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  1. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
    September 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…

  2. Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
    September 29, 2017 - Commentary Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Citation Text: Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…

  3. A statewide voluntary patient safety initiative: the Georgia experience. | PSNet

    psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
    October 04, 2011 - Commentary A statewide voluntary patient safety initiative: the Georgia experience. Citation Text: Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72. Copy Citation Format: …

  4. A piece of my mind. Despite my best intentions. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
    September 13, 2016 - Commentary A piece of my mind. Despite my best intentions. Citation Text: Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Homecare safety virtual quality improvement collaboratives | PSNet

    psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaboratives
    January 24, 2024 - Study Homecare safety virtual quality improvement collaboratives Citation Text: Miller W, Asselbergs M, Bank J, et al. Homecare safety virtual quality improvement collaboratives. Healthc Q. 2020;22(SP). doi:10.12927/hcq.2020.26042. Copy Citation Format: DOI Google Scholar B…

  6. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet

    psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
    September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

  7. Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients. | PSNet

    psnet.ahrq.gov/issue/beyond-our-walls-impact-patient-and-provider-coordination-across-continuum-outcomes-surgical
    March 24, 2021 - Study Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients. Citation Text: Weinberg DB, Gittell JH, Lusenhop W, et al. Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surg…

  8. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. | PSNet

    psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review
    July 05, 2017 - Review Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. Citation Text: Wheeler SQ, Greenberg ME, Mahlmeister L, et al. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. J Telemed Telecare. 2015;21(6):3…

  9. Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
    July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

  10. An innovative tool for experiential learning of nursing quality and safety competencies. | PSNet

    psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
    October 16, 2012 - Commentary An innovative tool for experiential learning of nursing quality and safety competencies. Citation Text: St. Onge J, Hodges T, McBride M, et al. An Innovative Tool for Experiential Learning of Nursing Quality and Safety Competencies. Nurse Educator. 2013;38(2):71-75. doi:10.10…

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

    psnet.ahrq.gov/issue/education-and-reporting-diagnostic-errors-among-physicians-internal-medicine-training
    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…

  12. Five strategies for clinicians to advance diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
    June 22, 2022 - Commentary Five strategies for clinicians to advance diagnostic excellence. Citation Text: Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. Copy Citation Format: DOI Google S…

  13. Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. | PSNet

    psnet.ahrq.gov/issue/annals-clinical-decision-making-avoiding-cognitive-errors-clinical-decision-making
    May 25, 2016 - Commentary Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. Citation Text: Restrepo D, Armstrong KA, Metlay JP. Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. Ann Intern Med. 2020;172(11):747-751. doi:10.7326…

  14. 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…

  15. Medication safety pharmacy technician in a large, tertiary care, community hospital. | PSNet

    psnet.ahrq.gov/issue/medication-safety-pharmacy-technician-large-tertiary-care-community-hospital
    July 08, 2020 - Commentary Medication safety pharmacy technician in a large, tertiary care, community hospital. Citation Text: Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care, community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146…

  16. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-vehicle-not-destination-conversation-david-j-brailer
    March 19, 2019 - Commentary Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Citation Text: Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Mill…

  17. Barriers and facilitators to nursing handoffs: recommendations for redesign. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
    January 22, 2016 - Study Barriers and facilitators to nursing handoffs: recommendations for redesign. Citation Text: Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005. Copy …

  18. Issues and complexities in safety culture assessment in healthcare. | PSNet

    psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
    October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …

  19. Inattentional blindness in medicine. | PSNet

    psnet.ahrq.gov/issue/inattentional-blindness-medicine
    March 31, 2021 - Review Inattentional blindness in medicine. Citation Text: Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18. doi:10.1186/s41235-024-00537-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  20. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. | PSNet

    psnet.ahrq.gov/issue/what-diagnostic-safety-review-safety-science-paradigms-and-rethinking-paths-improving
    April 12, 2023 - Review What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Citation Text: Choi JJ. What is diagnostic safety? A review of safety science paradigms and rethinking paths to improving diagnosis. Diagnosis (Berl). 2024;11(4):369-373. d…
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