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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It
Jerry Gurwitz, MD | August 1, 2012
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View more articles from the same authors.
Citation Text:
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix I…
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - Aviation Safety Methods: Quickly Adopted but Questions Remain
Eric J. Thomas, MD, MPH | January 1, 2006
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Citation Text:
Thomas EJ. Aviation Safety Methods: Quickly Adopted but Questions Remain. P…
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - Unintended Consequences of CPOE
October 1, 2016
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
Case Objectives
Explain how technology, including computerized provider order entry, can transform, rather than
eliminate, hazards.
Recogni…
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psnet.ahrq.gov/issue/quality-clinical-aspects-call-handling-dutch-out-hours-centres-cross-sectional-national-study
October 18, 2023 - Study
Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.
Citation Text:
Derkx HP, Rethans J-JE, Muijtjens AM, et al. Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. BMJ.…
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psnet.ahrq.gov/issue/junior-doctors-views-reporting-concerns-about-patient-safety-qualitative-study
June 16, 2021 - Study
Junior doctors' views on reporting concerns about patient safety: a qualitative study.
Citation Text:
Hooper P, Kocman D, Carr S, et al. Junior doctors' views on reporting concerns about patient safety: a qualitative study. Postgrad Med J. 2015;91(1075):251-6. doi:10.1136/postgradm…
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psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
June 16, 2021 - Commentary
Patient safety and the problem of many hands.
Citation Text:
Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232.
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DOI Google Scholar PubMed BibTeX EndNote …
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psnet.ahrq.gov/issue/pharmacists-interventions-prescribing-errors-hospital-discharge-observational-study-context
October 16, 2012 - Study
Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.
Citation Text:
Abdel-Qader DH, Harper L, Cantrill JA, et al. Pharmacists' interventions in prescribing erro…
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psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview
October 13, 2021 - Study
Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.
Citation Text:
Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a Swedish qualitative interview study. BMC Nurs. 2022;21(1):24…
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psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations
September 02, 2020 - Study
Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations.
Citation Text:
Okpala P. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. Int J Healthc Manage. 2020;13(sup1)…
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety
Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017
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Citation Text:
Rozenblum R, Bates DW. The Role…
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - In Conversation With… Robert Hirschtick, MD
January 1, 2018
In Conversation With… Robert Hirschtick, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
Editor's note: Dr. Hirschtick is Associate Professor of Medicine at Northwestern Medicine, and the author
of a numbe…
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - As part of shared decision making with their providers, patients should be encouraged to choose the treatment
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - Rapid Response Teams: Lessons from the Early
Experience
November 1, 2005
Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
Perspective
Health care organizations throughout the world have ide…
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Strategies to Improve Organizational Health Literacy.
May 31, 2023
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
Background
Health literacy is important at both the personal …
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - documentation has declined since the introduction of EHRs, many still rely solely on these flawed notes for decision … making, suggesting that progress notes are still considered the primary source of clinical communication
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - In Conversation With… Vineet Arora, MD, MAPP
September 1, 2015
Citation Text:
In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - In Conversation With… Vineet Arora, MD, MAPP
September 1, 2015
In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
Editor's note: Vineet Arora, MD, MAPP, is Director of GME Clinical Learning Environment Innovation,
Associate Pr…
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - A Potent Medication Administered in a Not So Viable
Route
January 1, 2017
Loubani O. A Potent Medication Administered in a Not So Viable Route. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
The Case
A 55-year-old man with history of nonischemic cardiomyop…
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psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety
September 1, 2008
Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
Perspective
Medication safety in hospitals depends on the successful execu…
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psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - need to reflect on the ethical and professional imperative to keep patients at the center
of clinical decision-making