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Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. | PSNet

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July 05, 2017 - Study Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique. Citation Text: Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…

The critical need for nursing education to address the diagnostic process. | PSNet

psnet.ahrq.gov/issue/critical-need-nursing-education-address-diagnostic-process

June 08, 2022 - Commentary The critical need for nursing education to address the diagnostic process. Citation Text: Gleason KT, Harkless G, Stanley J, et al. The critical need for nursing education to address the diagnostic process. Nurs Outlook. 2021;69(3):362-369. doi:10.1016/j.outlook.2020.12.005. …

Patient engagement in health care safety: an overview of mixed-quality evidence. | PSNet

psnet.ahrq.gov/issue/patient-engagement-health-care-safety-overview-mixed-quality-evidence

October 21, 2020 - Review Emerging Classic Patient engagement in health care safety: an overview of mixed-quality evidence. Citation Text: Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (…

Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. | PSNet

psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day

July 07, 2021 - Commentary Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. Citation Text: Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf R…

Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet

psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets

May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review

January 22, 2016 - Review Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Citation Text: Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. Copy Citati…

The Lancet Commission on lessons for the future from the COVID-19 pandemic. | PSNet

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January 12, 2022 - Commentary The Lancet Commission on lessons for the future from the COVID-19 pandemic. Citation Text: Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. C…

The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. | PSNet

psnet.ahrq.gov/issue/patients-role-diagnostic-safety-and-excellence-passive-reception-towards-co-design

April 10, 2019 - Book/Report The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception towards Co-Design. Citation Text: Epstein HM, Haskell H, Hemmelgarn C, et al. The Patient’s Role In Diagnostic Safety And Excellence: From Passive Reception Towards Co-Design. Rockville, MD: Agency…

Preventing medication errors in transitions of care: a patient case approach. | PSNet

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October 17, 2012 - Review Preventing medication errors in transitions of care: a patient case approach. Citation Text: Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509. …

Patient and family engagement as a potential approach for improving patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review

February 17, 2021 - Review Emerging Classic Patient and family engagement as a potential approach for improving patient safety: a systematic review. Citation Text: Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A systematic r…

Implementation of an electronic system for medication reconciliation. | PSNet

psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation

December 02, 2020 - Study Implementation of an electronic system for medication reconciliation. Citation Text: Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. Copy Citati…

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training

January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative

October 18, 2017 - Book/Report ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Citation Text: ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learn…

Prevalence of burnout among surgical residents and surgeons in Switzerland. | PSNet

psnet.ahrq.gov/issue/prevalence-burnout-among-surgical-residents-and-surgeons-switzerland

December 21, 2014 - Study Prevalence of burnout among surgical residents and surgeons in Switzerland. Citation Text: Businger A, Stefenelli U, Guller U. Prevalence of burnout among surgical residents and surgeons in Switzerland. Arch Surg. 2010;145(10):1013-6. doi:10.1001/archsurg.2010.188. Copy Citatio…

Transforming concepts in patient safety: a progress report. | PSNet

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January 20, 2015 - Review Classic Transforming concepts in patient safety: a progress report. Citation Text: Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756. Copy…

Harnessing the power of medical malpractice data to improve patient care. | PSNet

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September 25, 2019 - Commentary Harnessing the power of medical malpractice data to improve patient care. Citation Text: Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. Copy Citatio…

Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project

September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

Hospice diagnosis: polypharmacy—a teachable moment. | PSNet

psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment

April 24, 2018 - Commentary Hospice diagnosis: polypharmacy—a teachable moment. Citation Text: Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253. Copy Citation Format: DOI Google Scholar PubMed…

Maximizing the ability of health IT and AI to improve patient safety. | PSNet

psnet.ahrq.gov/issue/maximizing-ability-health-it-and-ai-improve-patient-safety

May 22, 2015 - Commentary Maximizing the ability of health IT and AI to improve patient safety. Citation Text: Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343. Copy Citation …

Research to improve diagnosis: time to study the real world. | PSNet

psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world

February 12, 2020 - Commentary Research to improve diagnosis: time to study the real world. Citation Text: Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. Copy Citation Format: DOI Google Scholar…

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