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Impact of senior clinical review on patient disposition from the emergency department. | PSNet

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August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…

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…

Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. | PSNet

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June 22, 2022 - Commentary Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. Citation Text: Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement, community partnerships, and connected care. J Gen Intern Med. 2023;…

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…

Submit Case | PSNet

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March 25, 2025 - Breadcrumb Home Training and Education WebM&M: Case Studies WebM&M Case Submission PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …

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

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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…

Peer support for nurses as second victims: resilience, burnout, and job satisfaction. | PSNet

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March 03, 2019 - Study Emerging Classic Peer support for nurses as second victims: resilience, burnout, and job satisfaction. Citation Text: Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout, and job satisfaction. J Patient Sa…

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. | PSNet

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January 27, 2016 - Commentary Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. Citation Text: Young JQ, Wachter R. Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. JAMA.…

Patient-reported safety and quality of care in outpatient oncology. | PSNet

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January 23, 2012 - Study Patient-reported safety and quality of care in outpatient oncology. Citation Text: Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94. Copy Citation Format: Google S…

Advising patients about patient safety: current initiatives risk shifting responsibility. | PSNet

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May 20, 2015 - Commentary Advising patients about patient safety: current initiatives risk shifting responsibility. Citation Text: Entwistle V, Mello MM, Brennan TA. Advising Patients About Patient Safety: Current Initiatives Risk Shifting Responsibility. Jt Comm J Qual Patient Saf. 2005;31(9):483-494.…

Low literacy impairs comprehension of prescription drug warning labels. | PSNet

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January 21, 2009 - Study Low literacy impairs comprehension of prescription drug warning labels. Citation Text: Davis TC, Wolf MS, Bass PF, et al. Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med. 2006;21(8):847-51. Copy Citation Format: Google Schola…

Nurse leader attitudes and beliefs regarding medical errors. | PSNet

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March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. | PSNet

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September 13, 2023 - Study Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. Citation Text: Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round …

Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet

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November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

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…

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

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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…

Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. | PSNet

psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens

July 14, 2010 - Study Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Citation Text: Sedman A, Harris M, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pedi…

Learning from latent safety threats identified during simulation to improve patient safety. | PSNet

psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety

June 10, 2020 - Study Learning from latent safety threats identified during simulation to improve patient safety. Citation Text: Congenie K, Bartjen L, Gutierrez D, et al. Learning from latent safety threats identified during simulation to improve patient safety. Jt Comm J Qual Patient Saf. 2023;49(12):…

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. | PSNet

psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education

February 17, 2011 - Commentary Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. Citation Text: Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. …

What this computer needs is a physician: humanism and artificial intelligence. | PSNet

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June 21, 2016 - Commentary What this computer needs is a physician: humanism and artificial intelligence. Citation Text: Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. Copy Citatio…

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