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  1. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet

    psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
    September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

  2. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-interventions-medication-errors-hospitalized-pediatric-patients-systematic
    August 04, 2021 - Review Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis. Citation Text: Naseralallah LM, Hussain TA, Jaam M, et al. Impact of pharmacist interventions on medication errors in hospitalized pediatric patients:…

  3. Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. | PSNet

    psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1
    September 26, 2016 - Study Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey. Citation Text: Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for emergency …

  4. Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized
    December 31, 2014 - Study Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…

  5. Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. | PSNet

    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…

  6. Causes of adverse events in home mechanical ventilation: a nursing perspective. | PSNet

    psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
    November 10, 2021 - Study Causes of adverse events in home mechanical ventilation: a nursing perspective. Citation Text: Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. Copy…

  7. Trends in adverse event rates in hospitalized patients, 2010-2019. | PSNet

    psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
    June 22, 2022 - Study Trends in adverse event rates in hospitalized patients, 2010-2019. Citation Text: Eldridge N, Wang Y, Metersky M, et al. Trends in adverse event rates in hospitalized patients, 2010-2019. JAMA. 2022;328(2):173-183. doi:10.1001/jama.2022.9600. Copy Citation Format: DOI…

  8. Using FDA reports to inform a classification for health information technology safety problems. | PSNet

    psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems
    November 03, 2015 - Study Using FDA reports to inform a classification for health information technology safety problems. Citation Text: Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc. 2012;19(1):4…

  9. Examining medication ordering errors using AHRQ Network of Patient Safety Databases. | PSNet

    psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
    November 30, 2022 - Study Examining medication ordering errors using AHRQ Network of Patient Safety Databases. Citation Text: Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/ja…

  10. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-surgical-safety-checklist-provider-and-patient-outcomes-systematic-review
    March 01, 2023 - Review Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. Citation Text: Armstrong BA, Dutescu IA, Nemoy L, et al. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. BMJ Qual Saf. 2022;31(6):463-478. …

  11. Systems thinking and incivility in nursing practice: an integrative review. | PSNet

    psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
    December 18, 2017 - Review Classic Systems thinking and incivility in nursing practice: an integrative review. Citation Text: Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An integrative review. Nurs Forum. 2018;2018(3):286-298.…

  12. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
    November 17, 2021 - Study Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. Citation Text: Mills PD, Soncrant C, Gunnar W. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses an…

  13. Development and validation of a brief culture-of-safety survey. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
    May 26, 2021 - Study Development and validation of a brief culture-of-safety survey. Citation Text: Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006. Copy Citation …

  14. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. | PSNet

    psnet.ahrq.gov/issue/preferences-and-perceptions-medical-error-disclosure-among-marginalized-populations-narrative
    June 15, 2022 - Review Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Citation Text: Olazo K, Wang K, Sierra M, et al. Preferences and perceptions of medical error disclosure among marginalized populations: a narrative review. Jt Comm J Qual P…

  15. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
    February 15, 2023 - Commentary Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Citation Text: Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Int J Qual Health Care. 2021;3…

  16. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

    psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
    June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

  17. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. | PSNet

    psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
    May 26, 2021 - Study Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Citation Text: Redmond S, Barwise A, Zornes S, et al. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Health Serv Insights…

  18. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. | PSNet

    psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
    March 27, 2019 - Study Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit. Citation Text: Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…

  19. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical
    May 08, 2017 - Commentary Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. Citation Text: Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …

  20. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
    April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…
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