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Wrong-site surgery in California, 2007–2014. | PSNet

psnet.ahrq.gov/issue/wrong-site-surgery-california-2007-2014

July 27, 2023 - Study Wrong-site surgery in California, 2007–2014. Citation Text: Moshtaghi O, Haidar YM, Sahyouni R, et al. Wrong-site surgery in California, 2007-2014. Otolaryngol Head Neck Surg. 2017;157(1):48-52. doi:10.1177/0194599817693226. Copy Citation Format: DOI Google Scholar Pu…

Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. | PSNet

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April 24, 2018 - Study Emerging Classic Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. Citation Text: Kaisey M, Solomon AJ, Luu M, et al. Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers. Mult Scler Relat Disor…

State medical board regulation of compounding in physician offices. | PSNet

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July 13, 2022 - Study State medical board regulation of compounding in physician offices. Citation Text: Reynolds KA, Hellquist K, Ibrahim SA, et al. State medical board regulation of compounding in physician offices. Arch Dermatol Res. 2022;314(4):363-367. doi:10.1007/s00403-021-02237-8. Copy Citatio…

Interventions to engage patients and families in patient safety: a systematic review. | PSNet

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March 04, 2020 - Review Interventions to engage patients and families in patient safety: a systematic review. Citation Text: Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…

The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes

March 24, 2019 - Review The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. Citation Text: Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patie…

Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. | PSNet

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December 15, 2011 - Study Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. Citation Text: Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…

Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. | PSNet

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June 28, 2023 - Study Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. Citation Text: Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…

Using name overlap analysis to understand medication name search safety. | PSNet

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August 31, 2022 - Study Using name overlap analysis to understand medication name search safety. Citation Text: Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. Copy Citation …

Reaching the summit of discharge summaries: a quality improvement project. | PSNet

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March 17, 2021 - Study Reaching the summit of discharge summaries: a quality improvement project. Citation Text: Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. Copy C…

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

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October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet

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June 17, 2020 - Study Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. Citation Text: Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…

Pharmacy dispensing of electronically discontinued medications. | PSNet

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October 03, 2012 - Study Pharmacy dispensing of electronically discontinued medications. Citation Text: Allen AS, Sequist TD. Pharmacy dispensing of electronically discontinued medications. Ann Intern Med. 2012;157(10):700-705. doi:10.7326/0003-4819-157-10-201211200-00006. Copy Citation Format: …

A human factors and survey methodology-based design of a web-based adverse event reporting system for families. | PSNet

psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system

January 12, 2012 - Study A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Citation Text: Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Int…

Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. | PSNet

psnet.ahrq.gov/issue/patient-safety-quality-care-and-service-utilization-plato-physician-leadership-accurate-and

August 18, 2021 - Study Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study. Citation Text: Brunt BA, Gifford L. Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timel…

Association of hospital public quality reporting with electronic health record medication safety performance. | PSNet

psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety

October 21, 2020 - Study Association of hospital public quality reporting with electronic health record medication safety performance. Citation Text: Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9…

Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. | PSNet

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August 25, 2021 - Study Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. Citation Text: Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …

Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid-19

February 09, 2022 - Study Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Citation Text: Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 pandemic. Inter…

Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. | PSNet

psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states

May 13, 2020 - Study Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation. Citation Text: Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Div…

Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative

December 16, 2015 - Study Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. Citation Text: Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…

Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. | PSNet

psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18

June 16, 2021 - Study Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Citation Text: Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…

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