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  1. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. | PSNet

    psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing
    March 11, 2020 - Study What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. Citation Text: Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …

  2. Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet

    psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications
    November 19, 2018 - Study Gaps in ambulatory patient safety for immunosuppressive specialty medications. Citation Text: Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2…

  3. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet

    psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
    March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

  4. Adverse events in the paediatric emergency department: a prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-paediatric-emergency-department-prospective-cohort-study
    August 03, 2022 - Study Adverse events in the paediatric emergency department: a prospective cohort study. Citation Text: Plint AC, Stang A, Newton AS, et al. Adverse events in the paediatric emergency department: a prospective cohort study. BMJ Qual Saf. 2021;30(3):216-227. doi:10.1136/bmjqs-2019-010055.…

  5. Performance variability in perioperative sentinel events: report on a nationwide data set. | PSNet

    psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
    November 04, 2020 - Study Performance variability in perioperative sentinel events: report on a nationwide data set. Citation Text: Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.109…

  6. Medication safety and knowledge-based functions: a stepwise approach against information overload. | PSNet

    psnet.ahrq.gov/issue/medication-safety-and-knowledge-based-functions-stepwise-approach-against-information
    December 22, 2008 - Study Medication safety and knowledge-based functions: a stepwise approach against information overload. Citation Text: Patapovas A, Dormann H, Sedlmayr B, et al. Medication safety and knowledge-based functions: a stepwise approach against information overload. Br J Clin Pharmacol. 2013…

  7. US poison control center calls for infants 6 months of age and younger. | PSNet

    psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger
    November 16, 2022 - Study US poison control center calls for infants 6 months of age and younger. Citation Text: Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. Copy Citation Format: DOI G…

  8. Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
    May 18, 2022 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. Citation Text: Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bia…

  9. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. | PSNet

    psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
    February 23, 2022 - Study Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Citation Text: Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…

  10. Near-miss events detected using the emergency department trigger tool. | PSNet

    psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
    August 24, 2022 - Study Near-miss events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092. Copy Citation …

  11. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. | PSNet

    psnet.ahrq.gov/issue/early-diagnostic-suggestions-improve-accuracy-family-physicians-randomized-controlled-trial
    April 07, 2021 - Study Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Citation Text: Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family physicians: a randomized controlled trial in Greece. Fam P…

  12. Talking with patients about other clinicians' errors. | PSNet

    psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors
    October 27, 2021 - Study Classic Talking with patients about other clinicians' errors. Citation Text: Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. Copy Citation …

  13. Computerised prescribing for safer medication ordering: still a work in progress. | PSNet

    psnet.ahrq.gov/issue/computerised-prescribing-safer-medication-ordering-still-work-progress
    October 13, 2018 - Commentary Computerised prescribing for safer medication ordering: still a work in progress. Citation Text: Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004…

  14. Impact of health information technology on detection of potential adverse drug events at the ordering stage. | PSNet

    psnet.ahrq.gov/issue/impact-health-information-technology-detection-potential-adverse-drug-events-ordering-stage
    June 25, 2008 - Study Impact of health information technology on detection of potential adverse drug events at the ordering stage. Citation Text: Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential adverse drug events at the ordering stage. Am J Hea…

  15. Summary and frequency of barriers to adoption of CPOE in the US. | PSNet

    psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
    March 17, 2021 - Review Summary and frequency of barriers to adoption of CPOE in the US. Citation Text: Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. Copy Citation Format: DOI Google Scholar Pub…

  16. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. | PSNet

    psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad
    December 19, 2018 - Study Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. Citation Text: Bell SK, Smulowitz PB, Woodward AC, et al. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implem…

  17. Building a learning organization. | PSNet

    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  18. Learning Health Systems | PSNet

    psnet.ahrq.gov/issue/learning-health-systems
    December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  19. Shifting the learning curve. | PSNet

    psnet.ahrq.gov/issue/shifting-learning-curve
    March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Learning from Investigations. | PSNet

    psnet.ahrq.gov/issue/learning-investigations
    July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…
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