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Process of care failures in breast cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis

January 06, 2017 - Study Process of care failures in breast cancer diagnosis. Citation Text: Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. Copy Citation Format: DOI Googl…

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. | PSNet

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July 20, 2022 - Study Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study. Citation Text: Sprogis SK, Street M, Currey J, et al. Modifications to medical emergency team activation criteria and implications for patient safety: a point …

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. | PSNet

psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2007

September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2007. Am J Health Syst Pharm…

Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. | PSNet

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September 22, 2021 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. Citation Text: Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…

VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet

psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events

November 22, 2017 - Book/Report VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Citation Text: VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…

How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? | PSNet

psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care

July 02, 2008 - Study How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? Citation Text: Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet

psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges

July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…

Outpatient adverse drug events identified by screening electronic health records. | PSNet

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June 08, 2016 - Study Outpatient adverse drug events identified by screening electronic health records. Citation Text: Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…

A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. | PSNet

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December 15, 2021 - Review A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. Citation Text: Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for patient safety in the patient care environment. J …

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. | PSNet

psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners

May 18, 2022 - Commentary Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. Citation Text: Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during…

Determinants of patient–oncologist prognostic discordance in advanced cancer. | PSNet

psnet.ahrq.gov/issue/determinants-patient-oncologist-prognostic-discordance-advanced-cancer

July 13, 2022 - Study Determinants of patient–oncologist prognostic discordance in advanced cancer. Citation Text: Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861. Cop…

Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet

psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety

September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. Citation Text: Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 20…

Partners in our care: patient safety from a patient perspective. | PSNet

psnet.ahrq.gov/issue/partners-our-care-patient-safety-patient-perspective

December 04, 2016 - Study Partners in our care: patient safety from a patient perspective. Citation Text: Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. Copy Citation Format: …

The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. | PSNet

psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and

April 05, 2013 - Study The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. Citation Text: Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on…

Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet

psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised

March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

Second victims need emotional support after adverse events: even in a just safety culture. | PSNet

psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture

April 12, 2023 - Commentary Second victims need emotional support after adverse events: even in a just safety culture. Citation Text: Schrøder K, Lamont RF, Jørgensen JS, et al. Second victims need emotional support after adverse events: even in a just safety culture. BJOG. 2019;126(4):440-442. doi:10.11…

Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. | PSNet

psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and

July 13, 2010 - Study Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Citation Text: Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…

Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. | PSNet

psnet.ahrq.gov/issue/assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active

December 23, 2020 - Study Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. Citation Text: Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillanc…

More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? | PSNet

psnet.ahrq.gov/issue/more-holes-cheese-what-prevents-delivery-effective-high-quality-and-safe-healthcare-england

December 18, 2017 - Study More holes than cheese. What prevents the delivery of effective, high quality, and safe healthcare in England? Citation Text: Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high quality and safe health care in England? Ergonomic…

The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. | PSNet

psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and

June 15, 2012 - Study The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. Citation Text: Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions among hospitalized children…

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