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  1. State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. | PSNet

    psnet.ahrq.gov/issue/state-science-and-future-directions-improve-diagnostic-safety-older-adults
    January 22, 2025 - Book/Report State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. Citation Text: Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research a…

  2. Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity | PSNet

    psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and
    April 02, 2014 - Review Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity Citation Text: Nguyen PTL, Phan TAT, Vo VBN, et al. Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity. Int J Clin…

  3. Weight stigma and barriers to effective obesity care. | PSNet

    psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
    August 18, 2021 - Review Weight stigma and barriers to effective obesity care. Citation Text: Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am. 2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  4. Lab/Pharmacy Data Sign up and Commitment Letter (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn23.pdf
    March 04, 2011 - Lab/Pharmacy Data Sign up and Commitment Letter 1 Memorandum To: MHA Member Hospitals From: Mark Sonneborn, V.P. Information Services Date: 3/4/2011 Re: Lab/Pharmacy Data Sign up and Commitment Letter As part of a 3-year federal research grant, MHA is planning to add laboratory data and pharmacy dat…

  5. Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

    psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
    March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

  6. Reviewing methodologically disparate data: a practical guide for the patient safety research field. | PSNet

    psnet.ahrq.gov/issue/reviewing-methodologically-disparate-data-practical-guide-patient-safety-research-field
    April 24, 2018 - Commentary Reviewing methodologically disparate data: a practical guide for the patient safety research field. Citation Text: Brown KF, Long SJ, Athanasiou T, et al. Reviewing methodologically disparate data: a practical guide for the patient safety research field. J Eval Clin Pract. 2…

  7. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. | PSNet

    psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota-telepharmacy-project
    October 17, 2012 - Study Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst …

  8. Improvement of medication event interventions through use of an electronic database. | PSNet

    psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
    December 19, 2014 - Study Improvement of medication event interventions through use of an electronic database. Citation Text: Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…

  9. Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. | PSNet

    psnet.ahrq.gov/issue/communication-and-information-deficits-patients-discharged-rehabilitation-facilities
    January 11, 2017 - Study Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. Citation Text: Gandara E, Moniz T, Ungar J, et al. Communication and information deficits in patients discharged to rehabilitation facilities: An …

  10. What’s past is prologue: organizational learning from a serious patient injury. | PSNet

    psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
    October 26, 2011 - Study What’s past is prologue: organizational learning from a serious patient injury. Citation Text: Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. Copy Citation …

  11. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. | PSNet

    psnet.ahrq.gov/issue/use-and-implementation-standard-operating-procedures-and-checklists-prehospital-emergency
    August 28, 2024 - Review Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a literature review. Citation Text: Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in prehospital emergency medicine: a lit…

  12. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation. | PSNet

    psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
    September 20, 2017 - Study Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation. Citation Text: Jomaa C, Dubois C‐A, Caron I, et al. Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context o…

  13. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet

    psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
    August 12, 2020 - Study Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. Citation Text: Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…

  14. Using portable digital technology for clinical care and critical incidents: a new model. | PSNet

    psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
    June 29, 2011 - Commentary Using portable digital technology for clinical care and critical incidents: a new model. Citation Text: Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305. Copy Citation…

  15. Retained foreign bodies: risk and outcomes at the national level. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-risk-and-outcomes-national-level
    May 29, 2019 - Study Retained foreign bodies: risk and outcomes at the national level. Citation Text: Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level. J Am Coll Surg. 2015;220(4):749-759. doi:10.1016/j.jamcollsurg.2014.12.015. Copy Citation…

  16. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

    psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve
    December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

  17. Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/pediatric-adverse-event-rates-associated-inexperience-teaching-hospitals-multilevel-analysis
    December 02, 2014 - Study Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. Citation Text: Dynan L, Goudie A, Brady PW. Pediatric Adverse Event Rates Associated With Inexperience in Teaching Hospitals: A Multilevel Analysis. J Healthc Qual. 2018;40(2):6…

  18. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-simulation-based-interprofessional-training-program-rapid-response-and
    January 04, 2012 - Study Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. Citation Text: Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code …

  19. Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
    September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…

  20. Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

    psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
    November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…
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