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Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet

psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist

May 04, 2012 - Study Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Citation Text: Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…

Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. | PSNet

psnet.ahrq.gov/issue/medication-guides-patient-medication-information-proposed-rule-food-and-drug-administration

September 15, 2021 - Press Release/Announcement Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. Citation Text: Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. May 31, 2023; Fed Register;88:35694-35…

Clinical outcomes associated with medication regimen complexity in older people: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-outcomes-associated-medication-regimen-complexity-older-people-systematic-review

March 21, 2012 - Review Clinical outcomes associated with medication regimen complexity in older people: a systematic review. Citation Text: Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 201…

Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

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January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…

The effects of power, leadership and psychological safety on resident event reporting. | PSNet

psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting

November 16, 2022 - Study The effects of power, leadership and psychological safety on resident event reporting. Citation Text: Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…

Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet

psnet.ahrq.gov/issue/going-blank-factors-contributing-interruptions-nurses-work-and-related-outcomes

September 24, 2016 - Study Going blank: factors contributing to interruptions to nurses' work and related outcomes. Citation Text: Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…

Understanding safety culture in long-term care: a case study. | PSNet

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April 19, 2011 - Study Understanding safety culture in long-term care: a case study. Citation Text: Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. Copy Citation Format: …

Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. | PSNet

psnet.ahrq.gov/issue/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-pre-referral

November 02, 2018 - Study Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. Citation Text: Dossett LA, Kauffmann RM, Lee JS, et al. Specialist Physicians' Attitudes and Practice Patterns Regarding Disclosure of Pre-referral Medical Errors. Ann Surg. …

Effect of social influences on pharmacists' intention to report adverse drug events. | PSNet

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November 13, 2019 - Study Effect of social influences on pharmacists' intention to report adverse drug events. Citation Text: Gavaza P, Brown CM, Lawson KA, et al. Effect of social influences on pharmacists' intention to report adverse drug events. J Am Pharm Assoc (2003). 2012;52(5):622-629. Copy Citat…

Refining a framework to enhance communication in the emergency department during the diagnostic process: an eDelphi approach. | PSNet

psnet.ahrq.gov/issue/refining-framework-enhance-communication-emergency-department-during-diagnostic-process

May 08, 2024 - Study Refining a framework to enhance communication in the emergency department during the diagnostic process: an eDelphi approach. Citation Text: Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the emergency department during the diagnos…

Progress in interoperability: measuring US hospitals' engagement in sharing patient data. | PSNet

psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data

March 27, 2024 - Study Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Citation Text: Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. do…

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. | PSNet

psnet.ahrq.gov/issue/medical-surgical-nurse-leaders-experiences-safety-culture-inductive-qualitative-descriptive

August 05, 2020 - Study Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. Citation Text: Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-…

Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older

February 14, 2017 - Study Classic Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. Citation Text: Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational…

Multidose drug dispensing and discrepancies between medication records. | PSNet

psnet.ahrq.gov/issue/multidose-drug-dispensing-and-discrepancies-between-medication-records

November 06, 2013 - Study Multidose drug dispensing and discrepancies between medication records. Citation Text: Wekre LJ, Spigset O, Sletvold O, et al. Multidose drug dispensing and discrepancies between medication records. Qual Saf Health Care. 2010;19(5):e42. doi:10.1136/qshc.2009.038745. Copy Citati…

Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet

psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological

October 19, 2022 - Study Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. Citation Text: Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…

Mapping changes in surgical mortality over 9 years by peer review audit. | PSNet

psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit

March 04, 2011 - Study Mapping changes in surgical mortality over 9 years by peer review audit. Citation Text: Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. Copy Citation Format: Google Schol…

Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. | PSNet

psnet.ahrq.gov/issue/optimising-surgical-training-use-feedback-reduce-errors-during-simulated-surgical-procedure

February 19, 2014 - Study Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Citation Text: Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 201…

Applying aviation factors to oral and maxillofacial surgery—the human element. | PSNet

psnet.ahrq.gov/issue/applying-aviation-factors-oral-and-maxillofacial-surgery-human-element

September 23, 2020 - Commentary Applying aviation factors to oral and maxillofacial surgery—the human element. Citation Text: Seager L, Smith DW, Patel A, et al. Applying aviation factors to oral and maxillofacial surgery--the human element. Br J Oral Maxillofac Surg. 2013;51(1):8-13. doi:10.1016/j.bjoms.2…

Improving alarm performance in the medical intensive care unit using delays and clinical context. | PSNet

psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context

December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…

Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. | PSNet

psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety

October 25, 2023 - Commentary Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. Citation Text: Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…

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