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Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

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September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Getting it right for patient safety: specimen collection process improvement from operating room to pathology. | PSNet

psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room

July 16, 2013 - Commentary Getting it right for patient safety: specimen collection process improvement from operating room to pathology. Citation Text: D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol.…

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. | PSNet

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August 04, 2021 - Study Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU. Citation Text: Richardson D, Franklin G, Santos A, et al. Effective triage can ameliorate the deleterious effects of delayed transfer of trauma…

Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet

psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster

April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…

What happens when healthcare innovations collide? | PSNet

psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide

December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication-discrepancies-patients

December 03, 2014 - Study Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. Citation Text: Setter SM, Corbett CF, Neumiller JJ, et al. Effectiveness of a pharmacist-nurse intervention on resolving medication…

Structural racism and impact on sickle cell disease: sickle cell lives matter. | PSNet

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February 15, 2023 - Commentary Structural racism and impact on sickle cell disease: sickle cell lives matter. Citation Text: Smith WR, Valrie C, Sisler I. Structural racism and impact on sickle cell disease: sickle cell lives matter. Hematol Oncol Clin North Am. 2022;36(6):1063-1076. doi:10.1016/j.hoc.2022.…

Hospital Survey on Patient Safety Culture: 2018 User Database Report. | PSNet

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May 02, 2018 - Book/Report Hospital Survey on Patient Safety Culture: 2018 User Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publicat…

Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet

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January 12, 2022 - Study Diagnostic error in the emergency department: learning from national patient safety incident report analysis. Citation Text: Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…

Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

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January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…

Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet

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February 27, 2019 - Study Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. Citation Text: Lee Y-H, Yang C-C, Chen T-T. Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. J Manag Organ. 201…

Trainee autonomy and patient safety. | PSNet

psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety

November 03, 2021 - Commentary Trainee autonomy and patient safety. Citation Text: George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

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April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

The benefits of health information technology: a review of the recent literature shows predominantly positive results. | PSNet

psnet.ahrq.gov/issue/benefits-health-information-technology-review-recent-literature-shows-predominantly-positive

December 21, 2018 - Review Classic The benefits of health information technology: a review of the recent literature shows predominantly positive results. Citation Text: Buntin MB, Burke MF, Hoaglin MC, et al. The Benefits Of Health Information Technology: A Review Of The Recent Lit…

An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet

psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training

February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. | PSNet

psnet.ahrq.gov/issue/working-influenza-illness-presenteeism-among-us-health-care-personnel-during-2014-2015

July 19, 2023 - Study Working with influenza-like illness: presenteeism among US health care personnel during the 2014–2015 influenza season. Citation Text: Chiu S, Black CL, Yue X, et al. Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza sea…

Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. | PSNet

psnet.ahrq.gov/issue/shepherding-change-how-market-healthcare-providers-and-public-policy-can-deliver-quality-care

July 20, 2022 - Commentary Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Citation Text: Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st…

Procedural timeout compliance is improved with real-time clinical decision support. | PSNet

psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support

October 11, 2017 - Study Procedural timeout compliance is improved with real-time clinical decision support. Citation Text: Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.000000000000…

Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis

June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. | PSNet

psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health

December 20, 2023 - Study Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. Citation Text: Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…

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