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Diagnostic error in internal medicine. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-internal-medicine

May 25, 2022 - Study Diagnostic error in internal medicine. Citation Text: Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

Improving Quality of Care and Patient Outcomes During Care Transitions (R01). | PSNet

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October 09, 2022 - Grant Announcement Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Citation Text: Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068. Copy…

Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. | PSNet

psnet.ahrq.gov/issue/effective-board-governance-safe-care-theoretically-underpinned-cross-sectioned-examination

March 14, 2018 - Book/Report Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys and In-depth Qualitative Case Studies. Citation Text: Effective Board Governance of Safe Care: A …

Automatic errors: a case series on the errors inherent in electronic prescribing. | PSNet

psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing

March 14, 2022 - Commentary Automatic errors: a case series on the errors inherent in electronic prescribing. Citation Text: Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-…

Reversing the rise in maternal mortality. | PSNet

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January 18, 2017 - Commentary Reversing the rise in maternal mortality. Citation Text: Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

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…

Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during

January 09, 2018 - Review Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. Citation Text: Hignett S, Otter ME, Keen C. Safety risks associated with physical interactions between patients and car…

Examining nurses' decision process for medication management in home care. | PSNet

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December 21, 2018 - Commentary Examining nurses' decision process for medication management in home care. Citation Text: Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. Copy Citation Format: …

Medication errors in the management of anaphylaxis in a pediatric emergency department. | PSNet

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April 24, 2018 - Study Medication errors in the management of anaphylaxis in a pediatric emergency department. Citation Text: Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jem…

Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. | PSNet

psnet.ahrq.gov/issue/assessing-accuracy-drug-profiles-electronic-medical-record-system-washington-state-hospital

September 20, 2011 - Study Assessing the accuracy of drug profiles in an electronic medical record system of a Washington State hospital. Citation Text: Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of a Washington state hospital. Am J Manag Care. 2…

Task uncertainty and communication during nursing shift handovers. | PSNet

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August 20, 2018 - Study Task uncertainty and communication during nursing shift handovers. Citation Text: Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x. Copy Citation Format: …

Hospitalist handoffs: a systematic review and task force recommendations. | PSNet

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September 09, 2013 - Review Hospitalist handoffs: a systematic review and task force recommendations. Citation Text: Arora VM, Manjarrez E, Dressler DD, et al. Hospitalist handoffs: A systematic review and task force recommendations. J Hosp Med. 2009;4(7). doi:10.1002/jhm.573. Copy Citation Format: …

Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. | PSNet

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February 27, 2009 - Study Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. Citation Text: Gardner B, Graner K. Pharmacists' medication reconciliation-related clinical interventions in a children's hospital. Jt Comm J Qual Patient Saf. 2009;35(5):278-82. Copy …

Automated drug dispensing system reduces medication errors in an intensive care setting. | PSNet

psnet.ahrq.gov/issue/automated-drug-dispensing-system-reduces-medication-errors-intensive-care-setting

April 08, 2009 - Study Automated drug dispensing system reduces medication errors in an intensive care setting. Citation Text: Chapuis C, Roustit M, Bal G, et al. Automated drug dispensing system reduces medication errors in an intensive care setting. Crit Care Med. 2010;38(12):2275-2281. doi:10.1097/C…

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. | PSNet

psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety

January 25, 2023 - Study Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. Citation Text: Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…

Bar-code technology for medication administration: medication errors and nurse satisfaction. | PSNet

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July 29, 2020 - Study Bar-code technology for medication administration: medication errors and nurse satisfaction. Citation Text: Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9. Copy Citatio…

Conspicuous by its absence: diagnostic expert testing under uncertainty. | PSNet

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February 28, 2024 - Commentary Conspicuous by its absence: diagnostic expert testing under uncertainty. Citation Text: Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201. Copy Citation Format: DOI …

Safety analysis over time: seven major changes to adverse event investigation. | PSNet

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September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…

Time out for patient safety. | PSNet

psnet.ahrq.gov/issue/time-out-patient-safety

October 26, 2022 - Commentary Time out for patient safety. Citation Text: Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

Could emotional intelligence make patients safer? | PSNet

psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer

October 29, 2017 - Commentary Could emotional intelligence make patients safer? Citation Text: Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

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