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  1. 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 …

  2. Can we make postoperative patient handovers safer? A systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
    June 10, 2015 - Review Can we make postoperative patient handovers safer? A systematic review of the literature. Citation Text: Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:1…

  3. Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet

    psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
    August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing physicians. Citation Text: Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…

  4. Miscoding, misclassification and misdiagnosis of diabetes in primary care. | PSNet

    psnet.ahrq.gov/issue/miscoding-misclassification-and-misdiagnosis-diabetes-primary-care
    September 23, 2020 - Study Miscoding, misclassification and misdiagnosis of diabetes in primary care. Citation Text: de Lusignan S, Sadek N, Mulnier H, et al. Miscoding, misclassification and misdiagnosis of diabetes in primary care. Diabet Med. 2012;29(2):181-9. doi:10.1111/j.1464-5491.2011.03419.x. Cop…

  5. Evidence-based guidelines for fatigue risk management in emergency medical services. | PSNet

    psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
    August 03, 2017 - Review Evidence-based guidelines for fatigue risk management in emergency medical services. Citation Text: Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.…

  6. Adverse drug event–related emergency department visits associated with complex chronic conditions. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
    August 20, 2016 - Study Adverse drug event–related emergency department visits associated with complex chronic conditions. Citation Text: Feinstein JA, Feudtner C, Kempe A. Adverse drug event-related emergency department visits associated with complex chronic conditions. Pediatrics. 2014;133(6):e1575-85. …

  7. Improving the safety of health information technology requires shared responsibility: it is time we all step up. | PSNet

    psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all
    August 20, 2014 - Commentary Improving the safety of health information technology requires shared responsibility: it is time we all step up. Citation Text: Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healt…

  8. Toward more proactive approaches to safety in the electronic health record era. | PSNet

    psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
    December 06, 2023 - Commentary Toward more proactive approaches to safety in the electronic health record era. Citation Text: Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. …

  9. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
    February 25, 2015 - Review Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. Citation Text: Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. J Eval Clin Pract…

  10. Structured handover in general surgery: an audit of current practice. | PSNet

    psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
    August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

  11. Supporting a psychiatric hospital culture of safety. | PSNet

    psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
    March 11, 2020 - Study Supporting a psychiatric hospital culture of safety. Citation Text: Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577. Copy Citation Format: DOI …

  12. Patient identification and tube labelling—a call for harmonisation. | PSNet

    psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
    April 29, 2020 - Commentary Patient identification and tube labelling—a call for harmonisation. Citation Text: van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…

  13. Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
    January 12, 2022 - Review Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis. Citation Text: Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …

  14. Defining and classifying terminology for medication harm: a call for consensus. | PSNet

    psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
    June 22, 2022 - Review Defining and classifying terminology for medication harm: a call for consensus. Citation Text: Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…

  15. Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media. | PSNet

    psnet.ahrq.gov/issue/enhancing-pediatric-safety-using-simulation-assess-radiology-resident-preparedness
    July 08, 2009 - Study Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media. Citation Text: Gaca AM, Frush DP, Hohenhaus SM, et al. Enhancing pediatric safety: using simulation to assess radiology resident preparedness for …

  16. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
    April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

  17. Disclosing adverse events to patients: international norms and trends. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
    July 29, 2020 - Study Disclosing adverse events to patients: international norms and trends. Citation Text: Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107. Copy Citation For…

  18. The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/role-education-developing-culture-safety-through-perceptions-undergraduate-nursing-students
    August 17, 2016 - Review The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review. Citation Text: Bedgood AL, Mellott S. The Role of Education in Developing a Culture of Safety Through the Perceptions of Undergradua…

  19. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
    November 30, 2016 - Review Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Citation Text: Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English pr…

  20. Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet

    psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
    March 10, 2021 - Commentary Beyond the corrective action hierarchy: a systems approach to organizational change. Citation Text: Wood LJ, Wiegmann DA. Beyond the corrective action hierarchy: a systems approach to organizational change. Int J Qual Health Care. 2020;32(7):438-444. doi:10.1093/intqhc/mzaa068…
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