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  1. psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best
    March 01, 2023 - Organizational Policy/Guidelines Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. Citation Text: Cicero MX, Adelgais K, Hoyle JD, et al.…
  2. psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
    October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Citation Text: Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-4…
  3. psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
    December 16, 2015 - Book/Report Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Citation Text: Carson-Stevens A, Hibbert P, Williams H, et al. Characterising …
  4. psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
    May 12, 2021 - Study Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. Citation Text: Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of …
  5. psnet.ahrq.gov/issue/stakeholder-perspectives-contributors-delayed-and-inaccurate-diagnosis-cardiovascular-disease
    August 18, 2021 - Study Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study. Citation Text: Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contri…
  6. psnet.ahrq.gov/issue/assertive-communication-training-nurses-speak-cases-medical-errors-systematic-review-and-meta
    April 15, 2020 - Review Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. Citation Text: Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and …
  7. psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
    December 16, 2020 - Study Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Citation Text: Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…
  8. psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
    August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
  9. psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
    July 13, 2022 - Study Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support. Citation Text: Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
  10. psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
    November 10, 2021 - Study Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Citation Text: Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committee…
  11. psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
    November 07, 2012 - Review Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. Citation Text: Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…
  12. psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
    August 09, 2017 - Study Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. Citation Text: Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Val…
  13. psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
    August 24, 2022 - Study Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Citation Text: Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …
  14. psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
    January 07, 2015 - Study Engaging hospital patients in the medication reconciliation process using tablet computers. Citation Text: Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…
  15. psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
    October 31, 2023 - Study Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies. Citation Text: Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission: des…
  16. psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster
    July 31, 2019 - Study The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. Citation Text: McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a …
  17. psnet.ahrq.gov/issue/effect-cognitive-aids-adherence-best-practice-treatment-deteriorating-surgical-patients
    September 30, 2020 - Study Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. Citation Text: Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the T…
  18. psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
    November 30, 2016 - Study Support from hospital to home for elders: a randomized trial. Citation Text: Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094. Copy Citation Format: DOI Google…
  19. psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
    September 13, 2017 - Study Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Citation Text: Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019…
  20. psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes
    December 04, 2016 - Study Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. Citation Text: Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…