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Effect of computer order entry on prevention of serious medication errors in hospitalized children. | PSNet

psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children

May 27, 2011 - Study Classic Effect of computer order entry on prevention of serious medication errors in hospitalized children. Citation Text: Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized …

The "To Err Is Human Report" and the patient safety literature. | PSNet

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November 16, 2022 - Review The "To Err Is Human Report" and the patient safety literature. Citation Text: Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. Copy Citation Format: Google Scholar P…

Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

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July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? | PSNet

psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care

July 02, 2008 - Study How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? Citation Text: Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…

Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. | PSNet

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February 23, 2022 - Review Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. Citation Text: Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety inciden…

The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

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February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. | PSNet

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February 02, 2022 - Commentary Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Citation Text: Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…

Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. | PSNet

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March 02, 2011 - Commentary Classic Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Citation Text: Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectio…

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. | PSNet

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September 23, 2020 - Commentary Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives. Citation Text: Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…

FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). | PSNet

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August 05, 2020 - Press Release/Announcement FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). Citation Text: FDA Drug Safety Communication: FDA warns ab…

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. | PSNet

psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer

February 16, 2022 - Commentary Emerging Classic A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Citation Text: Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. | PSNet

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July 19, 2023 - Commentary Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. Citation Text: Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professio…

Flexibilization of science, cognitive biases, and the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/flexibilization-science-cognitive-biases-and-covid-19-pandemic

October 26, 2022 - Commentary Flexibilization of science, cognitive biases, and the COVID-19 pandemic. Citation Text: Oliveira J. e Silva L, Vidor MV, Zarpellon de Araújo V, et al. Flexibilization of science, cognitive biases, and the COVID-19 pandemic. Mayo Clin Proc. 2020;95(9):1842-1844. doi:10.1016/j.m…

Patient safety and quality improvement adaptation during the COVID-19 pandemic. | PSNet

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February 12, 2020 - Commentary Patient safety and quality improvement adaptation during the COVID-19 pandemic. Citation Text: Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448…

Communication relating to family members' involvement and understandings about patients' medication management in hospital. | PSNet

psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients

June 16, 2021 - Study Communication relating to family members' involvement and understandings about patients' medication management in hospital. Citation Text: Manias E. Communication relating to family members' involvement and understandings about patients' medication management in hospital. Health Ex…

African American COVID-19 mortality: a sentinel event. | PSNet

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November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality: a sentinel event. Citation Text: Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040. Copy Cit…

Potential drug interactions and duplicate prescriptions among cancer patients. | PSNet

psnet.ahrq.gov/issue/potential-drug-interactions-and-duplicate-prescriptions-among-cancer-patients

April 27, 2010 - Study Potential drug interactions and duplicate prescriptions among cancer patients. Citation Text: Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among cancer patients. J Natl Cancer Inst. 2007;99(8):592-600. Copy Citation Format…

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary

November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet

psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations

March 14, 2018 - Study Classic Handoff strategies in settings with high consequences for failure: lessons for health care operations. Citation Text: Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual …

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. | PSNet

psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event

October 07, 2020 - Commentary The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. Citation Text: Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. …

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