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  1. Adverse drug event–related emergency department visits associated with complex chronic conditions. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
    August 20, 2016 - Study Adverse drug event–related emergency department visits associated with complex chronic conditions. Citation Text: Feinstein JA, Feudtner C, Kempe A. Adverse drug event-related emergency department visits associated with complex chronic conditions. Pediatrics. 2014;133(6):e1575-85. …

  2. A system-wide hospital child maltreatment patient safety program. | PSNet

    psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
    September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

  3. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. | PSNet

    psnet.ahrq.gov/issue/sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination
    July 10, 2024 - Study 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Citation Text: McKinley J, Dempster M, Gormley GJ. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Med Educ. 2015;49(4):427-35. doi:10.1111/me…

  4. Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. | PSNet

    psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
    July 07, 2021 - Study Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. Citation Text: Masoudi FA, Magid DJ, Vinson DR, e…

  5. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

    psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
    March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

  6. Improving the safety of medication administration using an interactive CD-ROM program. | PSNet

    psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program
    February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…

  7. Benefactor or burden: exploring the professional identity of safety professionals. | PSNet

    psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
    October 11, 2017 - Study Benefactor or burden: exploring the professional identity of safety professionals. Citation Text: Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005. Copy Cit…

  8. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. | PSNet

    psnet.ahrq.gov/issue/team-training-neonatal-resuscitation-program-interns-teamwork-and-quality-resuscitations
    November 16, 2022 - Study Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Citation Text: Thomas EJ, Williams AL, Reichman EF, et al. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Pediatrics.…

  9. Resilience from a stakeholder perspective: the role of next of kin in cancer care. | PSNet

    psnet.ahrq.gov/issue/resilience-stakeholder-perspective-role-next-kin-cancer-care
    April 14, 2021 - Study Resilience from a stakeholder perspective: the role of next of kin in cancer care. Citation Text: Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532…

  10. Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. | PSNet

    psnet.ahrq.gov/issue/understanding-test-results-follow-ambulatory-setting-analysis-multiple-perspectives
    May 20, 2019 - Study Understanding test results follow-up in the ambulatory setting: analysis of multiple perspectives. Citation Text: Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44…

  11. Bridging the communication gap in the operating room with medical team training. | PSNet

    psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
    March 05, 2025 - Study Bridging the communication gap in the operating room with medical team training. Citation Text: Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. Copy Citation Format: …

  12. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-subspecialization-pediatric-cardiac-intensive-care-unit-quality-and
    April 16, 2018 - Study Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications. Citation Text: Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.…

  13. Improving end of life care: an information systems approach to reducing medical errors. | PSNet

    psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
    November 04, 2015 - Study Improving end of life care: an information systems approach to reducing medical errors. Citation Text: Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104. Copy C…

  14. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. | PSNet

    psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors
    September 11, 2013 - Study Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Citation Text: Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm.…

  15. Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication
    September 23, 2020 - Study Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). Citation Text: Ryan GJ, Caudle JM, Rhee MK, et al. Medication reconciliation: comparing a customized medication history form to a standard medi…

  16. Race, postoperative complications, and death in apparently healthy children. | PSNet

    psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
    August 10, 2022 - Study Classic Race, postoperative complications, and death in apparently healthy children. Citation Text: Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…

  17. Dual surgeon operating to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
    July 22, 2020 - Commentary Dual surgeon operating to improve patient safety. Citation Text: Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014. Copy Citation Format: DOI Google Scholar BibTeX …

  18. Usability evaluation of order sets in a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/usability-evaluation-order-sets-computerized-provider-order-entry-system
    May 04, 2011 - Study Usability evaluation of order sets in a computerized provider order entry system. Citation Text: Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021…

  19. Attitudes and practices related to clinical alarms: a follow-up survey. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms-follow-survey
    June 11, 2014 - Study Attitudes and practices related to clinical alarms: a follow-up survey. Citation Text: Ruppel H, Funk M, Clark T, et al. Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. Am J Crit Care. 2018;27(2):114-123. doi:10.4037/ajcc2018185. Copy Citation Format: …

  20. Transfers of patient care between house staff on internal medicine wards: a national survey. | PSNet

    psnet.ahrq.gov/issue/transfers-patient-care-between-house-staff-internal-medicine-wards-national-survey
    August 15, 2018 - Study Transfers of patient care between house staff on internal medicine wards: a national survey. Citation Text: Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. …
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