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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…

Facility-level variation in potentially inappropriate prescribing for older veterans. | PSNet

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February 17, 2017 - Study Facility-level variation in potentially inappropriate prescribing for older veterans. Citation Text: Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5…

Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. | PSNet

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August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…

Changes in practice among physicians with malpractice claims. | PSNet

psnet.ahrq.gov/issue/changes-practice-among-physicians-malpractice-claims

February 14, 2017 - Study Changes in practice among physicians with malpractice claims. Citation Text: Studdert DM, Spittal MJ, Zhang Y, et al. Changes in Practice among Physicians with Malpractice Claims. N Engl J Med. 2019;380(13):1247-1255. doi:10.1056/NEJMsa1809981. Copy Citation Format: D…

Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. | PSNet

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November 11, 2020 - Commentary Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Citation Text: Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, an…

Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. | PSNet

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April 17, 2024 - Study Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. Citation Text: Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024…

Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. | PSNet

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May 12, 2021 - Commentary Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Citation Text: Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006. Copy …

Frontiers in measuring structural racism and its health effects. | PSNet

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April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…

A health system–wide initiative to decrease opioid-related morbidity and mortality. | PSNet

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November 16, 2022 - Commentary Emerging Classic A health system–wide initiative to decrease opioid-related morbidity and mortality. Citation Text: Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qu…

The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet

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February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…

A decade after Francis: is the NHS safer and more open? | PSNet

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September 29, 2021 - Commentary A decade after Francis: is the NHS safer and more open? Citation Text: Martin G, Stanford S, Dixon-Woods M. A decade after Francis: is the NHS safer and more open? BMJ. 2023;380:513. doi:10.1136/bmj.p513. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

The intersection of traumatic childbirth and obstetric racism: a qualitative study. | PSNet

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June 14, 2023 - Study The intersection of traumatic childbirth and obstetric racism: a qualitative study. Citation Text: Dmowska A, Fielding‐Singh P, Halpern J, et al. The intersection of traumatic childbirth and obstetric racism: a qualitative study. Birth. 2024;51(1):209-217. doi:10.1111/birt.12774. …

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. | PSNet

psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized

November 12, 2014 - Commentary Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. Citation Text: Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…

Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. | PSNet

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July 14, 2021 - Study Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Citation Text: Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Pediatrics. 2020;146(4):e20192057.…

Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts

September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

Risk of adverse drug events by patient destination after hospital discharge. | PSNet

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March 04, 2020 - Study Risk of adverse drug events by patient destination after hospital discharge. Citation Text: Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. Copy Citation Format: …

Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. | PSNet

psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous

December 21, 2014 - Study Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. Citation Text: Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…

A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. | PSNet

psnet.ahrq.gov/issue/prospective-risk-assessment-informal-carers-medication-administration-errors-within

February 08, 2017 - Study A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Citation Text: Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…

Intersystem medical error discovery: a document analysis of ethical guidelines. | PSNet

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December 14, 2022 - Review Intersystem medical error discovery: a document analysis of ethical guidelines. Citation Text: Duffy B, Miller J, Vitous CA, et al. Intersystem medical error discovery: a document analysis of ethical guidelines. J Patient Saf. 2021;17(8):e1765-e1773. doi:10.1097/pts.00000000000006…

Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet

psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va

July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. Office of Inspector General. June 2, 202…

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