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National surveillance of emergency department visits for outpatient adverse drug events. | PSNet

psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events

February 27, 2009 - Study Classic National surveillance of emergency department visits for outpatient adverse drug events. Citation Text: Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 200…

Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations

March 25, 2020 - Study Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare improvement. Citation Text: Politi RE, Mills PD, Zubkoff L, et al. Delays in diagnosis, treatment, and surgery: root causes, actions taken, and recommendations for healthcare…

Vital signs: maternity care experiences — United States, April 2023. | PSNet

psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023

July 19, 2023 - Study Vital signs: maternity care experiences — United States, April 2023. Citation Text: Mohamoud YA, Cassidy E, Fuchs E, et al. Vital Signs: Maternity Care Experiences — United States, April 2023. MMWR Morb Mortal Wkly Rep. 2023;72(35):961–967. doi:10.15585/mmwr.mm7235e1. Copy Citati…

Linking transformational leadership, patient safety culture and work engagement in home care services. | PSNet

psnet.ahrq.gov/issue/linking-transformational-leadership-patient-safety-culture-and-work-engagement-home-care

October 09, 2024 - Study Emerging Classic Linking transformational leadership, patient safety culture and work engagement in home care services. Citation Text: Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home care services. Nu…

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet

psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency

June 08, 2022 - Study What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. Citation Text: Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resul…

Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. | PSNet

psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions

March 20, 2024 - Study Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. Citation Text: Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…

Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet

psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital

January 27, 2016 - Study Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. Citation Text: Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…

Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. | PSNet

psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors

November 29, 2023 - Study Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period. Citation Text: Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of med…

Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical

August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

Increased risk of burnout for physicians and nurses involved in a patient safety incident. | PSNet

psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident

September 21, 2016 - Study Increased risk of burnout for physicians and nurses involved in a patient safety incident. Citation Text: Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1…

Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. | PSNet

psnet.ahrq.gov/issue/patient-safety-perceptions-pediatric-out-hospital-emergency-care-childrens-safety-initiative

March 22, 2017 - Study Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. Citation Text: Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. J Pediatr. 2015;167(5):…

Healthcare professionals experience of psychological safety, voice, and silence. | PSNet

psnet.ahrq.gov/issue/healthcare-professionals-experience-psychological-safety-voice-and-silence

March 18, 2020 - Study Healthcare professionals experience of psychological safety, voice, and silence. Citation Text: O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. Copy…

The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns | PSNet

psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate

September 12, 2018 - Journal Article The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns Citation Text: Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation a…

Impact of incorporating pharmacy claims data into electronic medication reconciliation. | PSNet

psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation

September 01, 2016 - Study Impact of incorporating pharmacy claims data into electronic medication reconciliation. Citation Text: Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…

Evaluation of symptom checkers for self diagnosis and triage: audit study. | PSNet

psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study

December 08, 2021 - Study Classic Evaluation of symptom checkers for self diagnosis and triage: audit study. Citation Text: Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…

A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus

October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…

Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide

June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

Interventions to improve team effectiveness within health care: a systematic review of the past decade. | PSNet

psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-within-health-care-systematic-review-past-decade

March 05, 2010 - Review Classic Interventions to improve team effectiveness within health care: a systematic review of the past decade. Citation Text: Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systemati…

How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. | PSNet

psnet.ahrq.gov/issue/how-do-patients-respond-safety-problems-ambulatory-care-results-retrospective-cross-sectional

September 15, 2021 - Study How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. Citation Text: Seufert S, de Cruppé W, Assheuer M, et al. How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sect…

Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. | PSNet

psnet.ahrq.gov/issue/medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference

October 12, 2022 - Review Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. Citation Text: Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A …

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