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Improving the quality of health care: what's taking so long? | PSNet

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April 06, 2016 - Commentary Classic Improving the quality of health care: what's taking so long? Citation Text: Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. Copy Citation Format: …

Transformational leadership in nursing and medication safety education: a discussion paper. | PSNet

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September 08, 2021 - Commentary Transformational leadership in nursing and medication safety education: a discussion paper. Citation Text: Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper. J Nurs Manag. 2016;24(7):970-980…

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

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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 …

AI: promise or peril for patient safety. | PSNet

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July 20, 2022 - Commentary AI: promise or peril for patient safety. Citation Text: Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37. doi:10.1097/pts.0000000000001301. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. | PSNet

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December 01, 2017 - Book/Report Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. Citation Text: Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup: Landscape Assessment On The Use Of Artifi…

An invisible disability: communication, patient safety and dual sensory impairment in older persons. | PSNet

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July 01, 2019 - Commentary An invisible disability: communication, patient safety and dual sensory impairment in older persons. Citation Text: Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub …

Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. | PSNet

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March 20, 2024 - Commentary Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. Citation Text: Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j…

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

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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

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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…

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. …

Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/understanding-and-addressing-sources-anxiety-among-health-care-professionals-during-covid-19

December 02, 2020 - Commentary Classic Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Citation Text: Shanafelt TD, Ripp JA, Trockel M. Understanding and addressing sources of anxiety among health care professionals duri…

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

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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

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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…

Operating room briefings and wrong-site surgery. | PSNet

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November 26, 2008 - Study Classic Operating room briefings and wrong-site surgery. Citation Text: Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. Copy Citation Format: Google Scholar PubMe…

Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? | PSNet

psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement

November 25, 2020 - Commentary Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? Citation Text: Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improveme…

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

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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…

Hospice diagnosis: polypharmacy—a teachable moment. | PSNet

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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…

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…

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

psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report

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…

EMS Patient Safety in the Field | PSNet

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July 28, 2021 - provide emergent services, efficient and effective response following a 911 call is the first step in ensuring

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