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The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. | PSNet

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July 14, 2021 - Study The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. Citation Text: Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:…

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet

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October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…

Improving timely recognition and treatment of sepsis in the pediatric ICU. | PSNet

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December 09, 2020 - Study Improving timely recognition and treatment of sepsis in the pediatric ICU. Citation Text: Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …

Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-catheter-associated-urinary-tract-infection-cauti-prevention

February 07, 2022 - Review Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Citation Text: Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic revie…

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. | PSNet

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August 04, 2021 - Review Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. Citation Text: De Oliveira GS, Castro-Alves LJ, Kendall MC, et al. Effectiveness of Pharmacist Int…

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. | PSNet

psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality

August 10, 2022 - Study Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. Citation Text: Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-reported adverse ev…

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. | PSNet

psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors

October 28, 2020 - Study Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. Citation Text: Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication erro…

Perioperative safety determinants in ethnic patient groups. | PSNet

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February 09, 2022 - Study Perioperative safety determinants in ethnic patient groups. Citation Text: Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545. Copy Citation Format: …

The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. | PSNet

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December 23, 2020 - Commentary The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. Citation Text: Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…

Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. | PSNet

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April 13, 2022 - Study Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. Citation Text: Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…

Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. | PSNet

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June 08, 2022 - Study Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. Citation Text: Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qual…

Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet

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December 21, 2017 - Commentary Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. Citation Text: Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. JAMA Ne…

Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims. | PSNet

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November 16, 2022 - Study Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims. Citation Text: Quinn PD, Hur K, Chang Z, et al. Incident and long-term opioid therapy among patients with psychiatric conditions and …

ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. | PSNet

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August 26, 2020 - Review ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. Citation Text: Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients out…

2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. | PSNet

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January 12, 2022 - Commentary 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. Citation Text: Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…

Association of current opioid use with serious adverse events among older adult survivors of breast cancer. | PSNet

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February 15, 2023 - Study Association of current opioid use with serious adverse events among older adult survivors of breast cancer. Citation Text: Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…

Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation. | PSNet

psnet.ahrq.gov/issue/effects-tall-man-lettering-visual-behaviour-critical-care-nurses-while-identifying-syringe

September 09, 2020 - Study Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation. Citation Text: Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of critical car…

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. | PSNet

psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level

October 21, 2020 - Study Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. Citation Text: Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med …

Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet

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July 20, 2022 - Commentary Health care safety during the pandemic and beyond--building a system that ensures resilience. Citation Text: Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…

Inpatient safety outcomes following the 2011 residency work-hour reform. | PSNet

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September 04, 2013 - Study Inpatient safety outcomes following the 2011 residency work-hour reform. Citation Text: Block L, Jarlenski M, Wu AW, et al. Inpatient safety outcomes following the 2011 residency work-hour reform. J Hosp Med. 2014;9(6). doi:10.1002/jhm.2171. Copy Citation Format: DOI …

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