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Insufficient communication about medication use at the interface between hospital and primary care. | PSNet

psnet.ahrq.gov/issue/insufficient-communication-about-medication-use-interface-between-hospital-and-primary-care

February 03, 2021 - Study Insufficient communication about medication use at the interface between hospital and primary care. Citation Text: Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…

Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

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September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet

psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care

July 06, 2012 - Study Hospital patients' reports of medical errors and undesirable events in their health care. Citation Text: Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…

Patient safety climate in primary care: age matters. | PSNet

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June 11, 2010 - Study Patient safety climate in primary care: age matters. Citation Text: Holden LM, Watts DD, Walker PH. Patient safety climate in primary care: age matters. J Patient Saf. 2009;5(1):23-28. doi:10.1097/PTS.0b013e318199d4bf. Copy Citation Format: DOI Google Scholar PubMed…

Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays

August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. | PSNet

psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication

June 24, 2020 - Commentary Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. Citation Text: Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error. Ame J Health-syst …

How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? | PSNet

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October 23, 2024 - Study How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Citation Text: DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…

Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk

December 02, 2020 - Study Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Citation Text: Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…

Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet

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February 28, 2024 - Study Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. Citation Text: Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…

A hospitalization from hell: a patient's perspective on quality. | PSNet

psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality

July 19, 2023 - Commentary Classic A hospitalization from hell: a patient's perspective on quality. Citation Text: Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33-39. Copy Citation Format: Google Scholar…

Literacy and misunderstanding prescription drug labels. | PSNet

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September 17, 2010 - Study Classic Literacy and misunderstanding prescription drug labels. Citation Text: Davis TC, Wolf MS, Bass PF, et al. Literacy and misunderstanding prescription drug labels. Ann Intern Med. 2006;145(12):887-94. Copy Citation Format: Google Scho…

Payment innovations to improve diagnostic accuracy and reduce diagnostic error. | PSNet

psnet.ahrq.gov/issue/payment-innovations-improve-diagnostic-accuracy-and-reduce-diagnostic-error

December 16, 2020 - Commentary Payment innovations to improve diagnostic accuracy and reduce diagnostic error. Citation Text: Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error. Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714. Co…

Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. | PSNet

psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced

November 01, 2023 - Study Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Citation Text: Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…

Long working hours, safety, and health: toward a national research agenda. | PSNet

psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda

November 16, 2022 - Review Long working hours, safety, and health: toward a national research agenda. Citation Text: Caruso CC, Bushnell T, Eggerth D, et al. Long working hours, safety, and health: toward a National Research Agenda. Am J Ind Med. 2006;49(11):930-42. Copy Citation Format: Googl…

COVID-19 pandemic and the tension between the need to act and the need to know. | PSNet

psnet.ahrq.gov/issue/covid-19-pandemic-and-tension-between-need-act-and-need-know

July 28, 2021 - Commentary COVID-19 pandemic and the tension between the need to act and the need to know. Citation Text: Scott IA. COVID-19 pandemic and the tension between the need to act and the need to know. Intern Med J. 2020;50(8):904-909. doi:10.1111/imj.14929. Copy Citation Format: …

Changing conversations: teaching safety and quality in residency training. | PSNet

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January 02, 2017 - Study Changing conversations: teaching safety and quality in residency training. Citation Text: Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. Copy Citati…

Identifying patient safety problems during team rounds: an ethnographic study. | PSNet

psnet.ahrq.gov/issue/identifying-patient-safety-problems-during-team-rounds-ethnographic-study

May 11, 2022 - Study Identifying patient safety problems during team rounds: an ethnographic study. Citation Text: Lamba R, Linn K, Fletcher KE. Identifying patient safety problems during team rounds: an ethnographic study. BMJ Qual Saf. 2014;23(8):667-9. doi:10.1136/bmjqs-2013-002324. Copy Citation …

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. | PSNet

psnet.ahrq.gov/issue/diagnostic-time-out-improve-differential-diagnosis-pediatric-abdominal-pain

February 10, 2021 - Study A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Citation Text: Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-…

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions

March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Multidose drug dispensing and discrepancies between medication records. | PSNet

psnet.ahrq.gov/issue/multidose-drug-dispensing-and-discrepancies-between-medication-records

November 06, 2013 - Study Multidose drug dispensing and discrepancies between medication records. Citation Text: Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745. Copy Citati…

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