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Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. | PSNet

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March 03, 2011 - Study Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. Citation Text: Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…

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.…

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

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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…

Health care worker fatigue and patient safety. | PSNet

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December 23, 2016 - Sentinel Event Alerts Health care worker fatigue and patient safety. Citation Text: Health care worker fatigue and patient safety. Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). Copy Citation Save Save to your library Print Do…

Adverse drug events in ambulatory care. | PSNet

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February 24, 2011 - Study Classic Adverse drug events in ambulatory care. Citation Text: Gandhi TK, Weingart SN, Borus J, et al. Adverse drug events in ambulatory care. New Engl J Med. 2003;348(16):1556-1564. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

Changes in physician practice patterns after implementation of a communication-and-resolution program. | PSNet

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September 01, 2018 - Study Changes in physician practice patterns after implementation of a communication-and-resolution program. Citation Text: Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;5…

Complexity of medication-related verbal orders. | PSNet

psnet.ahrq.gov/issue/complexity-medication-related-verbal-orders

November 17, 2010 - Study Complexity of medication-related verbal orders. Citation Text: Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922. Copy Citation Format: DOI Google Scholar PubMed BibTe…

Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. | PSNet

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May 16, 2012 - Study Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Citation Text: Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform. …

What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. | PSNet

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January 23, 2017 - Commentary What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. Citation Text: Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. J Health Life Sci Law. 2020;13(2):71-88. Copy Citati…

Communication about harm reduction with patients who have opioid use disorder. | PSNet

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January 02, 2017 - Commentary Communication about harm reduction with patients who have opioid use disorder. Citation Text: Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307. Copy Citation Form…

EHR safety: the way forward to safe and effective systems. | PSNet

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December 12, 2012 - Commentary EHR safety: the way forward to safe and effective systems. Citation Text: Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618. Copy Citation Format: …

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. | PSNet

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April 19, 2023 - Study Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. Citation Text: Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…

AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet

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October 23, 2019 - Book/Report AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Citation Text: AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…

Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. | PSNet

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May 12, 2021 - Study Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. Citation Text: Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…

Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis

August 28, 2024 - Study Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. Citation Text: Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …

Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. | PSNet

psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical

June 11, 2014 - Study Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Citation Text: Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm…

Telehealth in the COVID-19 era: a balancing act to avoid harm. | PSNet

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September 28, 2010 - Commentary Classic Telehealth in the COVID-19 era: a balancing act to avoid harm. Citation Text: Reeves JJ, Ayers JW, Longhurst CA. Telehealth in the COVID-19 Era: a balancing act to avoid harm. J Med Internet Res. 2021;23(2):e24785. doi:10.2196/24785. Copy Ci…

Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet

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January 02, 2017 - Study Reconciling medications at admission: safe practice recommendations and implementation strategies. Citation Text: Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2…

A Crisis in Health Care: A Call to Action on Physician Burnout. | PSNet

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February 05, 2014 - Book/Report A Crisis in Health Care: A Call to Action on Physician Burnout. Citation Text: A Crisis in Health Care: A Call to Action on Physician Burnout. Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvar…

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