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Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. | PSNet

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November 21, 2016 - Study Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. Citation Text: Turner K, Frush K, Hueckel RM, et al. Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. J…

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. | PSNet

psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle

June 29, 2009 - Commentary COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. Citation Text: Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …

Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance | PSNet

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July 29, 2020 - Review Emerging Classic Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance Citation Text: Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet

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September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…

Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet

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September 01, 2018 - Study Structuring patient and family involvement in medical error event disclosure and analysis. Citation Text: Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…

Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet

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November 30, 2022 - Commentary Humanizing harm: using a restorative approach to heal and learn from adverse events. Citation Text: Wailling J, Kooijman A, Hughes J, et al. Humanizing harm: Using a restorative approach to heal and learn from adverse events. Health Expect. 2022;25(4):1192-1199. doi:10.1111/he…

Systematic review of the impact of physician implicit racial bias on clinical decision making. | PSNet

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May 18, 2022 - Review Systematic review of the impact of physician implicit racial bias on clinical decision making. Citation Text: Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10…

Patient error: a preliminary taxonomy. | PSNet

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June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

A novel approach for assessing bias during team-based clinical decision-making. | PSNet

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April 10, 2024 - Study A novel approach for assessing bias during team-based clinical decision-making. Citation Text: Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.101477…

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. | PSNet

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October 10, 2012 - Study Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Citation Text: Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…

The medication reconciliation process and classification of discrepancies: a systematic review. | PSNet

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May 03, 2023 - Review The medication reconciliation process and classification of discrepancies: a systematic review. Citation Text: Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…

Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. | PSNet

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August 26, 2011 - Study Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. Citation Text: Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…

Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. | PSNet

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December 15, 2021 - Review Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. Citation Text: Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public hea…

Educating seniors to be patient safety self-advocates in primary care. | PSNet

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December 15, 2011 - Study Educating seniors to be patient safety self-advocates in primary care. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. Copy Citation Form…

The development and evaluation of an integrated electronic prescribing and drug management system for primary care. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-integrated-electronic-prescribing-and-drug-management-system

March 10, 2011 - Study The development and evaluation of an integrated electronic prescribing and drug management system for primary care. Citation Text: Tamblyn R, Huang A, Kawasumi Y, et al. The development and evaluation of an integrated electronic prescribing and drug management system for primary …

International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses. | PSNet

psnet.ahrq.gov/issue/international-comparability-patient-safety-indicators-15-oecd-member-countries-methodological

June 28, 2011 - Study International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses. Citation Text: Drösler SE, Romano PS, Tancredi DJ, et al. International comparability of patient safety indicators in 15 OECD memb…

Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. | PSNet

psnet.ahrq.gov/issue/prevalence-and-predictors-adverse-events-older-surgical-patients-impact-present-admission

October 04, 2023 - Study Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. Citation Text: Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indi…

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical

March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. Citation Text: English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …

Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. | PSNet

psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using

November 27, 2012 - Study Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. Citation Text: Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-…

Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet

psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood

April 15, 2019 - Study Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. Citation Text: Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical Record Ac…

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