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Improving medication safety in the ICU: the pharmacist's role. | PSNet

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April 20, 2022 - Commentary Improving medication safety in the ICU: the pharmacist's role. Citation Text: Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337. Copy Citation Format: DOI Google…

Nursing strategies to increase medication safety in inpatient settings. | PSNet

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September 21, 2016 - Study Nursing strategies to increase medication safety in inpatient settings. Citation Text: Bravo K, Cochran GL, Barrett R. Nursing Strategies to Increase Medication Safety in Inpatient Settings. J Nurs Care Qual. 2016;31(4):335-41. doi:10.1097/NCQ.0000000000000181. Copy Citation …

I'm sorry: laws that support apologies in health care. | PSNet

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March 11, 2020 - Commentary I'm sorry: laws that support apologies in health care. Citation Text: Atkinson Smith M. Iʼm Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

Education and reporting of diagnostic errors among physicians in internal medicine training programs. | PSNet

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July 17, 2019 - Study Education and reporting of diagnostic errors among physicians in internal medicine training programs. Citation Text: Wijesekera TP, Sanders L, Windish DM. Education and Reporting of Diagnostic Errors Among Physicians in Internal Medicine Training Programs. JAMA Intern Med. 2018;178…

Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. | PSNet

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January 11, 2017 - Book/Report Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Citation Text: Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. Smith KM, Hunte HE, Graber ML. Rockville MD: Agency for Healthcare Research and Quality; Augu…

Leadership and patient safety: a review of the literature. | PSNet

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March 29, 2023 - Review Leadership and patient safety: a review of the literature. Citation Text: Ring L, Fairchild RM. Leadership and Patient Safety: A Review of the Literature. J Nurs Reg. 2015;4(1):52-56. doi:10.1016/s2155-8256(15)30164-2. Copy Citation Format: DOI Google Scholar BibTe…

Computerized physician order entry: promise, perils, and experience. | PSNet

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June 25, 2018 - Review Computerized physician order entry: promise, perils, and experience. Citation Text: Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. Copy Citation Format: DOI Googl…

Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. | PSNet

psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast

November 03, 2015 - Study Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. Citation Text: Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…

Impact of patient safety mandates on medical education in the United States. | PSNet

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June 01, 2011 - Review Impact of patient safety mandates on medical education in the United States. Citation Text: Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5. Copy Citation…

Teaching nurses to make clinical judgments that ensure patient safety. | PSNet

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August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …

Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. | PSNet

psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient

June 22, 2022 - Press Release/Announcement Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Citation Text: Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Agency for Healthcare Research and…

FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet

psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing

June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

Making the business case for quality and safety. | PSNet

psnet.ahrq.gov/issue/making-business-case-quality-and-safety

January 19, 2022 - Commentary Making the business case for quality and safety. Citation Text: Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008. Copy Citation Format: DOI Google Scholar …

Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. | PSNet

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July 17, 2024 - Study Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Citation Text: Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives. Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876. …

Crisis resource management in emergency medicine. | PSNet

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October 23, 2024 - Review Crisis resource management in emergency medicine. Citation Text: Carne B, Kennedy M, Gray T. Review article: Crisis resource management in emergency medicine. Emergency Medicine Australasia. 2011;24(1). doi:10.1111/j.1742-6723.2011.01495.x. Copy Citation Format: DO…

Diagnosis: Reducing Errors and Improving Quality. | PSNet

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October 12, 2022 - Book/Report Diagnosis: Reducing Errors and Improving Quality. Citation Text: Diagnosis: Reducing Errors and Improving Quality. Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022 Copy Citati…

Failure to report poor care as a breach of moral and professional expectation. | PSNet

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March 05, 2025 - Commentary Failure to report poor care as a breach of moral and professional expectation. Citation Text: Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299. Copy Citation …

Patient safety and collaboration of the intensive care unit team. | PSNet

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February 17, 2010 - Commentary Patient safety and collaboration of the intensive care unit team. Citation Text: Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. Copy Citation Format: DOI Google Scholar Pu…

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. | PSNet

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April 08, 2008 - Study Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Citation Text: Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obst…

Ensuring access to medications in the US during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic

May 08, 2017 - March 30, 2022 Prescription opioid analgesics commonly unused after surgery: a systematic

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