…

Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/unsafe-design-infusion-task-reallocation-and-safety-perceptions-us-hospitals

December 21, 2017 - Study Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Citation Text: Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/…

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