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  1. Learning from excellence in healthcare: a new approach to incident reporting. | PSNet

    psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
    August 31, 2022 - Commentary Learning from excellence in healthcare: a new approach to incident reporting. Citation Text: Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021. …

  2. Towards a framework for managing risk associated with technology-induced error. | PSNet

    psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
    May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …

  3. Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet

    psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
    October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. Citation Text: Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…

  4. Are personal health records (PHRs) facilitating patient safety? A scoping review. | PSNet

    psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review
    February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…

  5. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. | PSNet

    psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
    December 09, 2020 - Commentary Tiered daily huddles: the power of teamwork in managing large healthcare organisations. Citation Text: Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. Co…

  6. An observational study of postoperative handoff standardization failures. | PSNet

    psnet.ahrq.gov/issue/observational-study-postoperative-handoff-standardization-failures
    March 10, 2021 - Study An observational study of postoperative handoff standardization failures. Citation Text: Abraham J, Meng A, Sona C, et al. An observational study of postoperative handoff standardization failures. Int J Med Inform. 2021;151:104458. doi:10.1016/j.ijmedinf.2021.104458. Copy Citatio…

  7. High performance teamwork training and systems redesign in outpatient oncology. | PSNet

    psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
    November 16, 2022 - Study High performance teamwork training and systems redesign in outpatient oncology. Citation Text: Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…

  8. Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. | PSNet

    psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
    September 26, 2016 - Study Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. Citation Text: Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…

  9. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
    March 09, 2022 - Review Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. Citation Text: Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…

  10. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. | PSNet

    psnet.ahrq.gov/issue/evaluation-predevelopment-service-delivery-intervention-application-improve-clinical
    March 06, 2013 - Study Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. Citation Text: Yao GL, Novielli N, Manaseki-Holland S, et al. Evaluation of a predevelopment service delivery intervention: an application to improve clinical handovers. BMJ …

  11. All CLEAR? Preparing for IT downtime. | PSNet

    psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
    November 16, 2022 - Commentary All CLEAR? Preparing for IT downtime. Citation Text: Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  12. Influence of perioperative handoffs on complications and outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
    October 14, 2020 - Commentary Influence of perioperative handoffs on complications and outcomes. Citation Text: Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. Copy Citation Format: …

  13. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
    March 23, 2022 - Study CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. Citation Text: Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi…

  14. Improving standardization of paging communication using quality improvement methodology. | PSNet

    psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
    September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…

  15. Patient perceptions of receiving test results via online portals: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-receiving-test-results-online-portals-mixed-methods-study
    July 01, 2017 - Study Patient perceptions of receiving test results via online portals: a mixed-methods study. Citation Text: Giardina TD, Baldwin J, Nystrom DT, et al. Patient perceptions of receiving test results via online portals: a mixed-methods study. J Am Med Inform Assoc. 2018;25(4):440-446. doi…

  16. A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. | PSNet

    psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative-study
    August 15, 2013 - Study A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. Citation Text: Anderson O, Brodie A, Vincent CA, et al. A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. Ann Surg. 2012;255(6):1086-92. doi:10.1097…

  17. Normal Accidents: Living with High-Risk Technologies. | PSNet

    psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
    March 06, 2005 - Book/Report Classic Normal Accidents: Living with High-Risk Technologies. Citation Text: Normal Accidents: Living with High-Risk Technologies. Perrow C. Princeton NJ: Princeton University Press; 1999. Copy Citation Save Save to you…

  18. Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. | PSNet

    psnet.ahrq.gov/issue/effects-cpoe-based-medication-ordering-outcomes-overview-systematic-reviews
    March 10, 2021 - Review Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. Citation Text: Abraham J, Kitsiou S, Meng A, et al. Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. BMJ Qual Saf. 2020;29(10):854–863. doi:10.1136/bm…

  19. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. | PSNet

    psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
    February 17, 2011 - Study Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Citation Text: Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Ph…

  20. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. | PSNet

    psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
    August 25, 2021 - Study Nurse burnout predicts self-reported medication administration errors in acute care hospitals. Citation Text: Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13…
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