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Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet

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September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

The patient's right to safety—improving the quality of care through litigation against hospitals. | PSNet

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February 17, 2011 - Commentary The patient's right to safety—improving the quality of care through litigation against hospitals. Citation Text: Annas GJ. The patient's right to safety--improving the quality of care through litigation against hospitals. N Engl J Med. 2006;354(19):2063-2066. Copy Citation…

Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

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August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

Enhanced detection of blood bank sample collection errors with a centralized patient database. | PSNet

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March 20, 2019 - Study Enhanced detection of blood bank sample collection errors with a centralized patient database. Citation Text: MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…

Improving patient safety in radiology: concepts for a comprehensive patient safety program. | PSNet

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December 14, 2016 - Commentary Improving patient safety in radiology: concepts for a comprehensive patient safety program. Citation Text: Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety in radiology: concepts for a comprehensive patient safety program. Semin Ultrasound CT MR. 2010…

From a blame culture to a just culture in health care. | PSNet

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January 23, 2017 - Commentary From a blame culture to a just culture in health care. Citation Text: Khatri N, Brown GD, Hicks LL. From a blame culture to a just culture in health care. Health Care Manag Rev. 2009;34(4):312-322. doi:10.1097/HMR.0b013e3181a3b709. Copy Citation Format: DOI Goog…

A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet

psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography

March 04, 2015 - Study A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. Citation Text: Tridandapani S, Ramamurthy S, Provenzale J, et al. A multiobserver study of the effects of including point-of-care p…

Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet

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August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet

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March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Citation Text: Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…

Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet

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October 19, 2022 - Study Clinical clerkship students' perceptions of (un)safe transitions for every patient. Citation Text: Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…

Hospital and procedure incidence of pediatric retained surgical items. | PSNet

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December 02, 2020 - Study Hospital and procedure incidence of pediatric retained surgical items. Citation Text: Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. Copy Citation Format:…

Predictors of perceived discrimination in medical settings among Muslim women in the USA. | PSNet

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November 26, 2012 - Study Predictors of perceived discrimination in medical settings among Muslim women in the USA. Citation Text: Murrar S, Baqai B, Padela AI. Predictors of perceived discrimination in medical settings among Muslim women in the USA. J Racial Ethn Health Disparities. 2024;11(1):150-156. doi…

Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. | PSNet

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June 10, 2020 - Review Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. Citation Text: Tan MZY, Prager G, McClelland A, et al. Healthcare resilience: a meta-narrative systematic review and synthesis of reviews. BMJ Open. 2023;13(9):e072136. doi:10.1136/bmjopen-2023-072…

Omitted and unjustified medications in the discharge summary. | PSNet

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May 18, 2022 - Study Omitted and unjustified medications in the discharge summary. Citation Text: Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588. Copy Citation Format: …

Disseminating innovations in health care. | PSNet

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August 04, 2021 - Commentary Classic Disseminating innovations in health care. Citation Text: Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

Incidence of medication errors and adverse drug events in the ICU: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review

October 16, 2019 - Review Incidence of medication errors and adverse drug events in the ICU: a systematic review. Citation Text: Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…

Managing and mitigating conflict in healthcare teams: an integrative review. | PSNet

psnet.ahrq.gov/issue/managing-and-mitigating-conflict-healthcare-teams-integrative-review

July 19, 2023 - Review Managing and mitigating conflict in healthcare teams: an integrative review. Citation Text: Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. Copy Citati…

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…

Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety

October 19, 2022 - Commentary Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. Citation Text: Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …

Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries

July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…

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