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Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? | PSNet

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March 02, 2022 - Study Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? Citation Text: van Dulmen SA, Tacken MAJB, Staal B, et al. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory coh…

Hospital inpatient falls across clinical departments. | PSNet

psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments

September 15, 2021 - Study Hospital inpatient falls across clinical departments. Citation Text: Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167. Copy Citation Format: DOI Google…

Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. | PSNet

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June 15, 2022 - Study Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. Citation Text: Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies…

Inappropriate diagnosis of pneumonia among hospitalized adults. | PSNet

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July 17, 2024 - Study Inappropriate diagnosis of pneumonia among hospitalized adults. Citation Text: Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077. Copy Citation Form…

Improving infusion pump safety through usability testing. | PSNet

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July 15, 2020 - Commentary Improving infusion pump safety through usability testing. Citation Text: Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208. Copy Citation Format: DO…

Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. | PSNet

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June 03, 2020 - Study Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. Citation Text: Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Provider…

Patient error: a preliminary taxonomy. | PSNet

psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy

June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. | PSNet

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September 20, 2011 - Study Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. Citation Text: Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…

The trigger tool as a method to measure harmful medication errors in children. | PSNet

psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children

August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy

November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet

psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine

November 09, 2022 - Study Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. Citation Text: Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescr…

Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. | PSNet

psnet.ahrq.gov/issue/factors-influencing-physician-responsiveness-nurse-initiated-communication-qualitative-study

October 13, 2021 - Study Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. Citation Text: Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):…

Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-using-simulation-development-clinical-reasoning-undergraduate-nursing-students

September 09, 2020 - Review Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review. Citation Text: Theobald KA, Tutticci N, Ramsbotham J, et al. Effectiveness of using simulation in the development of clinical reasoning in undergradua…

Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. | PSNet

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August 14, 2024 - Study Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. Citation Text: Kim J, Cai ZR, Chen ML, et al. Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. JAMA Netw Open. 2023;6(10):e2338050. d…

Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer-chemotherapy

August 18, 2021 - Study Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. Citation Text: Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393. doi:10.1016…

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans

September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study. | PSNet

psnet.ahrq.gov/issue/successful-implementation-department-veterans-affairs-national-surgical-quality-improvement

March 28, 2012 - Study Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study. Citation Text: Khuri SF, Henderson WG, Daley J, et al. Successful implementation of the Department of Veteran…

Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and

May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30

February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

Pharmacist linkage in care transitions: from academic medical center to community. | PSNet

psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community

November 16, 2022 - Study Pharmacist linkage in care transitions: from academic medical center to community. Citation Text: Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j…

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