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Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. | PSNet

psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year

May 04, 2010 - Commentary Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. Citation Text: Lindquist LA, Gleason KM, McDaniel MR, et al. Teaching medication reconciliation through simulation: a patient safety initiative for second yea…

"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern

July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. | PSNet

psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes

March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. | PSNet

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April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…

Transfer of accountability: transforming shift handover to enhance patient safety. | PSNet

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April 24, 2018 - Commentary Transfer of accountability: transforming shift handover to enhance patient safety. Citation Text: Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. Copy Citation …

Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. | PSNet

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September 02, 2020 - Commentary Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Citation Text: Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061…

Composite measures for profiling hospitals on bariatric surgery performance. | PSNet

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January 31, 2013 - Study Composite measures for profiling hospitals on bariatric surgery performance. Citation Text: Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109. Copy Cit…

Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years. | PSNet

psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity

April 24, 2018 - Study Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years. Citation Text: Cosby K, Roberts R, Palivos L, et al. Characteristics of patient care management problems identified in emergency departme…

Question answering systems for health professionals at the point of care - a systematic review. | PSNet

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August 04, 2021 - Review Question answering systems for health professionals at the point of care - a systematic review. Citation Text: Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-…

A case of the birth and death of a high reliability healthcare organisation. | PSNet

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June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation. Citation Text: Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. Copy Citation Format:…

National efforts to improve health information system safety in Canada, the United States of America and England. | PSNet

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July 14, 2009 - Review National efforts to improve health information system safety in Canada, the United States of America and England. Citation Text: Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …

Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. | PSNet

psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability-problems-and

June 15, 2022 - Study Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. Citation Text: Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship between usability pro…

Surgical fire in the United States: 2000-2020. | PSNet

psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020

March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

The mixed blessings of smart infusion devices and health care IT. | PSNet

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March 13, 2024 - Study The mixed blessings of smart infusion devices and health care IT. Citation Text: Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. Copy Citation Format: …

Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. | PSNet

psnet.ahrq.gov/issue/adjusting-duty-hour-reforms-residents-perception-safety-climate-interdisciplinary-night-float

June 01, 2022 - Study Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. Citation Text: Lafleur A, Harvey A, Simard C. Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotatio…

Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. | PSNet

psnet.ahrq.gov/issue/crowdsourcing-diagnosis-exploring-accuracy-size-and-type-group-diagnosis-experimental-study

October 27, 2021 - Study Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study. Citation Text: Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size and type of group diagnosis: an experimental study…

How do physicians conduct medication reviews? | PSNet

psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews

September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…

Use of failure mode and effects analysis to improve emergency department handoff processes. | PSNet

psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes

October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…

Antibiotic timing and errors in diagnosing pneumonia. | PSNet

psnet.ahrq.gov/issue/antibiotic-timing-and-errors-diagnosing-pneumonia

March 20, 2024 - Study Antibiotic timing and errors in diagnosing pneumonia. Citation Text: Welker JA, Huston M, McCue JD. Antibiotic timing and errors in diagnosing pneumonia. Arch Intern Med. 2008;168(4):351-6. doi:10.1001/archinternmed.2007.84. Copy Citation Format: DOI Google Scholar …

Adopting system models for multiple incident analysis: utility and usability. | PSNet

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May 19, 2021 - Study Adopting system models for multiple incident analysis: utility and usability. Citation Text: Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. Copy Citation …

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