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A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet

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March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…

The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. | PSNet

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May 24, 2015 - Book/Report Classic The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. Citation Text: The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…

Clinical reasoning as a core competency. | PSNet

psnet.ahrq.gov/issue/clinical-reasoning-core-competency

August 20, 2018 - Commentary Clinical reasoning as a core competency. Citation Text: Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

Why is it so hard to reduce harm from medicines? | PSNet

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April 28, 2021 - Commentary Why is it so hard to reduce harm from medicines? Citation Text: Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205. doi:10.1016/j.fhj.2024.100205. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet

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June 21, 2016 - Study Classic Cognitive errors in diagnosis: instantiation, classification, and consequences. Citation Text: Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. Copy Citation …

Drawing boundaries: the difficulty in defining clinical reasoning. | PSNet

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June 26, 2019 - Commentary Emerging Classic Drawing boundaries: the difficulty in defining clinical reasoning. Citation Text: Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0…

Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model. | PSNet

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June 12, 2018 - Organizational Policy/Guidelines Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model. Citation Text: Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):29…

Doing right by our patients when things go wrong in the ambulatory setting. | PSNet

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August 14, 2017 - Commentary Doing right by our patients when things go wrong in the ambulatory setting. Citation Text: Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96. Copy Citation Forma…

Measurement of ambulatory medication errors in children: a scoping review. | PSNet

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February 07, 2024 - Review Measurement of ambulatory medication errors in children: a scoping review. Citation Text: Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. Copy Citat…

Costs and consequences associated with misdiagnosed lower extremity cellulitis. | PSNet

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November 12, 2014 - Study Costs and consequences associated with misdiagnosed lower extremity cellulitis. Citation Text: Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816. Copy C…

'Failing wisely' can promote a safer healthcare system. | PSNet

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April 30, 2014 - Newspaper/Magazine Article 'Failing wisely' can promote a safer healthcare system. Citation Text: Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today. September 17, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. | PSNet

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March 31, 2021 - Commentary Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. Citation Text: McKeon LM, Oswaks JD, Cunningham PD. Safeguarding patients: complexity science, high reliability organizations, and implications for te…

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. | PSNet

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December 23, 2011 - Study Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. Citation Text: Nebeker JR, Yarnold PR, Soltysik RC, et al. Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. Med…

Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. | PSNet

psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame

August 24, 2022 - Review Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. Citation Text: Brattebø G, Flaatten HK. Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame. Curr Opin Anaesthesiol. 2023;36(2):…

Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. | PSNet

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August 15, 2018 - Press Release/Announcement Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. Citation Text: Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory …

Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. | PSNet

psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error

May 18, 2022 - Study Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. Citation Text: Friedman CP, Gatti GG, Franz TM, et al. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. J Gen Int…

Laney's story: the problem of delayed diagnosis of pediatric stroke. | PSNet

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April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. Citation Text: Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. Copy Citation For…

Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). | PSNet

psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-artificial

July 22, 2024 - Grant Announcement Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Citation Text: Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. Copy Citation …

Crowding in the Emergency Department: Challenges for the Care of Children. | PSNet

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October 19, 2022 - Organizational Policy/Guidelines Crowding in the Emergency Department: Challenges for the Care of Children. Citation Text: Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10…

Enhancing the effectiveness of team debriefings in medical simulation: more best practices. | PSNet

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March 17, 2021 - Commentary Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Citation Text: Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3…

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