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Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. | PSNet

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March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…

Nurse practitioner–led medication reconciliation in critical access hospitals. | PSNet

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March 18, 2020 - Study Nurse practitioner–led medication reconciliation in critical access hospitals. Citation Text: Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.201…

Citing harms, momentum grows to remove race from clinical algorithms. | PSNet

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January 31, 2011 - Commentary Citing harms, momentum grows to remove race from clinical algorithms. Citation Text: Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530. Copy Citation Format: DOI Google Scholar B…

Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet

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September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …

Racial and ethnic disparities in the treatment of chronic pain. | PSNet

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December 16, 2020 - Review Racial and ethnic disparities in the treatment of chronic pain. Citation Text: Morales ME, Yong RJ. Racial and ethnic disparities in the treatment of chronic pain. Pain Med. 2020;22(1):75-90. doi:10.1093/pm/pnaa427. Copy Citation Format: DOI Google Scholar BibTeX End…

Quality-related event learning in community pharmacies: manual versus computerized reporting processes. | PSNet

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November 09, 2016 - Study Quality-related event learning in community pharmacies: manual versus computerized reporting processes. Citation Text: Boyle TA, Scobie A, MacKinnon NJ, et al. Quality-related event learning in community pharmacies: Manual versus computerized reporting processes. J Am Pharm Assoc…

Eliminating perioperative adverse events at Ascension Health. | PSNet

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November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. | PSNet

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July 10, 2017 - Study Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. Citation Text: Baldwin DC, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents …

A medication safety education program to reduce the risk of harm caused by medication errors. | PSNet

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June 27, 2018 - Commentary A medication safety education program to reduce the risk of harm caused by medication errors. Citation Text: Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84. Copy Citation Fo…

Lost in translation: impact of language barriers on children's healthcare. | PSNet

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January 06, 2018 - Review Lost in translation: impact of language barriers on children's healthcare. Citation Text: Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404. Copy Citation Format: …

E-prescribing first step to improved safety. | PSNet

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February 16, 2011 - Newspaper/Magazine Article E-prescribing first step to improved safety. Citation Text: Finkelstein JB. E-prescribing first step to improved safety. Journal of the National Cancer Institute. 2006;98(24):1763-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

Nurses' perception of error reporting and patient safety culture in Korea. | PSNet

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July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. | PSNet

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June 16, 2021 - Review Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Citation Text: Manias E. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opin Drug Saf. 2018;17(3):259-275. doi:10.1080/…

Structured communication for patient safety in emergency medical services: a legal case report. | PSNet

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November 21, 2021 - Commentary Structured communication for patient safety in emergency medical services: a legal case report. Citation Text: Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi…

Radio frequency identification for prevention of bedside errors. | PSNet

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September 09, 2020 - Commentary Radio frequency identification for prevention of bedside errors. Citation Text: Dzik S. Radio frequency identification for prevention of bedside errors. Transfusion (Paris). 2007;47(2 Suppl):125S-129S; discussion 130S-131S. Copy Citation Format: Google Scholar …

Physician gender and apologies in clinical interactions. | PSNet

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July 07, 2021 - Study Physician gender and apologies in clinical interactions. Citation Text: Hill KM, Blanch-Hartigan D. Physician gender and apologies in clinical interactions. Patient Educ Couns. 2018;101(5):836-842. doi:10.1016/j.pec.2017.12.005. Copy Citation Format: DOI Google Schola…

Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet

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December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

Medical error and systems of signaling: conceptual and linguistic definition. | PSNet

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July 12, 2019 - Commentary Medical error and systems of signaling: conceptual and linguistic definition. Citation Text: Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-110…

Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality

September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

A call to action for anticoagulation stewardship. | PSNet

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March 04, 2020 - Commentary A call to action for anticoagulation stewardship. Citation Text: Burnett AE, Barnes GD. A call to action for anticoagulation stewardship. Res Pract Thromb Haemost. 2022;6(5):e12757. doi:10.1002/rth2.12757. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

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