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  1. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. | PSNet

    psnet.ahrq.gov/issue/effect-emergency-medicine-pharmacists-medication-error-reporting-emergency-department
    July 26, 2011 - Study Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Citation Text: Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…

  2. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay
    December 22, 2008 - Commentary Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. Citation Text: Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…

  3. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

  4. Is there evidence of a July effect among patients undergoing hysterectomy surgery? | PSNet

    psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
    April 24, 2018 - Study Is there evidence of a July effect among patients undergoing hysterectomy surgery? Citation Text: Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…

  5. Nonopioid directives: unintended consequences in the operating room. | PSNet

    psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
    September 07, 2022 - Commentary Nonopioid directives: unintended consequences in the operating room. Citation Text: Bicket MC, Waljee JF, Hilliard P. Nonopioid directives: unintended consequences in the operating room. JAMA Health Forum. 2022;3(6):e221356. doi:10.1001/jamahealthforum.2022.1356. Copy Citati…

  6. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. | PSNet

    psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
    October 23, 2024 - Commentary Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Citation Text: Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…

  7. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. | PSNet

    psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
    October 11, 2023 - Study Types, prevalence, and potential clinical significance of medication administration errors in assisted living. Citation Text: Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…

  8. Fixed-dose combination antihypertensives and risk of medication errors. | PSNet

    psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
    September 28, 2016 - Study Fixed-dose combination antihypertensives and risk of medication errors. Citation Text: Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492. Copy Citation Format: …

  9. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
    October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

  10. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. | PSNet

    psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
    March 02, 2011 - Study Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. Citation Text: Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…

  11. Patient safety climate: a study of Southern California healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
    June 26, 2019 - Study Patient safety climate: a study of Southern California healthcare organizations. Citation Text: Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. Copy Citati…

  12. Measuring to improve medication reconciliation in a large subspecialty outpatient practice. | PSNet

    psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
    February 02, 2011 - Study Measuring to improve medication reconciliation in a large subspecialty outpatient practice. Citation Text: Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…

  13. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. | PSNet

    psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
    August 16, 2023 - Commentary A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. Citation Text: Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …

  14. Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. | PSNet

    psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
    August 02, 2015 - Study Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. Citation Text: Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…

  15. Antibiotic timing and errors in diagnosing pneumonia. | PSNet

    psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia
    March 20, 2024 - Study Antibiotic timing and errors in diagnosing pneumonia. Citation Text: Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351-6. doi:10.1001/archinternmed.2007.84. Copy Citation Format: DOI Google Scholar …

  16. Changes in intern attitudes toward medical error and disclosure. | PSNet

    psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
    November 10, 2021 - Study Changes in intern attitudes toward medical error and disclosure. Citation Text: Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x. Copy Citation Fo…

  17. What's in your kit? A safety checkup may be in order. | PSNet

    psnet.ahrq.gov/issue/whats-your-kit-safety-checkup-may-be-order
    September 24, 2010 - Commentary What's in your kit? A safety checkup may be in order. Citation Text: Paparella S. What's In Your Kit? A Safety Checkup May Be In Order. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2015;41(6):513-5. doi:10.1016/j.jen.…

  18. Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. | PSNet

    psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
    February 11, 2015 - Review Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. Citation Text: Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Re…

  19. Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? | PSNet

    psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
    September 02, 2020 - Study Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice? Citation Text: Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…

  20. Seasoned surgeons assessed in a laparoscopic surgical crisis. | PSNet

    psnet.ahrq.gov/issue/seasoned-surgeons-assessed-laparoscopic-surgical-crisis
    July 02, 2008 - Study Seasoned surgeons assessed in a laparoscopic surgical crisis. Citation Text: Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. Copy Citation For…
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