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Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

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August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

Sustained impact of a pediatric resident-led patient safety council. | PSNet

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March 21, 2017 - Study Sustained impact of a pediatric resident-led patient safety council. Citation Text: Parente V, Feeney C, Page L, et al. Sustained Impact of a Pediatric Resident-Led Patient Safety Council. J Patient Saf. 2021;17(8):e1346-e1357. doi:10.1097/PTS.0000000000000495. Copy Citation …

Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

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July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. | PSNet

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August 04, 2021 - Commentary Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. Citation Text: Peberdy MA, Cretikos MA, Abella BS, et al. Recommended Guidelines for Monitoring, …

A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. | PSNet

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October 12, 2022 - Study A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. Citation Text: Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, st…

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. | PSNet

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June 11, 2014 - Study Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Citation Text: Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm…

Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. | PSNet

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February 01, 2023 - Commentary Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. Citation Text: Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…

Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. | PSNet

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March 10, 2011 - Study Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. Citation Text: Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: A cross-sectional s…

Surgeons' disclosures of clinical adverse events. | PSNet

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August 18, 2021 - Study Surgeons' disclosures of clinical adverse events. Citation Text: Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787. Copy Citation Format: DOI Google Scholar PubMed …

Management of test results in family medicine offices. | PSNet

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July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

Implementation and evaluation of a laboratory safety process improvement toolkit. | PSNet

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July 12, 2010 - Study Implementation and evaluation of a laboratory safety process improvement toolkit. Citation Text: Kwan BM, Fernald D, Ferrarone P, et al. Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. J Am Board Fam Med. 2019;32(2):136-145. doi:10.3122/jabfm.2019.…

Consumer-directed technologies to improve medication management and safety. | PSNet

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December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…

Mitigating racial bias in machine learning. | PSNet

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July 22, 2020 - Commentary Mitigating racial bias in machine learning. Citation Text: Kostick-Quenet KM, Cohen IG, Gerke S, et al. Mitigating racial bias in machine learning. J Law Med Ethics. 2022;50(1):92-100. doi:10.1017/jme.2022.13. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet

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September 07, 2016 - Government Resource Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Citation Text: Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-328.…

Explainable artificial intelligence for safe intraoperative decision support. | PSNet

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October 13, 2015 - Commentary Explainable artificial intelligence for safe intraoperative decision support. Citation Text: Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821. Copy Citation F…

Targeting zero harm: a stretch goal that risks breaking the spring. | PSNet

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December 01, 2021 - Commentary Targeting zero harm: a stretch goal that risks breaking the spring. Citation Text: Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. Copy Citation F…

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report

May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. | PSNet

psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety

February 01, 2011 - Study Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. Citation Text: Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site pa…

Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege? | PSNet

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November 06, 2019 - Commentary Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege? Citation Text: de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…

Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. | PSNet

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June 21, 2016 - Study Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. Citation Text: Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…

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