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Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. | PSNet

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July 13, 2010 - Commentary Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. Citation Text: DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…

Electronic prescription writing errors in the pediatric emergency department. | PSNet

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November 16, 2022 - Study Electronic prescription writing errors in the pediatric emergency department. Citation Text: Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428. Copy Citation …

Are quality improvement collaboratives effective? A systematic review. | PSNet

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August 02, 2015 - Review Are quality improvement collaboratives effective? A systematic review. Citation Text: Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926. Copy Citation Format…

First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. | PSNet

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July 19, 2017 - Book/Report First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Citation Text: First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISB…

Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. | PSNet

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March 16, 2022 - Book/Report Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Citation Text: Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…

Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. | PSNet

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October 12, 2016 - Book/Report Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. Citation Text: Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Poo…

Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector? | PSNet

psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning

February 20, 2019 - Commentary Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector? Citation Text: Ocloo JE, Fulop NJ. Developing a 'critical' approach to patient and public involvement in patient safety in…

Recommendations from a national panel on quality improvement in obstetrics. | PSNet

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July 12, 2023 - Commentary Recommendations from a national panel on quality improvement in obstetrics. Citation Text: Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…

The influence of the structure and culture of medical group practices on prescription drug errors. | PSNet

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January 14, 2011 - Study The influence of the structure and culture of medical group practices on prescription drug errors. Citation Text: Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…

The incidence and severity of adverse events affecting patients after discharge from the hospital. | PSNet

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March 11, 2019 - Study Classic The incidence and severity of adverse events affecting patients after discharge from the hospital. Citation Text: Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hos…

Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. | PSNet

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June 23, 2021 - Study Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. Citation Text: Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication in an outpatient population …

Patient safety at ten: unmistakable progress, troubling gaps. | PSNet

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March 02, 2011 - Commentary Classic Patient safety at ten: unmistakable progress, troubling gaps. Citation Text: Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. Copy Citation …

Scoping review of studies evaluating frailty and its association with medication harm. | PSNet

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May 25, 2022 - Review Scoping review of studies evaluating frailty and its association with medication harm. Citation Text: Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-…

Rates of safety incident reporting in MRI in a large academic medical center. | PSNet

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May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center. Citation Text: Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. Copy…

Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet

psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall

December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. | PSNet

psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporary-absence-warning-statement-vial-caps-two

June 22, 2011 - Press Release/Announcement FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. Citation Text: FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two n…

How do we learn about error? A cross-sectional study of urology trainees. | PSNet

psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees

October 21, 2010 - Study How do we learn about error? A cross-sectional study of urology trainees. Citation Text: Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. Copy Citation Fo…

Pharmacovigilance using clinical notes. | PSNet

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April 24, 2018 - Study Pharmacovigilance using clinical notes. Citation Text: LePendu P, Iyer S, Bauer-Mehren A, et al. Pharmacovigilance using clinical notes. Clin Pharmacol Ther. 2013;93(6):547-55. doi:10.1038/clpt.2013.47. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

Incorporating medication indications into the prescribing process. | PSNet

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May 01, 2019 - Commentary Emerging Classic Incorporating medication indications into the prescribing process. Citation Text: Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.…

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet

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April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

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