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  1. Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients
    March 25, 2017 - Commentary Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. Citation Text: Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end trans…

  2. Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the USA and the UK. | PSNet

    psnet.ahrq.gov/issue/comparative-cross-sectional-study-format-content-and-timing-medication-safety-letters-issued
    March 21, 2012 - Study Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the USA and the UK. Citation Text: Bjerre LM, Parlow S, de Launay D, et al. Comparative, cross-sectional study of the format, content and timing of medication safety …

  3. Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. | PSNet

    psnet.ahrq.gov/issue/outcomes-missed-diagnosis-pediatric-appendicitis-new-onset-diabetic-ketoacidosis-and-sepsis
    September 29, 2021 - Study Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, and sepsis in five pediatric hospitals. Citation Text: Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis, new-onset diabetic ketoacidosis, an…

  4. Opioids and falls risk in older adults: a narrative review. | PSNet

    psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative-review
    January 12, 2022 - Review Opioids and falls risk in older adults: a narrative review. Citation Text: Virnes R-E, Tiihonen M, Karttunen N, et al. Opioids and falls risk in older adults: a narrative review. Drugs Aging. 2022;39(3):199-207. doi:10.1007/s40266-022-00929-y. Copy Citation Format: D…

  5. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature
    November 29, 2023 - Review Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Citation Text: Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …

  6. Defining speaking up in the healthcare system: a systematic review. | PSNet

    psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
    September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. Citation Text: Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. Copy Citation Forma…

  7. Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

    psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing
    July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

  8. Standardization and visualization of the surgical time-out. | PSNet

    psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
    November 06, 2024 - Study Standardization and visualization of the surgical time-out. Citation Text: Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. Copy Citation Format: DOI Goog…

  9. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
    October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

  10. Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. | PSNet

    psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
    December 02, 2020 - Study Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. Citation Text: Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2…

  11. Emergency department checklist: an innovation to improve safety in emergency care. | PSNet

    psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
    December 20, 2023 - Commentary Emergency department checklist: an innovation to improve safety in emergency care. Citation Text: Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…

  12. Social capital and knowledge sharing: effects on patient safety. | PSNet

    psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
    September 15, 2011 - Study Social capital and knowledge sharing: effects on patient safety. Citation Text: Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety. J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x. Copy Citation For…

  13. Medication errors in community pharmacies: the need for commitment, transparency, and research. | PSNet

    psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
    June 17, 2020 - Commentary Medication errors in community pharmacies: the need for commitment, transparency, and research. Citation Text: Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. d…

  14. Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. | PSNet

    psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
    February 29, 2012 - Study Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. Citation Text: Taylor JA, Dominici F, Agnew J, et al. Do nurse and patient injuries share common antecedents? An analysis of associations with safety cl…

  15. An automated, dynamic radiation oncology prescription checking system. | PSNet

    psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system
    October 27, 2010 - Study An automated, dynamic radiation oncology prescription checking system. Citation Text: Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002. Copy Citation…

  16. Protecting children from iatrogenic harm during COVID19 pandemic. | PSNet

    psnet.ahrq.gov/issue/protecting-children-iatrogenic-harm-during-covid19-pandemic
    December 02, 2020 - Commentary Protecting children from iatrogenic harm during COVID19 pandemic. Citation Text: Camporesi A, Díaz‐Rubio F, Carroll CL, et al. Protecting children from iatrogenic harm during COVID19 pandemic. J Paediatr Child Health. 2020;56(7):1010-1012. doi:10.1111/jpc.14989. Copy Citatio…

  17. The influence of bullying on nursing practice errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
    January 30, 2019 - Review The influence of bullying on nursing practice errors: a systematic review. Citation Text: Johnson AH, Benham‐Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923. Copy Citation Format: DOI …

  18. People, systems and safety: resilience and excellence in healthcare practice. | PSNet

    psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
    March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

  19. Lessons from walking the medical distancing tightrope. | PSNet

    psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope
    October 21, 2020 - Commentary Lessons from walking the medical distancing tightrope. Citation Text: Jenkins I, Sebasky M, Bell J, et al. Lessons from walking the medical distancing tightrope. Jt Comm J Qual Patient Saf. 2020;46(9):542-545. doi:10.1016/j.jcjq.2020.05.006. Copy Citation Format: …

  20. Cognitive error in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
    July 29, 2020 - Study Cognitive error in an academic emergency department. Citation Text: Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. Copy Citation Format: DOI Google Scholar PubMed B…
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