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  1. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet

    psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
    September 23, 2020 - Study Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. Citation Text: Imfeld K, Keith M, Stoyanoff L, et al. Diet order entry by registered dietitians results in a reduction in error rates and time …

  2. Optimizing the patient handoff between EMS and the emergency department. | PSNet

    psnet.ahrq.gov/issue/optimizing-patient-handoff-between-ems-and-emergency-department
    April 24, 2018 - Study Optimizing the patient handoff between EMS and the emergency department. Citation Text: Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1. doi:10.1016/j.annemer…

  3. An observational study of medication administration errors in old-age psychiatric inpatients. | PSNet

    psnet.ahrq.gov/issue/observational-study-medication-administration-errors-old-age-psychiatric-inpatients
    September 27, 2017 - Study An observational study of medication administration errors in old-age psychiatric inpatients. Citation Text: Haw C, Stubbs J, Dickens G. An observational study of medication administration errors in old-age psychiatric inpatients. Int J Qual Health Care. 2007;19(4):210-6. Copy Ci…

  4. Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet

    psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? Citation Text: Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. C…

  5. Addressing safety concerns about U-500 insulin in a hospital setting. | PSNet

    psnet.ahrq.gov/issue/addressing-safety-concerns-about-u-500-insulin-hospital-setting
    March 15, 2017 - Commentary Addressing safety concerns about U-500 insulin in a hospital setting. Citation Text: Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224. Copy Citation Form…

  6. Management of test results in family medicine offices. | PSNet

    psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
    July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

  7. Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. | PSNet

    psnet.ahrq.gov/issue/preliminary-assessment-pediatric-health-care-quality-and-patient-safety-united-states-using
    December 23, 2008 - Study Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. Citation Text: McDonald KM, Davies SM, Haberland CA, et al. Preliminary assessment of pediatric health care quality and patient safety in t…

  8. Defining and classifying terminology for medication harm: a call for consensus. | PSNet

    psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
    June 22, 2022 - Review Defining and classifying terminology for medication harm: a call for consensus. Citation Text: Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…

  9. Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. | PSNet

    psnet.ahrq.gov/issue/why-patient-safety-challenge-insights-professionalism-opinions-medical-students-research
    January 26, 2022 - Study Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. Citation Text: McGurgan PM, Calvert KL, Nathan EA, et al. Why is patient safety a challenge? Insights from the Professionalism Opinions of Medical Students' research. J Pati…

  10. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. | PSNet

    psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
    August 26, 2015 - Study Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Citation Text: Rhodes P, McDonald R, Campbell S, et al. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. Sociol Health Illn. 2016;38(…

  11. Perceived patient safety culture in a critical care transport program. | PSNet

    psnet.ahrq.gov/issue/perceived-patient-safety-culture-critical-care-transport-program
    July 03, 2014 - Study Perceived patient safety culture in a critical care transport program. Citation Text: Erler C, Edwards NE, Ritchey S, et al. Perceived patient safety culture in a critical care transport program. Air Med J. 2013;32(4):208-215. doi:10.1016/j.amj.2012.11.002. Copy Citation For…

  12. Patient–pharmacist communication during a post-discharge pharmacist home visit. | PSNet

    psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
    May 28, 2015 - Study Patient–pharmacist communication during a post-discharge pharmacist home visit. Citation Text: Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0…

  13. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
    April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

  14. The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review. | PSNet

    psnet.ahrq.gov/issue/role-education-developing-culture-safety-through-perceptions-undergraduate-nursing-students
    August 17, 2016 - Review The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review. Citation Text: Bedgood AL, Mellott S. The Role of Education in Developing a Culture of Safety Through the Perceptions of Undergradua…

  15. Safe use of the EHR by medical scribes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/safe-use-ehr-medical-scribes-qualitative-study
    February 01, 2023 - Study Safe use of the EHR by medical scribes: a qualitative study. Citation Text: Ash JS, Corby S, Mohan V, et al. Safe use of the EHR by medical scribes: a qualitative study. J Amer Med Inform Assoc. 2021;28(2):294-302. doi:10.1093/jamia/ocaa199. Copy Citation Format: DOI …

  16. Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

    psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error
    February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

  17. The impact of power on health care team performance and patient safety: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
    February 01, 2023 - Review The impact of power on health care team performance and patient safety: a review of the literature. Citation Text: Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. …

  18. What can patient safety teach us about clinician burnout? | PSNet

    psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout
    January 07, 2011 - Commentary What can patient safety teach us about clinician burnout? Citation Text: Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med. 2019;171(12):933-934. doi:10.7326/m19-2397. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  19. VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

    psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute
    October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

  20. Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

    psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
    October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…
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