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Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. | PSNet

psnet.ahrq.gov/issue/use-patient-feedback-hospital-boards-directors-qualitative-study-two-nhs-hospitals-england

June 12, 2019 - Study The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. Citation Text: Lee R, Baeza JI, Fulop NJ. The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England. BMJ Qual Saf…

Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet

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October 31, 2023 - Commentary Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. Citation Text: Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…

The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. | PSNet

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November 03, 2021 - Study Emerging Classic The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. Citation Text: Dürr P, Schlichtig K, Kelz C, et al. The randomi…

Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. | PSNet

psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi

March 17, 2021 - Study Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a multi-institutional evaluation. Citation Text: Riley MS, Etheridge J, Palter V, et al. Remote assessment of real-world surgical safety checklist performance using the OR Black Box: a mul…

Detection rates of mild cognitive impairment in primary care for the United States Medicare population. | PSNet

psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population

February 16, 2022 - Study Detection rates of mild cognitive impairment in primary care for the United States Medicare population. Citation Text: Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12…

Challenges and strategies for patient safety in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/challenges-and-strategies-patient-safety-primary-care-qualitative-study

October 13, 2021 - Study Challenges and strategies for patient safety in primary care: a qualitative study. Citation Text: Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.00000000000…

Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. | PSNet

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February 03, 2011 - Study Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self-investigations: a NBSIs frontline ownership intervention. Citation Text: Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by imp…

The effects of electronic prescribing by community-based providers on ambulatory medication safety. | PSNet

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March 04, 2015 - Study The effects of electronic prescribing by community-based providers on ambulatory medication safety. Citation Text: Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based providers on ambulatory medication safety. Jt Comm J Qual Patient Saf…

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation

January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. | PSNet

psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors

August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…

The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/association-between-health-care-staff-engagement-and-patient-safety-outcomes-systematic

February 02, 2022 - Review Emerging Classic The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis. Citation Text: Janes G, Mills T, Budworth L, et al. The association between health care staff engagement and patient …

Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. | PSNet

psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically

March 01, 2017 - Book/Report Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. Citation Text: Technical Evaluation, Testing, and Validation of the Usability …

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

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October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national

March 04, 2011 - Review The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Citation Text: Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. | PSNet

psnet.ahrq.gov/issue/factors-associated-potentially-harmful-medication-prescribing-nursing-homes-scoping-review

September 27, 2016 - Review Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. Citation Text: Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. J Am Med Dir Assoc. 202…

Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure

July 20, 2022 - Study Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. Citation Text: Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…

Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. | PSNet

psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety

December 19, 2012 - Study Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Citation Text: Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …

Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. | PSNet

psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects

June 18, 2013 - Study Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. Citation Text: Mattsson TO, Lipczak H, Pottegård A. Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatm…

The patient's "story": an examination of patient-reported safety incidents in general practice. | PSNet

psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice

November 03, 2021 - Study The patient's "story": an examination of patient-reported safety incidents in general practice. Citation Text: Madden C, Lydon S, Murphy AW, et al. The patient’s “story”: an examination of patient-reported safety incidents in general practice. Fam Pract. 2022;39(6):1095-1102. doi:1…

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