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Consumer-directed technologies to improve medication management and safety. | PSNet

psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety

December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…

Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet

psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department

November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…

Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. | PSNet

psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va

December 16, 2020 - Book/Report Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. Citation Text: Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center i…

Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. | PSNet

psnet.ahrq.gov/issue/systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology-laboratory

November 16, 2022 - Study Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Citation Text: Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Arch P…

Patient safety education to change medical students' attitudes and sense of responsibility. | PSNet

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January 20, 2021 - Study Patient safety education to change medical students' attitudes and sense of responsibility. Citation Text: Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…

"First, do no harm": balancing competing priorities in surgical practice. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice

December 12, 2012 - Study "First, do no harm": balancing competing priorities in surgical practice. Citation Text: Leung A, Luu S, Regehr G, et al. "First, do no harm": balancing competing priorities in surgical practice. Acad Med. 2012;87(10):1368-74. Copy Citation Format: Google Scholar Pub…

'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. | PSNet

psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health

September 06, 2017 - Study 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. Citation Text: Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…

What near misses tell us about risk and safety in mental health care. | PSNet

psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care

October 19, 2022 - Study What near misses tell us about risk and safety in mental health care. Citation Text: Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x. Cop…

Resident physicians' advice seeking and error making: a social networks approach. | PSNet

psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach

July 13, 2010 - Study Resident physicians' advice seeking and error making: a social networks approach. Citation Text: Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333. …

Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. | PSNet

psnet.ahrq.gov/issue/prevalence-and-patterns-potentially-avoidable-hospitalizations-us-long-term-care-setting

August 04, 2021 - Study Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Citation Text: Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Int J Qual Health Care. …

Implementation of an antibiotic stewardship program in long-term care facilities across the US. | PSNet

psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us

July 20, 2022 - Study Implementation of an antibiotic stewardship program in long-term care facilities across the US. Citation Text: doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Direct oral anticoagulants: a review of common medication errors. | PSNet

psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors

January 12, 2022 - Review Emerging Classic Direct oral anticoagulants: a review of common medication errors. Citation Text: Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. …

'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. | PSNet

psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics

April 10, 2019 - Review 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Citation Text: Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-…

The wicked problem of patient misidentification: how could the technological revolution help address patient safety? | PSNet

psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address

July 10, 2024 - Commentary The wicked problem of patient misidentification: how could the technological revolution help address patient safety? Citation Text: Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address pat…

Carers' medication administration errors in the domiciliary setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review

December 18, 2017 - Review Carers' medication administration errors in the domiciliary setting: a systematic review. Citation Text: Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…

Advising patients about patient safety: current initiatives risk shifting responsibility. | PSNet

psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility

May 20, 2015 - Commentary Advising patients about patient safety: current initiatives risk shifting responsibility. Citation Text: Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494.…

The patient died: what about involvement in the investigation process? | PSNet

psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process

June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…

Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet

psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture

November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. | PSNet

psnet.ahrq.gov/issue/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews

March 10, 2021 - Review Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. Citation Text: Abraham J, Kitsiou S, Meng A, et al. Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. BMJ Qual Saf. 2020;29(10):854–863. doi:10.1136/bm…

Typology of solutions addressing diagnostic disparities: gaps and opportunities. | PSNet

psnet.ahrq.gov/issue/typology-solutions-addressing-diagnostic-disparities-gaps-and-opportunities

November 02, 2022 - Study Typology of solutions addressing diagnostic disparities: gaps and opportunities. Citation Text: Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. …

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