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  1. Standardizing hospital discharge planning at the Mayo Clinic. | PSNet

    psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
    October 19, 2022 - Study Standardizing hospital discharge planning at the Mayo Clinic. Citation Text: Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  2. Diagnostic errors in primary care: lessons learned. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
    September 12, 2011 - Study Diagnostic errors in primary care: lessons learned. Citation Text: Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174. Copy Citation Format: DOI Google Scho…

  3. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet

    psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - Book/Report Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Citation Text: Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. Copy Citation Save …

  4. Safety paradoxes and safety culture. | PSNet

    psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture
    February 06, 2008 - Commentary Safety paradoxes and safety culture. Citation Text: Reason J. Safety paradoxes and safety culture. Inj Control Safety Promot. 2003;7(1):3-14. doi:10.1076/1566-0974(200003)7:1;1-v;ft003. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  5. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. | PSNet

    psnet.ahrq.gov/issue/evolution-error-error-management-cognitive-constraints-and-adaptive-decision-making-biases
    June 03, 2020 - Review The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Citation Text: Johnson DDP, Blumstein DT, Fowler JH, et al. The evolution of error: error management, cognitive constraints, and adaptive decision-making biases. Trends Ecol Evo…

  6. Pro/con debate: color-coded medication labels. | PSNet

    psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …

  7. Medication safety issue brief. Bar code implementation strategies. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Bar code implementation strategies. Citation Text: Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hospitals & health networks. 2005;79(7):65-6. Copy Citation …

  8. Stanford Medicine X-Health Care and Emerging Technologies - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/stanford-medicine-x-health-care-and-emerging-technologies/annual-summary/2012
    January 01, 2012 - Stanford Medicine X-Health Care and Emerging Technologies - 2012 Project Name Stanford Medicine X-Health Care and Emerging Technologies Principal Investigator Chu, Lawrence Organization Stanford University Funding Mechanism PAR: HS09-257: AHRQ Grant Program for Larg…

  9. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  10. Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. | PSNet

    psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
    October 06, 2021 - Book/Report Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Citation Text: Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. A…

  11. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet

    psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
    November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

  12. System failure versus personal accountability--the case for clean hands. | PSNet

    psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
    February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands. Citation Text: Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. Copy Citation Format: Google Scholar PubMed BibTeX End…

  13. No excuses: the reality that demands action. | PSNet

    psnet.ahrq.gov/issue/no-excuses-reality-demands-action
    July 20, 2022 - Meeting/Conference Proceedings No excuses: the reality that demands action. Citation Text: Denham CR, Bagian JP, Daley J, et al. No Excuses: The Reality That Demands Action. doi:10.1097/01.jps.0000183854.29928.4d. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  14. Medication prescribing errors involving the route of administration. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
    January 12, 2011 - Study Medication prescribing errors involving the route of administration. Citation Text: Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. Copy Citation Format: DOI Google Scholar Bib…

  15. Improving care transitions: optimizing medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
    June 17, 2014 - Commentary Improving care transitions: optimizing medication reconciliation. Citation Text: Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…

  16. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet

    psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
    July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…

  17. Network of Patient Safety Databases Chartbook. | PSNet

    psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook. Citation Text: Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082. Copy Citation Save Save to your libr…

  18. Errors in a stat laboratory: changes in type and frequency since 1996. | PSNet

    psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
    December 21, 2016 - Study Errors in a stat laboratory: changes in type and frequency since 1996. Citation Text: Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53(7):1338-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  19. Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. | PSNet

    psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-infections
    August 01, 2012 - Grant Announcement Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. Citation Text: Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. Rockville, MD: Agency for Healthcare Research and Quality; July …

  20. Work-arounds in health care settings: literature review and research agenda. | PSNet

    psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
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