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Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. | PSNet

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September 07, 2022 - Commentary Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. Citation Text: Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Di…

Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet

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April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…

Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet

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November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. | PSNet

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September 02, 2020 - Study Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Citation Text: Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25. Copy Citation …

Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. | PSNet

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October 14, 2020 - Study Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. Citation Text: Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…

Community discharge among post-acute nursing home residents: an association with patient safety culture? | PSNet

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November 04, 2020 - Study Community discharge among post-acute nursing home residents: an association with patient safety culture? Citation Text: Guo W, Li Y, Temkin-Greener H. Community discharge among post-acute nursing home residents: an association with patient safety culture? J Am Med Dir Assoc. 2021;2…

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

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June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. | PSNet

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July 06, 2022 - Study Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. Citation Text: Burns ML, Saager L, Cassidy RB, et al. Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality. JAMA Surg. 2022;157(9):807-815. doi:10.1…

Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. | PSNet

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March 24, 2021 - Study Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. Citation Text: Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-116…

Effects of interorganisational information technology networks on patient safety: a realist synthesis. | PSNet

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December 02, 2020 - Review Effects of interorganisational information technology networks on patient safety: a realist synthesis. Citation Text: Keen J, Abdulwahid MA, King N, et al. Effects of interorganisational information technology networks on patient safety: a realist synthesis. BMJ Open. 2020;10(10):…

Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet

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August 01, 2012 - Commentary Omissions of care in nursing homes: a uniform definition for research and quality improvement. Citation Text: Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. | PSNet

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April 21, 2021 - Study Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. Citation Text: Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …

COVID-19: the dark side and the sunny side for patient safety. | PSNet

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August 05, 2020 - Commentary COVID-19: the dark side and the sunny side for patient safety. Citation Text: Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116. Copy Citation Format: …

Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. | PSNet

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March 31, 2021 - Study Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Citation Text: Prang IW, Jelsness-Jørgensen L-P. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Geriatr Nurs.…

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. | PSNet

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July 27, 2022 - Review The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review. Citation Text: Li E, Clarke J, Ashrafian H, et al. The impact of electronic health record interoperability on safety and quality of care in high-incom…

Supporting the emotional well-being of health care workers during the COVID-19 pandemic. | PSNet

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October 14, 2020 - Commentary Emerging Classic Supporting the emotional well-being of health care workers during the COVID-19 pandemic. Citation Text: Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the COVID-19 pandemic. J Patien…

The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain? | PSNet

psnet.ahrq.gov/issue/woman-who-cried-pain-do-sex-based-disparities-still-exist-experience-and-treatment-pain

January 02, 2001 - Commentary The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain? Citation Text: Hoffmann DE, Fillingim RB, Veasley C. The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain? J Law Med Ethics…

Improving patient safety in handover from intensive care unit to general ward: a systematic review. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review

June 12, 2008 - Review Improving patient safety in handover from intensive care unit to general ward: a systematic review. Citation Text: Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1…

Quality and safety implications of emergency department information systems. | PSNet

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November 30, 2012 - Commentary Quality and safety implications of emergency department information systems. Citation Text: Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…

Surveillance of medical device-related hazards and adverse events in hospitalized patients. | PSNet

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March 11, 2011 - Study Classic Surveillance of medical device-related hazards and adverse events in hospitalized patients. Citation Text: Samore MH, Evans S, Lassen A, et al. Surveillance of medical device-related hazards and adverse events in hospitalized patients. JAMA. 2004;2…

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