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psnet.ahrq.gov/issue/medication-reconciliation-process-and-classification-discrepancies-systematic-review
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…
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psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
June 27, 2011 - Study
Apologies following an adverse medical event: the importance of focusing on the consumer's needs.
Citation Text:
Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…
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psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true
February 25, 2009 - Study
From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation.
Citation Text:
Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…
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psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
September 20, 2011 - Study
Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites.
Citation Text:
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…
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psnet.ahrq.gov/issue/anticipating-patient-safety-events-psychiatric-care
March 10, 2021 - Study
Anticipating patient safety events in psychiatric care.
Citation Text:
Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760.
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psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential
October 24, 2012 - Study
The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems.
Citation Text:
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…
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psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
May 20, 2016 - Commentary
Healthcare-associated infections: a national patient safety problem and the coordinated response.
Citation Text:
Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…
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psnet.ahrq.gov/issue/rural-emergency-medical-services-clinicians-perceptions-and-preferences-receiving-clinical
June 02, 2021 - Study
Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment.
Citation Text:
Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…
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psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hospitals-data-analysis
November 16, 2022 - Study
Leapfrog safety grades in California hospitals: a data analysis.
Citation Text:
Razick D, Amani N, Ali L, et al. Leapfrog safety grades in California hospitals: a data analysis. Am J Med Qual. 2024;39(5):251-255. doi:10.1097/jmq.0000000000000200.
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psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
January 12, 2022 - Review
Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.
Citation Text:
Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…
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psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff
March 21, 2018 - Study
Patient safety outcomes after two years of an enhanced internal medicine residency clinic handoff.
Citation Text:
Pincavage AT, Prochaska M, Dahlstrom M, et al. Patient Safety Outcomes after Two Years of an Enhanced Internal Medicine Residency Clinic Handoff. Am J Med. 2013;127(1).…
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psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
July 19, 2023 - Study
Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies.
Citation Text:
Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…
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psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
August 05, 2020 - Study
Improved medication management with introduction of a perioperative and prescribing pharmacist service.
Citation Text:
Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3…
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psnet.ahrq.gov/issue/factors-influencing-physician-responsiveness-nurse-initiated-communication-qualitative-study
October 13, 2021 - Study
Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.
Citation Text:
Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):…
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
March 21, 2017 - Study
Voluntary electronic reporting of medical errors and adverse events.
Citation Text:
Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…
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psnet.ahrq.gov/issue/association-electronic-health-record-use-above-meaningful-use-thresholds-hospital-quality-and
October 06, 2021 - Study
Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.
Citation Text:
Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.…
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psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans
September 23, 2020 - Study
Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans.
Citation Text:
Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097.
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psnet.ahrq.gov/issue/supporting-doctors-healthcare-quality-and-safety-advocates-recommendations-association
April 13, 2016 - Study
Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT).
Citation Text:
Fleming CA, Humm G, Wild JR, et al. Supporting doctors as healthcare quality and safety advocates: Recommendations from the Association…
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psnet.ahrq.gov/issue/communicating-certainty-pathology-reports-interpretation-differences-among-staff-pathologists
January 23, 2017 - Study
Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study.
Citation Text:
Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences amo…
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psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program
April 24, 2018 - Study
Emerging Classic
Supporting clinicians after adverse events: development of a clinician peer support program.
Citation Text:
Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. …