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  1. A structured judgement method to enhance mortality case note review: development and evaluation. | PSNet

    psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
    May 27, 2011 - Study A structured judgement method to enhance mortality case note review: development and evaluation. Citation Text: Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). do…

  2. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-obstetric-morbidity-and-mortality-methods-and-challenges-seeking-diagnostic
    May 18, 2022 - Commentary Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic excellence. Citation Text: Krenitsky NM, Perez-Urbano I, Goffman D. Diagnostic errors in obstetric morbidity and mortality: methods for and challenges in seeking diagnostic…

  3. Patient safety informatics: meeting the challenges of emerging digital health. | PSNet

    psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health
    June 08, 2022 - Commentary Patient safety informatics: meeting the challenges of emerging digital health. Citation Text: McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…

  4. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. | PSNet

    psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging
    April 06, 2022 - Study Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. Citation Text: Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov…

  5. A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. | PSNet

    psnet.ahrq.gov/issue/prospective-cohort-study-medication-reconciliation-using-pharmacy-technicians-emergency
    July 01, 2019 - Study A prospective cohort study of medication reconciliation using pharmacy technicians in the emergency department to reduce medication errors among admitted patients. Citation Text: Cater SW, Luzum M, Serra AE, et al. A prospective cohort study of medication reconciliation using pharm…

  6. Safe care for pediatric patients: a scoping review across multiple health care settings. | PSNet

    psnet.ahrq.gov/issue/safe-care-pediatric-patients-scoping-review-across-multiple-health-care-settings
    August 03, 2022 - Review Safe care for pediatric patients: a scoping review across multiple health care settings. Citation Text: Stang A, Thomson D, Hartling L, et al. Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings. Clin Pediatr (Phila). 2018;57(1):62-75. doi:10.11…

  7. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. | PSNet

    psnet.ahrq.gov/issue/predictors-treatment-error-children-uncomplicated-malaria-seen-outpatients-blantyre-district
    May 18, 2022 - Study Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. Citation Text: Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre dis…

  8. If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

    psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors
    July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

  9. Medical error: the second victim. | PSNet

    psnet.ahrq.gov/issue/medical-error-second-victim
    March 23, 2011 - Commentary Classic Medical error: the second victim. Citation Text: Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  10. Patient Safety Leadership WalkRounds. | PSNet

    psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
    January 02, 2017 - Study Classic Patient Safety Leadership WalkRounds. Citation Text: Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. Copy Citation Format: DOI Google…

  11. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
    April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

  12. Influence of burnout on patient safety: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/influence-burnout-patient-safety-systematic-review-and-meta-analysis
    August 16, 2023 - Review Classic Influence of burnout on patient safety: systematic review and meta-analysis. Citation Text: Garcia C de L, de Abreu LC, Ramos JLS, et al. Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. Medicina (Kaunas). 2019;55(9):55…

  13. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces
    November 16, 2022 - Commentary Emerging Classic Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. Citation Text: Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382…

  14. Organizational factors that promote error reporting in healthcare: a scoping review. | PSNet

    psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
    June 01, 2022 - Review Organizational factors that promote error reporting in healthcare: a scoping review. Citation Text: Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166. Copy…

  15. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
    September 28, 2022 - Review Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. Citation Text: Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic re…

  16. Resolving the productivity paradox of health information technology: a time for optimism. | PSNet

    psnet.ahrq.gov/issue/resolving-productivity-paradox-health-information-technology-time-optimism
    November 16, 2022 - Commentary Resolving the productivity paradox of health information technology: a time for optimism. Citation Text: Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605. Copy …

  17. Capturing essential information to achieve safe interoperability. | PSNet

    psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability
    February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

  18. Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. | PSNet

    psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again
    February 23, 2022 - Newspaper/Magazine Article Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. Citation Text: Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. ISMP Medicatio…

  19. Physician burnout in the electronic health record era: are we ignoring the real cause? | PSNet

    psnet.ahrq.gov/issue/physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause
    October 04, 2023 - Commentary Physician burnout in the electronic health record era: are we ignoring the real cause? Citation Text: Downing L, Bates DW, Longhurst CA. Physician Burnout in the Electronic Health Record Era: Are We Ignoring the Real Cause? Ann Intern Med. 2018;169(1):50-51. doi:10.7326/M18-01…

  20. Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    May 05, 2021 - Review Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;17…
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