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psnet.ahrq.gov/issue/communication-and-collaboration-its-about-pharmacists-well-physicians-and-nurses
November 25, 2009 - Study
Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.
Citation Text:
Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…
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psnet.ahrq.gov/issue/use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department
January 20, 2021 - Study
Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department.
Citation Text:
Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-…
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psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are
August 25, 2021 - Commentary
Electronic health record interoperability-why electronically discontinued medications are still dispensed.
Citation Text:
Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically discontinued medications are still dispensed. JAMA Intern Me…
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psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis
March 23, 2022 - Study
Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis.
Citation Text:
Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287. doi:10.101…
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psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
March 17, 2021 - Study
Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians.
Citation Text:
Delio J, Catalanotti JS, Marko K, et al. Integrating Adverse Event Reporting Into a Free-Text Mobile Application Used in Da…
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psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
November 03, 2021 - Commentary
Incident reporting systems: what will it take to make them less frustrating and achieve anything useful?
Citation Text:
Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…
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psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
January 12, 2012 - Study
A human factors and survey methodology-based design of a web-based adverse event reporting system for families.
Citation Text:
Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Int…
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - Study
Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
Citation Text:
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomiz…
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psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices-cirsforte-study
September 07, 2022 - Study
Supporting error management and safety climate in ambulatory care practices: the CIRSforte study.
Citation Text:
Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-32…
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psnet.ahrq.gov/issue/occurrence-adverse-events-potentially-attributable-nursing-care-medical-units-cross-sectional
December 29, 2014 - Study
The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review.
Citation Text:
D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sec…
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
September 22, 2021 - Study
Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population.
Citation Text:
Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a m…
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psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
September 20, 2011 - Study
Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites.
Citation Text:
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…
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psnet.ahrq.gov/issue/underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults
October 14, 2016 - Study
Classic
Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults.
Citation Text:
Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awaren…
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psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care-providers
November 12, 2014 - Study
Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives.
Citation Text:
Lim CJ, Kwong MW-L, Stuart RL, et al. Antibiotic prescribing practice in residential aged care facilities--health care providers' perspectives. Med J Aust. 2014;2…
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - Study
National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
Citation Text:
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…
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psnet.ahrq.gov/issue/can-mindfulness-health-care-professionals-improve-patient-care-integrative-review-and
September 21, 2022 - Review
Emerging Classic
Can mindfulness in health care professionals improve patient care? An integrative review and proposed model.
Citation Text:
Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrativ…
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psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
July 17, 2024 - Study
Inappropriate diagnosis of pneumonia among hospitalized adults.
Citation Text:
Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077.
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psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
March 30, 2022 - Review
Classic
Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.
Citation Text:
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …
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psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
September 15, 2011 - Study
The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.
Citation Text:
Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…
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psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - Commentary
Humanizing harm: using a restorative approach to heal and learn from adverse events.
Citation Text:
Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…