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Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. | PSNet

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December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…

Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet

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March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…

Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. | PSNet

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January 21, 2015 - Study Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. Citation Text: Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(…

A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. | PSNet

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July 14, 2021 - Study A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. Citation Text: Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Envi…

Implementing medication reconciliation in outpatient pediatrics. | PSNet

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September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …

Regret among primary care physicians: a survey of diagnostic decisions. | PSNet

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November 13, 2019 - Study Regret among primary care physicians: a survey of diagnostic decisions. Citation Text: Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w. Copy Citation …

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. | PSNet

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August 10, 2022 - Study Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. Citation Text: Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-reported adverse ev…

Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. | PSNet

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March 30, 2022 - Study Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. Citation Text: Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…

Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. | PSNet

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September 16, 2020 - Commentary Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Citation Text: Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Leadersh He…

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet

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March 25, 2020 - Study Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. Citation Text: Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

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October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. | PSNet

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February 02, 2022 - Review Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. Citation Text: Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2…

Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. | PSNet

psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures

September 19, 2016 - Study Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. Citation Text: Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.…

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. | PSNet

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September 21, 2022 - Study Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals. Citation Text: Xiao Y, Smith A, Abebe E, et al. Understanding hazards for adverse drug events among older adults after hospital discharge: insights…

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet

psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary

January 18, 2013 - Study Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. Citation Text: Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…

Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. | PSNet

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August 21, 2024 - Study Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. Citation Text: Hedqvist A‐T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability a…

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

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May 11, 2022 - Study Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. Citation Text: Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…

Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. | PSNet

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August 26, 2020 - Study Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients. Citation Text: Cornu P, Steurbaut S, Leysen T, et al. Effect of medication reconciliation at hospital admission on medication disc…

A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. | PSNet

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April 10, 2024 - Study A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. Citation Text: Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…

The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

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February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

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