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Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet

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January 26, 2022 - Review Emerging Classic Application of electronic trigger tools to identify targets for improving diagnostic safety. Citation Text: Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving diagnostic safety…

Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet

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July 21, 2021 - Study Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. Citation Text: Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…

Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care

January 26, 2022 - Review Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. Citation Text: Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care pro…

Disclosing adverse events in clinical practice: the delicate act of being open. | PSNet

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April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being open. Citation Text: Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…

Balancing "no blame" with accountability in patient safety. | PSNet

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March 13, 2013 - Commentary Classic Balancing "no blame" with accountability in patient safety. Citation Text: Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885. Copy Citation…

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. | PSNet

psnet.ahrq.gov/issue/changes-primary-care-delivery-during-covid-19-pandemic-and-perceived-impact-medication-safety

January 18, 2023 - Study Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study. Citation Text: Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a…

Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. | PSNet

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October 27, 2021 - Study Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. Citation Text: Bell SK, Dong ZJ, DesRoches CM, et al. Partnering with patients and families living with chronic conditions to coprod…

A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. | PSNet

psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality

June 06, 2018 - Study A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. Citation Text: Bell SK, Gerard M, Fossa A, et al. A patient feedback reporting tool for OpenNotes: implications for patient-clinician safety and quality partnerships…

The top patient safety strategies that can be encouraged for adoption now. | PSNet

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September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…

Assessment of patient retention of inpatient care information post-hospitalization. | PSNet

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June 01, 2022 - Study Assessment of patient retention of inpatient care information post-hospitalization. Citation Text: Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…

Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. | PSNet

psnet.ahrq.gov/issue/involving-patients-and-carers-patient-safety-primary-care-qualitative-study-co-designed

February 22, 2023 - Study Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. Citation Text: Morris RL, Giles SJ, Campbell S. Involving patients and carers in patient safety in primary care: a qualitative study of a co‐designed patient …

Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety. | PSNet

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March 13, 2015 - Study Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety. Citation Text: Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to …

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. | PSNet

psnet.ahrq.gov/issue/evaluation-consistency-dosing-directions-and-measuring-devices-pediatric-nonprescription

May 31, 2017 - Study Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. Citation Text: Yin S, Wolf MS, Dreyer BP, et al. Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medicati…

Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. | PSNet

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February 09, 2022 - Study Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. Citation Text: Procaccini D, Rapaport R, Petty BG, et al. Design and Impleme…

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. | PSNet

psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

October 27, 2021 - Study When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. Citation Text: Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of p…

The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. | PSNet

psnet.ahrq.gov/issue/aspects-healthcare-quality-are-important-health-professionals-and-patients-qualitative-study

September 08, 2021 - Study The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Citation Text: Hannawa AF, Wu AW, Kolyada A, et al. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Patien…

Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. | PSNet

psnet.ahrq.gov/issue/engaging-ethnic-minority-consumers-improve-safety-cancer-services-national-stakeholder

September 15, 2021 - Study Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Citation Text: Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Patient …

The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet

psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical

July 14, 2021 - Study The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. Citation Text: Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes…

Clinical data sharing improves quality measurement and patient safety. | PSNet

psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety

April 21, 2021 - Study Clinical data sharing improves quality measurement and patient safety. Citation Text: D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039. Copy Citat…

Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid-19

March 23, 2022 - Commentary Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. Citation Text: Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.…

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