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  1. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
    December 02, 2015 - Commentary Medication reconciliation to facilitate transitions of care after hospitalization. Citation Text: Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. Copy C…

  2. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

    psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - Study Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. Citation Text: Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medica…

  3. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.  | PSNet

    psnet.ahrq.gov/issue/effects-aviation-style-non-technical-skills-training-technical-performance-and-outcome
    March 03, 2011 - Study The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.  Citation Text: McCulloch P, Mishra A, Handa A, et al. The effects of aviation-style non-technical skills training on technical performance and outcome in th…

  4. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
    August 29, 2018 - Study Patient safety in dentistry—state of play as revealed by a national database of errors. Citation Text: Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669. C…

  5. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. | PSNet

    psnet.ahrq.gov/issue/predictors-completeness-patients-self-reported-personal-medication-lists-and-discrepancies
    October 19, 2022 - Study Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. Citation Text: Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with…

  6. A conceptual framework to reduce inpatient preventable deaths. | PSNet

    psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
    April 24, 2018 - Study A conceptual framework to reduce inpatient preventable deaths. Citation Text: Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003. Copy Citation …

  7. Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-and-medication-errors-psychiatry-methodological-issues-regarding
    September 27, 2017 - Review Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. Citation Text: Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry: methodological issues regarding identificati…

  8. Change in intern calls at night after a work hour restriction process change. | PSNet

    psnet.ahrq.gov/issue/change-intern-calls-night-after-work-hour-restriction-process-change
    September 01, 2017 - Study Change in intern calls at night after a work hour restriction process change. Citation Text: Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternm…

  9. The frequency of diagnostic errors in radiologic reports depends on the patient's age. | PSNet

    psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age
    March 09, 2022 - Study The frequency of diagnostic errors in radiologic reports depends on the patient's age. Citation Text: Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. Copy C…

  10. Association of overlapping cardiac surgery with short-term patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
    November 09, 2022 - Study Association of overlapping cardiac surgery with short-term patient outcomes. Citation Text: Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtc…

  11. Competence and certification of registered nurses and safety of patients in intensive care units. | PSNet

    psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
    May 01, 2006 - Study Competence and certification of registered nurses and safety of patients in intensive care units. Citation Text: Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…

  12. Decision support tools, systems, and artificial intelligence in cardiac imaging. | PSNet

    psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging
    October 19, 2022 - Review Decision support tools, systems, and artificial intelligence in cardiac imaging. Citation Text: Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04…

  13. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
    December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

  14. Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-harm-pandemic
    June 08, 2022 - Newspaper/Magazine Article Missed and delayed diagnoses of non-COVID conditions--collateral harm from a pandemic. Citation Text: Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. Copy Citation Format: Go…

  15. The mixed blessings of smart infusion devices and health care IT. | PSNet

    psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it
    March 13, 2024 - Study The mixed blessings of smart infusion devices and health care IT. Citation Text: Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. Copy Citation Format: …

  16. Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

    psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
    May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

  17. Specimen labeling errors in surgical pathology: an 18-month experience. | PSNet

    psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience
    January 04, 2012 - Study Specimen labeling errors in surgical pathology: an 18-month experience. Citation Text: Layfield LJ, Anderson GM. Specimen labeling errors in surgical pathology: an 18-month experience. Am J Clin Pathol. 2010;134(3):466-70. doi:10.1309/AJCPHLQHJ0S3DFJK. Copy Citation Format:…

  18. Nursing interruptions in a trauma intensive care unit: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study
    November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…

  19. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. | PSNet

    psnet.ahrq.gov/issue/beam-me-scotty-impact-personal-wireless-communication-devices-emergency-department
    July 17, 2013 - Study Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Citation Text: Richards JD, Harris T. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Emerg Med J. 2011;28(1):29-32. doi:10.1136/emj…

  20. A systematic review of adult admissions to ICUs related to adverse drug events. | PSNet

    psnet.ahrq.gov/issue/systematic-review-adult-admissions-icus-related-adverse-drug-events
    March 16, 2016 - Review A systematic review of adult admissions to ICUs related to adverse drug events. Citation Text: Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. Co…
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