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Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. | PSNet

psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral

January 25, 2023 - Study Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. Citation Text: Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemot…

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…

Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. | PSNet

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July 02, 2014 - Study Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Citation Text: Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qu…

An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet

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April 13, 2017 - Study Emerging Classic An assessment of the impact of just culture on quality and safety in US hospitals. Citation Text: Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…

The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

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September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary

May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …

Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. | PSNet

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July 22, 2020 - Commentary Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. Citation Text: Röösli E, Rice B, Hernandez-Boussard T. Bias at Warp Speed: How AI may Contribute to the Disparities Gap in the Time of COVID-19. J Am Med Inform Assoc. 2021;28(1):190-192.…

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet

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May 08, 2019 - Commentary Classic Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers Citation Text: Rangachari P, L. Woods J. Preserving organizational re…

Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use. | PSNet

psnet.ahrq.gov/issue/computerized-prescriber-order-entry-outpatient-oncology-setting-evidence-meaningful-use

June 26, 2019 - Review Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use. Citation Text: Kukreti V, Cosby R, Cheung A, et al. Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use. Curr Oncol. 2014;21…

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

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February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet

psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process

December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

Interventions to increase patient safety in long-term care facilities-umbrella review. | PSNet

psnet.ahrq.gov/issue/interventions-increase-patient-safety-long-term-care-facilities-umbrella-review

September 01, 2021 - Review Interventions to increase patient safety in long-term care facilities-umbrella review. Citation Text: Świtalski J, Wnuk K, Tatara T, et al. Interventions to increase patient safety in long-term care facilities-umbrella review. Int J Environ Res Public Health. 2022;19(22):15354. do…

System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet

psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis

August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

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September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims

September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

Decreasing handoff-related care failures in children's hospitals. | PSNet

psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals

April 24, 2018 - Study Decreasing handoff-related care failures in children's hospitals. Citation Text: Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. Copy Citation Format: …

Organisational culture: variation across hospitals and connection to patient safety climate. | PSNet

psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate

March 17, 2010 - Study Organisational culture: variation across hospitals and connection to patient safety climate. Citation Text: Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…

Healthcare team resilience during COVID-19: a qualitative study. | PSNet

psnet.ahrq.gov/issue/healthcare-team-resilience-during-covid-19-qualitative-study

February 20, 2019 - Study Healthcare team resilience during COVID-19: a qualitative study. Citation Text: Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. Copy Citation Format…

Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. | PSNet

psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans

November 29, 2023 - Book/Report Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. Citation Text: Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administra…

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet

psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model

November 24, 2021 - Study Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. Citation Text: Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…

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