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Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet

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November 15, 2023 - Study Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. Citation Text: Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet

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October 23, 2019 - Book/Report AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Citation Text: AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet

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October 16, 2012 - Book/Report Classic Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Serv…

Adverse drug events in ambulatory care. | PSNet

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February 24, 2011 - Study Classic Adverse drug events in ambulatory care. Citation Text: Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

An invisible disability: communication, patient safety and dual sensory impairment in older persons. | PSNet

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July 01, 2019 - Commentary An invisible disability: communication, patient safety and dual sensory impairment in older persons. Citation Text: Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub …

The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet

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April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…

Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet

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June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…

Improving medication-related safety for residents in nursing homes: a qualitative study. | PSNet

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March 24, 2019 - Study Improving medication-related safety for residents in nursing homes: a qualitative study. Citation Text: Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…

Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet

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September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Citation Text: Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…

Guidelines on Human Factors in Critical Situations 2023. | PSNet

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November 29, 2023 - Organizational Policy/Guidelines Guidelines on Human Factors in Critical Situations 2023. Citation Text: Bijok B, Jaulin F, Picard J, et al. Guidelines on human factors in critical situations 2023. Anaesth Crit Care Pain Med. 2023;42(4):101262. doi:10.1016/j.accpm.2023.101262. Copy Cit…

How unprofessional behaviours between healthcare staff threaten patient care and safety. | PSNet

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July 24, 2024 - Commentary How unprofessional behaviours between healthcare staff threaten patient care and safety. Citation Text: Aunger J, Maben J, Westbrook JI. How unprofessional behaviours between healthcare staff threaten patient care and safety. Expert Rev Pharmacoecon Outcomes Res. 2025;Epub Jan…

An infrastructure to provide safer, higher quality, and more equitable telehealth. | PSNet

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February 12, 2020 - Commentary An infrastructure to provide safer, higher quality, and more equitable telehealth. Citation Text: Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…

Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. | PSNet

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April 07, 2021 - Study Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. Citation Text: Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classific…

What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. | PSNet

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June 22, 2022 - Commentary What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. Citation Text: Narayana S, Rajkomar A, Harrison JD, et al. What Happened to My Patient? An Educational Intervention to Facilitate Postdischarge Patient Follow-Up. J Grad Med…

Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. | PSNet

psnet.ahrq.gov/issue/introducing-second-year-medical-students-diagnostic-reasoning-concepts-and-skills-virtual

April 24, 2018 - Study Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. Citation Text: Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. Diagnosi…

Errors and nonadherence in pediatric oral chemotherapy use. | PSNet

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April 08, 2020 - Study Errors and nonadherence in pediatric oral chemotherapy use. Citation Text: Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors

June 19, 2024 - Study Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Citation Text: Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):3…

How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet

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August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical errors: a review. Citation Text: Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…

Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. | PSNet

psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised

September 23, 2020 - Study Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Citation Text: Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1…

Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. | PSNet

psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011

November 12, 2014 - Study Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. Citation Text: Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…

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