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  1. Health literacy, medication errors, and health outcomes: is there a relationship? | PSNet

    psnet.ahrq.gov/issue/health-literacy-medication-errors-and-health-outcomes-there-relationship
    January 02, 2008 - Review Health literacy, medication errors, and health outcomes: is there a relationship? Citation Text: Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538. Copy Cita…

  2. 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…

  3. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
    April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

  4. Team-based care: the changing face of cardiothoracic surgery. | PSNet

    psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
    October 07, 2013 - Review Team-based care: the changing face of cardiothoracic surgery. Citation Text: Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. Copy Citation Format: D…

  5. The relationship between electronic health records and malpractice claims. | PSNet

    psnet.ahrq.gov/issue/relationship-between-electronic-health-records-and-malpractice-claims
    August 05, 2009 - Study The relationship between electronic health records and malpractice claims. Citation Text: Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371. Co…

  6. Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

    psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic
    March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

  7. Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
    June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

  8. 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…

  9. Elopement: evidence-based mitigation and management. | PSNet

    psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
    October 19, 2022 - Study Elopement: evidence-based mitigation and management. Citation Text: Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. Copy Citation Format: DOI Google Sc…

  10. What can apologies in the electronic health record tell us about health care quality, processes, and safety? | PSNet

    psnet.ahrq.gov/issue/what-can-apologies-electronic-health-record-tell-us-about-health-care-quality-processes-and
    November 18, 2016 - Study What can apologies in the electronic health record tell us about health care quality, processes, and safety? Citation Text: Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e1…

  11. Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study. | PSNet

    psnet.ahrq.gov/issue/paediatric-nurses-adherence-double-checking-process-during-medication-administration
    October 03, 2012 - Study Paediatric nurses' adherence to the double-checking process during medication administration in a children's hospital: an observational study. Citation Text: Alsulami Z, Choonara I, Conroy S. Paediatric nurses' adherence to the double-checking process during medication administrati…

  12. A patient safety dilemma: obesity in the surgical patient. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
    October 29, 2012 - Study A patient safety dilemma: obesity in the surgical patient. Citation Text: Goode V, Phillips E, DeGuzman P, et al. A Patient Safety Dilemma: Obesity in the Surgical Patient. AANA J. 2016;84(6):404-412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  13. Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. | PSNet

    psnet.ahrq.gov/issue/utilization-pharmacy-technicians-increase-accuracy-patient-medication-histories-obtained
    October 08, 2014 - Study Utilization of pharmacy technicians to increase the accuracy of patient medication histories obtained in the emergency department. Citation Text: Rubin EC, Pisupati R, Nerenberg SF. Utilization of Pharmacy Technicians to Increase the Accuracy of Patient Medication Histories Obtaine…

  14. Uncharted territory: measuring costs of diagnostic errors outside the medical record. | PSNet

    psnet.ahrq.gov/issue/uncharted-territory-measuring-costs-diagnostic-errors-outside-medical-record
    September 20, 2011 - Study Uncharted territory: measuring costs of diagnostic errors outside the medical record. Citation Text: Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-…

  15. 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:…

  16. Understanding situation awareness in nursing work: a hybrid concept analysis. | PSNet

    psnet.ahrq.gov/issue/understanding-situation-awareness-nursing-work-hybrid-concept-analysis
    October 20, 2021 - Study Understanding situation awareness in nursing work: a hybrid concept analysis. Citation Text: Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e318245…

  17. Possible solutions for barriers in incident reporting by residents. | PSNet

    psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
    April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. Citation Text: Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x. Copy …

  18. A customized triggers program: a children's hospital's experience in improving trigger usability. | PSNet

    psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
    September 01, 2021 - Study A customized triggers program: a children's hospital's experience in improving trigger usability. Citation Text: Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…

  19. Nursing student errors and near misses: three years of data. | PSNet

    psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data
    October 20, 2021 - Study Nursing student errors and near misses: three years of data. Citation Text: Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ. 2023;62(1):12-19. doi:10.3928/01484834-20221109-05. Copy Citation Format: DOI Google Scholar…

  20. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. | PSNet

    psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
    February 12, 2014 - Study Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Citation Text: Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…
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