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Reducing near miss medication events using an evidence-based approach. | PSNet

psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach

July 07, 2021 - Study Reducing near miss medication events using an evidence-based approach. Citation Text: Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. Copy Citation Format: DOI…

Evaluation of the culture of safety and quality in pediatric primary care practices. | PSNet

psnet.ahrq.gov/issue/evaluation-culture-safety-and-quality-pediatric-primary-care-practices

January 26, 2022 - Study Evaluation of the culture of safety and quality in pediatric primary care practices. Citation Text: Oyegoke S, Gigli KH. Evaluation of the culture of safety and quality in pediatric primary care practices. J Patient Saf. 2022;18(4):e753-e759. doi:10.1097/pts.0000000000000942. Cop…

Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey. | PSNet

psnet.ahrq.gov/issue/nurses-perspectives-medication-errors-and-prevention-strategies-residential-aged-care

July 13, 2010 - Study Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey. Citation Text: Kuppadakkath SC, Bhowmik J, Olasoji M, et al. Nurses' perspectives on medication errors and prevention strategies in residential aged ca…

Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. | PSNet

psnet.ahrq.gov/issue/meaningful-use-stage-2-e-prescribing-threshold-and-adverse-drug-events-medicare-part-d

July 05, 2017 - Study Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. Citation Text: Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population w…

Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. | PSNet

psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency

September 21, 2022 - Review Cognitive bias during clinical decision-making and its influence on patient outcomes in the emergency department: a scoping review. Citation Text: Jala S, Fry M, Elliott R. Cognitive bias during clinical decision‐making and its influence on patient outcomes in the emergency depart…

"Doctor Jazz": lessons that medical professionals can learn from jazz musicians. | PSNet

psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians

August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. Citation Text: van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. Copy Ci…

Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. | PSNet

psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual

March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…

How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. | PSNet

psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety

January 29, 2014 - Commentary How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. Citation Text: Crompton A, Waring J, Macrae C, et al. How can specialist inv…

Stakeholder safety communication: patient and family reports on safety risks in hospitals. | PSNet

psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals

July 28, 2021 - Study Stakeholder safety communication: patient and family reports on safety risks in hospitals. Citation Text: Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. Copy …

Trends in adverse event rates in hospitalized patients, 2010-2019. | PSNet

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June 22, 2022 - Study Trends in adverse event rates in hospitalized patients, 2010-2019. Citation Text: Eldridge N, Wang Y, Metersky M, et al. Trends in adverse event rates in hospitalized patients, 2010-2019. JAMA. 2022;328(2):173-183. doi:10.1001/jama.2022.9600. Copy Citation Format: DOI…

High-reliability health care: getting there from here. | PSNet

psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here

January 23, 2012 - Study Classic High-reliability health care: getting there from here. Citation Text: Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. Copy Citation Format: DOI Go…

Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/variation-detected-adverse-events-using-trigger-tools-systematic-review-and-meta-analysis

January 25, 2023 - Review Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. Citation Text: Eggenschwiler LC, Rutjes AWS, Musy SN, et al. Variation in detected adverse events using trigger tools: a systematic review and meta-analysis. PLoS ONE. 2022;17(9):e0273…

A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet

psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients

April 06, 2022 - Study A recent two-fold increase in medical adverse event deaths among US inpatients. Citation Text: Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935. Copy…

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet

psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall

December 08, 2021 - Commentary Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. Citation Text: Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …

The role of organizational and professional cultures in medication safety: a scoping review of the literature. | PSNet

psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature

February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…

The influence of electronic health record design on usability and medication safety: systematic review. | PSNet

psnet.ahrq.gov/issue/influence-electronic-health-record-design-usability-and-medication-safety-systematic-review

July 19, 2023 - Review The influence of electronic health record design on usability and medication safety: systematic review. Citation Text: Cahill M, Cleary BJ, Cullinan S. The influence of electronic health record design on usability and medication safety: systematic review. BMC Health Serv Res. 2025…

A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. | PSNet

psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care

December 02, 2020 - Review A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Citation Text: Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…

Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. | PSNet

psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality

February 14, 2018 - Review Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. Citation Text: Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…

The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. | PSNet

psnet.ahrq.gov/issue/relationship-between-professional-burnout-and-quality-and-safety-healthcare-meta-analysis

April 24, 2018 - Review Classic The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. Citation Text: Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta…

Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration

April 30, 2014 - Study Classic Medical team training: applying crew resource management in the Veterans Health Administration. Citation Text: Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…

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