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  1. Adherence to black box warnings for prescription medications in outpatients. | PSNet

    psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
    September 29, 2017 - Study Adherence to black box warnings for prescription medications in outpatients. Citation Text: Lasser KE, Seger DL, Yu T, et al. Adherence to black box warnings for prescription medications in outpatients. Arch Intern Med. 2006;166(3):338-44. Copy Citation Format: Goog…

  2. Care transition of trauma patients: processes with articulation work before and after handoff. | PSNet

    psnet.ahrq.gov/issue/care-transition-trauma-patients-processes-articulation-work-and-after-handoff
    June 22, 2022 - Study Care transition of trauma patients: processes with articulation work before and after handoff. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Care transition of trauma patients: processes with articulation work before and after handoff. Appl Ergon. 2022;98:103606. d…

  3. Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet

    psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
    December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

  4. System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet

    psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
    August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

  5. Medication errors among adults and children with cancer in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
    January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

  6. Measuring harm in health care: optimizing adverse event review. | PSNet

    psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
    May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. Citation Text: Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. Copy Citation Format: DOI…

  7. Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
    October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

  8. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital | PSNet

    psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital
    November 16, 2022 - Journal Article Improving the quality of insulin prescribing for people with diabetes being discharged from hospital Citation Text: Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital. BMJ Open Qual. 2…

  9. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. | PSNet

    psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
    September 16, 2020 - Study Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. Citation Text: Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…

  10. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet

    psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
    June 16, 2021 - Study Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. Citation Text: Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 201…

  11. Physician use of stigmatizing language in patient medical records. | PSNet

    psnet.ahrq.gov/issue/physician-use-stigmatizing-language-patient-medical-records
    June 06, 2021 - Study Physician use of stigmatizing language in patient medical records. Citation Text: Park J, Saha S, Chee B, et al. Physician use of stigmatizing language in patient medical records. JAMA Netw Open. 2021;4(7):e2117052. doi:10.1001/jamanetworkopen.2021.17052. Copy Citation Format…

  12. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
    March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

  13. Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era
    September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

  14. Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-provision-health-care-american-college-physicians-policy-position
    February 18, 2011 - Organizational Policy/Guidelines Artificial intelligence in the provision of health care: an American College of Physicians policy position paper. Citation Text: Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An American College of Phy…

  15. The challenges and opportunities for shared decision making highlighted by COVID-19. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-shared-decision-making-highlighted-covid-19
    June 15, 2022 - Commentary The challenges and opportunities for shared decision making highlighted by COVID-19. Citation Text: Abrams EM, Shaker M, Oppenheimer J, et al. The challenges and opportunities for shared decision making highlighted by COVID-19. J Allergy Clin Immunol Pract. 2020;8(8):2474-2480…

  16. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. | PSNet

    psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety
    August 20, 2018 - Study Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Citation Text: Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…

  17. Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. | PSNet

    psnet.ahrq.gov/issue/using-participatory-design-engage-physicians-development-provider-level-performance-dashboard
    October 28, 2020 - Study Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. Citation Text: Patel S, Pierce L, Jones M, et al. Using participatory design to engage physicians in the development of a provider-level performance da…

  18. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet

    psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
    January 19, 2022 - Review Perceptions of U.S. and U.K. incident reporting systems: a scoping review. Citation Text: Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. Copy Citat…

  19. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/digital-health-interventions-and-patient-safety-abdominal-surgery-systematic-review-and-meta
    April 06, 2022 - Review Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. Citation Text: Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. JAMA Ne…

  20. Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. | PSNet

    psnet.ahrq.gov/issue/investigating-hospital-supervision-case-study-regulatory-inspectors-roles-potential-co
    September 23, 2020 - Study Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. Citation Text: Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of R…
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