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Drug-related problems in older people after hospital discharge and interventions to reduce them. | PSNet

psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them

September 13, 2023 - Review Drug-related problems in older people after hospital discharge and interventions to reduce them. Citation Text: Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing.…

Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. | PSNet

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August 03, 2017 - Study Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Citation Text: Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3…

State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. | PSNet

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January 22, 2025 - Book/Report State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. Citation Text: Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research a…

Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. | PSNet

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April 12, 2023 - Commentary Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. Citation Text: Raffel KE, Gershanik EF, Ranji SR. Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. J Hosp Med. 2025;20(1):71-74. doi:10.1002/j…

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). | PSNet

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March 20, 2019 - Study Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). Citation Text: Heddle NM, Fung MK, Hervig T, et al. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUES…

Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

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July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

Going blank: factors contributing to interruptions to nurses' work and related outcomes. | PSNet

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September 24, 2016 - Study Going blank: factors contributing to interruptions to nurses' work and related outcomes. Citation Text: Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses' work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j…

Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

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January 01, 2019 - Study Residency training in handoffs: a survey of program directors in psychiatry. Citation Text: Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. Copy Citat…

Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. | PSNet

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April 24, 2013 - Study Development and validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Citation Text: Dang D, Nyberg D, Walrath JM, et al. Development and Validation of the Johns Hopkins Disruptive Clinician Behavior Survey. Am J Med Qual. 2014;30(5):470-476. doi:10.1177/10628606145…

Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. | PSNet

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January 04, 2010 - Study Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Citation Text: Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surger…

Patient safety climate among orthopaedic surgery residents. | PSNet

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December 21, 2014 - Study Patient safety climate among orthopaedic surgery residents. Citation Text: Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478. Copy Citation Format: …

Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. | PSNet

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September 01, 2021 - Study Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. Citation Text: Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis…

Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care | PSNet

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January 14, 2014 - Commentary Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care Citation Text: Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality improvement and patient safe…

Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. | PSNet

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August 18, 2010 - Study Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. Citation Text: Dreijer AR, Diepstraten J, Bukkems VE, et al. Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. Int J Qual Health Care. 2019;31(5):346-352. d…

Root-cause analysis: swatting at mosquitoes versus draining the swamp. | PSNet

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January 31, 2024 - Commentary Root-cause analysis: swatting at mosquitoes versus draining the swamp. Citation Text: Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. Copy Citation Format: …

Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet

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June 02, 2019 - Commentary Physician engagement in malpractice risk reduction: a UPHS case study. Citation Text: Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…

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…

Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. | PSNet

psnet.ahrq.gov/issue/association-between-surgical-trainee-daytime-sleepiness-and-intraoperative-technical-skill

June 27, 2018 - Study Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. Citation Text: Tseng YW, Vedula S, Malpani A, et al. Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Se…

Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. | PSNet

psnet.ahrq.gov/issue/information-and-power-women-colors-experiences-interacting-health-care-providers-pregnancy

June 18, 2020 - Study Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Citation Text: Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and b…

Racial and ethnic differences in the experience and treatment of noncancer pain. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-differences-experience-and-treatment-noncancer-pain

June 01, 2022 - Review Emerging Classic Racial and ethnic differences in the experience and treatment of noncancer pain. Citation Text: Meints SM, Cortes A, Morais CA, et al. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain Manag. 2019;9(3):…

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