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Exploration of factors associated with reported medication administration errors in North Carolina public school districts. | PSNet

psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina

September 20, 2012 - Study Exploration of factors associated with reported medication administration errors in North Carolina public school districts. Citation Text: Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …

Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach

November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

Reduction in opioid prescribing through evidence-based prescribing guidelines. | PSNet

psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines

January 27, 2019 - Study Reduction in opioid prescribing through evidence-based prescribing guidelines. Citation Text: Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436. Co…

Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet

psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event

August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. | PSNet

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September 19, 2016 - Study Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. Citation Text: Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient …

An electronic trigger to detect telemedicine-related diagnostic errors. | PSNet

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June 21, 2023 - Study An electronic trigger to detect telemedicine-related diagnostic errors. Citation Text: Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors. J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570. Copy Citation …

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. | PSNet

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February 17, 2021 - Commentary Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Citation Text: Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…

Management of the deteriorating adult patient: does simulation-based education improve patient safety? | PSNet

psnet.ahrq.gov/issue/management-deteriorating-adult-patient-does-simulation-based-education-improve-patient-safety

June 08, 2022 - Review Management of the deteriorating adult patient: does simulation-based education improve patient safety? Citation Text: Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8.…

Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. | PSNet

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August 17, 2022 - Review Care quality and safety in long-term aged care settings: a systematic review and narrative analysis of missed care measurements. Citation Text: Wang X, Rihari‐Thomas J, Bail K, et al. Care quality and safety in long‐term aged care settings: a systematic review and narrative analys…

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-legal-settlements-us-2009-health-information-technology-economic-and

August 24, 2022 - Study Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. Citation Text: Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technol…

Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. | PSNet

psnet.ahrq.gov/issue/threats-patient-safety-primary-care-reported-older-people-multimorbidity-baseline-findings

November 14, 2018 - Study Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. Citation Text: Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care report…

Enhancing safe medication use in home care: insights from informal caregivers. | PSNet

psnet.ahrq.gov/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers

December 02, 2020 - Study Enhancing safe medication use in home care: insights from informal caregivers. Citation Text: Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…

Inappropriate diagnosis of pneumonia among hospitalized adults. | PSNet

psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults

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…

The impact of critical incidents on nurses and midwives: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review

May 11, 2022 - Review The impact of critical incidents on nurses and midwives: a systematic review. Citation Text: Buhlmann M, Ewens B, Rashidi A. The impact of critical incidents on nurses and midwives: A systematic review. J Clin Nurs. 2020;30(9-10):1195-1205. doi:10.1111/jocn.15608. Copy Citation …

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. | PSNet

psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association

September 02, 2020 - Study A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. Citation Text: Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the asso…

A combined assessment tool of teamwork, communication, and workload in hospital procedural units. | PSNet

psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-procedural-units

August 04, 2021 - Study A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Citation Text: Weaver BW, Murphy DJ. A combined assessment tool of teamwork, communication, and workload in hospital procedural units. Jt Comm J Qual Patient Saf. 2024;50(3):219-227. d…

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…

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 …

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 …

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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