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Prescribing errors resulting in adverse drug events: how can they be prevented? | PSNet

psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented

May 10, 2023 - Commentary Prescribing errors resulting in adverse drug events: how can they be prevented? Citation Text: Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93. Copy Citation Format: Google Scho…

Leveraging consistent communication tools and organizational values to promote accountability among health care providers. | PSNet

psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability

January 18, 2023 - Commentary Leveraging consistent communication tools and organizational values to promote accountability among health care providers. Citation Text: Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…

Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. | PSNet

psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication

November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…

How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? | PSNet

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October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…

Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. | PSNet

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August 18, 2021 - Study Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Citation Text: Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385. Cop…

Tracking with virtual slides: a tool to study diagnostic error in histopathology. | PSNet

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January 08, 2020 - Study Tracking with virtual slides: a tool to study diagnostic error in histopathology. Citation Text: Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…

Implementing root cause analysis in an area health service: views of the participants. | PSNet

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December 03, 2014 - Study Implementing root cause analysis in an area health service: views of the participants. Citation Text: Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8. Copy Citation Fo…

HomeNet: ensuring patient safety with medical device use in the home. | PSNet

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June 18, 2014 - Commentary HomeNet: ensuring patient safety with medical device use in the home. Citation Text: Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home Healthc Nurse. 2009;27(5):300-7. Copy Citation Format: Google Scholar PubMe…

The health implications of apologizing after an adverse event. | PSNet

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October 05, 2015 - Commentary The health implications of apologizing after an adverse event. Citation Text: Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001. Copy Citation Format: DOI Goo…

Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. | PSNet

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December 31, 2012 - Study Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. Citation Text: Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…

CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. | PSNet

psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-covid-disruptions

June 15, 2022 - Newspaper/Magazine Article CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers. Citation Text: CMS proposal to suppress hospital safety data angers advocates — agency says COVID dis…

Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing. | PSNet

psnet.ahrq.gov/issue/navigating-complex-terrain-patient-safety-challenges-strategies-and-importance-ongoing

July 01, 2017 - Commentary Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing. Citation Text: Macleod H, Greenfield D. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ong…

Leading a highly visible hospital through a serious reportable event. | PSNet

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February 15, 2023 - Commentary Leading a highly visible hospital through a serious reportable event. Citation Text: Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. Copy Citation Format: DOI Googl…

Health information technologies: from hazardous to the dark side. | PSNet

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January 24, 2024 - Commentary Health information technologies: from hazardous to the dark side. Citation Text: Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. Copy Citation Format…

The elusive and illusive quest for diagnostic safety metrics. | PSNet

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October 10, 2018 - Commentary The elusive and illusive quest for diagnostic safety metrics. Citation Text: Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. Copy Citation Format: DOI Google Sch…

Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

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December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

Effects of work hour reduction on residents' lives: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review

March 02, 2011 - Review Effects of work hour reduction on residents' lives: a systematic review. Citation Text: Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. Copy Citation Format: DOI Goo…

An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. | PSNet

psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy

April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…

Pharmacist medication assessments in a surgical preadmission clinic. | PSNet

psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic

October 15, 2008 - Study Pharmacist medication assessments in a surgical preadmission clinic. Citation Text: Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. Copy Citation Format: Google Scholar…

Waiting for urgent procedures on the weekend among emergently hospitalized patients. | PSNet

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September 04, 2019 - Study Waiting for urgent procedures on the weekend among emergently hospitalized patients. Citation Text: Bell CM, Redelmeier DA. Waiting for urgent procedures on the weekend among emergently hospitalized patients. Am J Med. 2004;117(3):175-81. Copy Citation Format: Googl…

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