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  1. psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
    July 22, 2015 - Review Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. Citation Text: Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…
  2. psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
    May 20, 2020 - Study The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. Citation Text: Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;9…
  3. psnet.ahrq.gov/issue/exposing-physicians-reduced-residency-work-hours-did-not-adversely-affect-patient-outcomes
    June 21, 2016 - Study Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Citation Text: Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health…
  4. psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
    January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…
  5. psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
    February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…
  6. psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
    May 11, 2022 - Study The nurse's experience of decision-making processes in missed nursing care: a qualitative study. Citation Text: Abdelhadi N, Drach‐Zahavy A, Srulovici E. The nurse’s experience of decision‐making processes in missed nursing care: a qualitative study. J Adv Nurs. 2020;76(8):2161-217…
  7. psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
    December 19, 2018 - Study Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. Citation Text: Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Progr…
  8. psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
    March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…
  9. psnet.ahrq.gov/issue/unscheduled-radiologic-examination-orders-electronic-health-record-novel-resource-targeting
    March 30, 2022 - Study Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. Citation Text: Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…
  10. psnet.ahrq.gov/issue/decreasing-prescribing-errors-during-pediatric-emergencies-randomized-simulation-trial
    October 08, 2013 - Study Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. Citation Text: Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-320…
  11. psnet.ahrq.gov/issue/safety-telephone-triage-general-practitioner-cooperatives-do-triage-nurses-correctly-estimate
    June 16, 2011 - Study Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Citation Text: Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual …
  12. psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
    July 11, 2012 - Study High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Citation Text: Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…
  13. psnet.ahrq.gov/issue/exploring-theory-barriers-and-enablers-patient-and-public-involvement-across-health-social
    February 17, 2021 - Review Classic Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews. Citation Text: Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers an…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49768/psn-pdf
    September 01, 2016 - Evidence demonstrates that pharmacist involvement leads to reductions in ADEs and readmissions of 30%
  15. psnet.ahrq.gov/web-mm/pill-organizing-plight
    June 19, 2018 - Evidence demonstrates that pharmacist involvement leads to reductions in ADEs and readmissions of 30%
  16. psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
    January 01, 2025 - This common cognitive bias leads to premature closure, or the acceptance of a diagnosis before it is
  17. psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
    August 19, 2020 - Meeting/Conference Root Cause Analysis-in-Action: Building Foundations. Citation Text: ECRI, Institute for Safe Medication Practices. September 12 and 14, 2023. Copy Citation Save Save to your library Print Share Facebook Twitter Linke…
  18. psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
    October 03, 2007 - Newspaper/Magazine Article Why doctors so often get it wrong. Citation Text: Leonhardt D. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 8, 2006 Leonhardt D. V…
  19. psnet.ahrq.gov/issue/ihi-fellowship-program
    December 13, 2017 - Press Release/Announcement IHI Fellowship Program. Citation Text: Institute for Healthcare Improvement. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 3, 2024 Instit…
  20. psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
    January 01, 2015 - Annual Perspective Patient Safety and Opioid Medications Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2016  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. Ro…

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