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  1. Amended Lab Results: Communication Slip | PSNet

    psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
    September 26, 2012 - Amended Lab Results: Communication Slip Citation Text: Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  2. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. | PSNet

    psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
    April 10, 2019 - Review 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Citation Text: Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-…

  3. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

    psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
    March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

  4. Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-home-safety-educational-framework-healthcare-providers-patients-and
    January 25, 2023 - Review Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. Citation Text: Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.…

  5. Role of artificial intelligence in patient safety outcomes: systematic literature review. | PSNet

    psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review
    September 20, 2011 - Review Role of artificial intelligence in patient safety outcomes: systematic literature review. Citation Text: Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review. JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599. Copy Cita…

  6. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
    May 20, 2020 - Review Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. Citation Text: Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …

  7. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. | PSNet

    psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
    March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…

  8. Surgeon commitment to trauma care decreases missed injuries. | PSNet

    psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
    June 15, 2012 - Study Surgeon commitment to trauma care decreases missed injuries. Citation Text: Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury. 2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019. Copy Citation Format: DOI Google Scho…

  9. High performance teamwork training and systems redesign in outpatient oncology. | PSNet

    psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
    November 16, 2022 - Study High performance teamwork training and systems redesign in outpatient oncology. Citation Text: Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…

  10. What COVID-19 teaches us about implicit bias in pediatric health care. | PSNet

    psnet.ahrq.gov/issue/what-covid-19-teaches-us-about-implicit-bias-pediatric-health-care
    March 25, 2020 - Commentary What COVID-19 teaches us about implicit bias in pediatric health care. Citation Text: Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. Copy Citation F…

  11. Advancing diagnostic safety research: results of a systematic research priority setting exercise. | PSNet

    psnet.ahrq.gov/issue/advancing-diagnostic-safety-research-results-systematic-research-priority-setting-exercise
    April 05, 2023 - Commentary Advancing diagnostic safety research: results of a systematic research priority setting exercise. Citation Text: Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic research priority setting exercise. J Gen Intern Med. 2021;36(1…

  12. Why stigma matters in addressing alcohol harm. | PSNet

    psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm
    August 04, 2021 - Commentary Why stigma matters in addressing alcohol harm. Citation Text: Morris J, Schomerus G. Why stigma matters in addressing alcohol harm. Drug Alcohol Rev. 2023;42(5):1264-1268. doi:10.1111/dar.13660. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  13. Nurses' workarounds in acute healthcare settings: a scoping review. | PSNet

    psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
    December 08, 2021 - Review Nurses' workarounds in acute healthcare settings: a scoping review. Citation Text: Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175. Copy Citation …

  14. MedStar Health Research Institute | Digital Healthcare Research

    digital.ahrq.gov/organization/medstar-research-institute
    January 01, 2023 - MedStar Health Research Institute Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insigh…

  15. USA, MD, Hyattsville | Digital Healthcare Research

    digital.ahrq.gov/location/usa-md-hyattsville
    January 01, 2023 - USA, MD, Hyattsville Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insights into how t…

  16. Bias and racism teaching rounds at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
    August 12, 2020 - Commentary Bias and racism teaching rounds at an academic medical center. Citation Text: Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. Copy Citation Format: DOI Goog…

  17. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet

    psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
    November 21, 2021 - Study Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. Citation Text: Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical cen…

  18. Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
    March 09, 2022 - Study Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study. Citation Text: San José-Saras D, Vicente-Guijarro J, Sousa P, et al. Inappropriate hospital admission as a risk factor for the subsequent development of adve…

  19. Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
    May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

  20. The patient died: what about involvement in the investigation process? | PSNet

    psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process
    June 24, 2020 - Commentary The patient died: what about involvement in the investigation process? Citation Text: Wiig S, Hibbert PD, Braithwaite J. The patient died: what about involvement in the investigation process? Int J Qual Health Care. 2020;32(5):342-346. doi:10.1093/intqhc/mzaa034. Copy Citati…
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