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Call to action: addressing pediatric fall safety in ambulatory environments. | PSNet

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June 30, 2021 - Study Call to action: addressing pediatric fall safety in ambulatory environments. Citation Text: Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. Copy Citat…

Reconcilable differences: correcting medication errors at hospital admission and discharge. | PSNet

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February 13, 2019 - Study Reconcilable differences: correcting medication errors at hospital admission and discharge. Citation Text: Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006;15(2):122-6. Copy C…

Physician satisfaction with transition from CPOE to paper-based prescription. | PSNet

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January 06, 2018 - Study Physician satisfaction with transition from CPOE to paper-based prescription. Citation Text: Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.…

Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. | PSNet

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July 26, 2011 - Study Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Citation Text: Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error reporting in an emergency department. Am J Health Syst Pharm. 2010…

Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype. | PSNet

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December 21, 2022 - Commentary Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype. Citation Text: Kulkarni PA, Singh H. Artificial intelligence in clinical diagnosis: opportunities, challenges, and hype. JAMA. 2023;330(4):317-318. doi:10.1001/jama.2023.11440. Copy Citation …

Improving Diagnosis in Health Care. | PSNet

psnet.ahrq.gov/issue/improving-diagnosis-health-care

September 12, 2018 - Book/Report Classic Improving Diagnosis in Health Care. Citation Text: Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISB…

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. | PSNet

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October 05, 2011 - Study Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. Citation Text: Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:1…

Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. | PSNet

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May 07, 2014 - Book/Report Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Citation Text: Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…

The Lancet Commission on lessons for the future from the COVID-19 pandemic. | PSNet

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January 12, 2022 - Commentary The Lancet Commission on lessons for the future from the COVID-19 pandemic. Citation Text: Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. C…

Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet

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March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…

Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. | PSNet

psnet.ahrq.gov/issue/case-based-simulation-empowering-pediatric-residents-communicate-about-diagnostic-uncertainty

November 27, 2017 - Study Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Citation Text: Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4)…

Five strategies for a safer EHR modernization journey. | PSNet

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November 11, 2020 - Commentary Five strategies for a safer EHR modernization journey. Citation Text: Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med. 2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z. Copy Citation Format: DOI Google Sch…

Direct oral anticoagulants: a review of common medication errors. | PSNet

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January 12, 2022 - Review Emerging Classic Direct oral anticoagulants: a review of common medication errors. Citation Text: Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. …

Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. | PSNet

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September 20, 2012 - Review Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Citation Text: Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. | PSNet

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July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …

The emotional impact of medical errors on practicing physicians in the United States and Canada. | PSNet

psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada

January 23, 2008 - Study Classic The emotional impact of medical errors on practicing physicians in the United States and Canada. Citation Text: Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada.…

Improving safety and quality of care with enhanced teamwork through operating room briefings. | PSNet

psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings

May 11, 2019 - Commentary Improving safety and quality of care with enhanced teamwork through operating room briefings. Citation Text: Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. | PSNet

psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net

April 21, 2021 - Study Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. Citation Text: Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of…

Understanding complexity in a safety critical setting: a systems approach to medication administration. | PSNet

psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration

February 01, 2023 - Study Understanding complexity in a safety critical setting: a systems approach to medication administration. Citation Text: Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…

Failure mode and effects analysis outputs: are they valid? | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid

November 25, 2009 - Study Failure mode and effects analysis outputs: are they valid? Citation Text: Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. Copy Citation Format: DOI Google Scho…

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