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Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. | PSNet

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July 28, 2021 - Newspaper/Magazine Article Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Citation Text: Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; Copy C…

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. | PSNet

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October 19, 2022 - Study The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. Citation Text: Pacheco GS, Viscusi C, Hays DP, et al. The effects of resident level of training on the rate of pediatric prescription errors in an academic…

Information behavior in the context of improving patient safety. | PSNet

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March 24, 2019 - Commentary Information behavior in the context of improving patient safety. Citation Text: MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…

A scoping review of the hidden curriculum in pharmacy education. | PSNet

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November 16, 2022 - Review A scoping review of the hidden curriculum in pharmacy education. Citation Text: Park SK, Chen AMH, Daugherty KK, et al. A scoping review of the hidden curriculum in pharmacy education. Am J Pharm Educ. 2023;87(3):ajpe8999. doi:10.5688/ajpe8999. Copy Citation Format: …

Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. | PSNet

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January 31, 2018 - Award Recipient Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. Citation Text: McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204,…

Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study. | PSNet

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November 05, 2013 - Study Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study. Citation Text: Davis R, Savvopoulou M, Shergill R, et al. Predictors of healthcare professionals' attitudes towards family involveme…

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. | PSNet

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March 26, 2015 - Study Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. Citation Text: Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J On…

The power of written word: reflection reduces errors of omission. | PSNet

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April 24, 2018 - Study The power of written word: reflection reduces errors of omission. Citation Text: Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. Copy Citation Format: DOI Go…

In situ simulation: a method of experiential learning to promote safety and team behavior. | PSNet

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September 03, 2011 - Commentary In situ simulation: a method of experiential learning to promote safety and team behavior. Citation Text: Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-1…

Advancing nursing home quality through quality improvement itself. | PSNet

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November 28, 2018 - Commentary Advancing nursing home quality through quality improvement itself. Citation Text: Werner RM, Konetzka RT. Advancing Nursing Home Quality Through Quality Improvement Itself. Health Aff. 2010;29(1):81-86. doi:10.1377/hlthaff.2009.0555. Copy Citation Format: DOI Goo…

Identifying hospital organizational strategies to reduce readmissions. | PSNet

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May 25, 2016 - Study Identifying hospital organizational strategies to reduce readmissions. Citation Text: Ahmad FS, Metlay JP, Barg FK, et al. Identifying hospital organizational strategies to reduce readmissions. Am J Med Qual. 2013;28(4):278-85. doi:10.1177/1062860612464999. Copy Citation F…

Reducing specimen identification errors. | PSNet

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October 12, 2016 - Commentary Reducing specimen identification errors. Citation Text: Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Frequency of prescribing errors by medical residents in various training programs. | PSNet

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November 05, 2014 - Study Frequency of prescribing errors by medical residents in various training programs. Citation Text: Honey BL, Bray WM, Gomez MR, et al. Frequency of prescribing errors by medical residents in various training programs. J Patient Saf. 2015;11(2):100-4. doi:10.1097/PTS.0000000000000048…

Patient perspectives on adverse event investigations in health care. | PSNet

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December 18, 2024 - Study Patient perspectives on adverse event investigations in health care. Citation Text: Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x. Copy Ci…

Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet

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September 25, 2024 - Study Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. Citation Text: Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…

The last person you'd expect to die in childbirth. | PSNet

psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth

May 03, 2017 - Newspaper/Magazine Article The last person you'd expect to die in childbirth. Citation Text: The last person you'd expect to die in childbirth. Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017. Copy Citation Save Save to your library …

Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. | PSNet

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October 19, 2022 - Study Characteristics and patient impact of boarding in the pediatric emergency department, 2018-2022. Citation Text: Kappy B, Berkowitz D, Isbey S, et al. Characteristics and patient impact of boarding in the pediatric emergency department, 2018–2022. Am J Emerg Med. 2023;77:139-146. do…

Failure mode and effects analysis to reduce risk of heparin use. | PSNet

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July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. Citation Text: Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229. Copy Citation F…

Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. | PSNet

psnet.ahrq.gov/issue/low-perfusion-and-missed-diagnosis-hypoxemia-pulse-oximetry-darkly-pigmented-skin-prospective

March 14, 2022 - Study Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective study. Citation Text: Gudelunas MK, Lipnick M, Hendrickson C, et al. Low perfusion and missed diagnosis of hypoxemia by pulse oximetry in darkly pigmented skin: a prospective s…

Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. | PSNet

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October 07, 2020 - Study Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. Citation Text: Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…

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