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  1. Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care
    June 30, 2021 - Review Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. Citation Text: Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…

  2. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. | PSNet

    psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis
    September 23, 2020 - Commentary Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. Citation Text: Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…

  3. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. | PSNet

    psnet.ahrq.gov/issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
    September 21, 2008 - Study Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Citation Text: Bundy DG, Shore AD, Morlock L, et al. Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. Vaccine.…

  4. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet

    psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
    November 01, 2017 - Review Emerging Classic Overdiagnosis in primary care: framing the problem and finding solutions. Citation Text: Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. Copy C…

  5. The top 10 list for a safe and effective sign-out. | PSNet

    psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
    April 12, 2019 - Commentary The top 10 list for a safe and effective sign-out. Citation Text: Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008. Copy Citation Format: DOI Google Scholar P…

  6. Predictors of misunderstanding pediatric liquid medication instructions. | PSNet

    psnet.ahrq.gov/issue/predictors-misunderstanding-pediatric-liquid-medication-instructions
    December 21, 2017 - Study Predictors of misunderstanding pediatric liquid medication instructions. Citation Text: Bailey SC, Pandit AU, Yin S, et al. Predictors of misunderstanding pediatric liquid medication instructions. Fam Med. 2009;41(10):715-21. Copy Citation Format: Google Scholar Pub…

  7. Cognitive diagnostic error in internal medicine. | PSNet

    psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
    February 14, 2017 - Review Cognitive diagnostic error in internal medicine. Citation Text: Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med. 2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  8. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  9. Safety analysis over time: seven major changes to adverse event investigation. | PSNet

    psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
    September 24, 2018 - Commentary Safety analysis over time: seven major changes to adverse event investigation. Citation Text: Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-…

  10. ASHP guidelines on managing drug product shortages. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
    September 06, 2023 - Commentary ASHP guidelines on managing drug product shortages. Citation Text: Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. Copy Citation Format: DOI Google Scholar PubMed Bi…

  11. More than a tick box: medical checklist development, design, and use. | PSNet

    psnet.ahrq.gov/issue/more-tick-box-medical-checklist-development-design-and-use
    December 02, 2020 - Commentary More than a tick box: medical checklist development, design, and use. Citation Text: Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. Copy Citat…

  12. Burnout, engagement, and dental errors among U.S. dentists. | PSNet

    psnet.ahrq.gov/issue/burnout-engagement-and-dental-errors-among-us-dentists
    October 28, 2020 - Study Burnout, engagement, and dental errors among U.S. dentists. Citation Text: Yansane A, Tokede O, Walji MF, et al. Burnout, engagement, and dental errors among U.S. dentists. J Patient Saf. 2021;17(8):e1050-e1056. doi:10.1097/pts.0000000000000673. Copy Citation Format: …

  13. Tort claims and adverse events in emergency medical services. | PSNet

    psnet.ahrq.gov/issue/tort-claims-and-adverse-events-emergency-medical-services
    January 02, 2008 - Study Tort claims and adverse events in emergency medical services. Citation Text: Wang HE, Fairbanks RJ, Shah M, et al. Tort claims and adverse events in emergency medical services. Ann Emerg Med. 2008;52(3):256-62. doi:10.1016/j.annemergmed.2008.02.011. Copy Citation Format: …

  14. The cost of pneumonia after acute stroke. | PSNet

    psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
    August 04, 2021 - Study The cost of pneumonia after acute stroke. Citation Text: Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

  15. Perspectives in quality: designing the WHO Surgical Safety Checklist. | PSNet

    psnet.ahrq.gov/issue/perspectives-quality-designing-who-surgical-safety-checklist
    September 20, 2011 - Commentary Perspectives in quality: designing the WHO Surgical Safety Checklist. Citation Text: Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039. Copy Cita…

  16. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet

    psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
    October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

  17. Portable advanced medical simulation for new emergency department testing and orientation. | PSNet

    psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
    September 23, 2020 - Commentary Portable advanced medical simulation for new emergency department testing and orientation. Citation Text: Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5. C…

  18. A leadership framework for culture change in health care. | PSNet

    psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Commentary A leadership framework for culture change in health care. Citation Text: Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. Copy Citation Format: Google Scholar PubMed B…

  19. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
    September 03, 2015 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Citation Text: Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…

  20. Comparing safety climate between two populations of hospitals in the United States. | PSNet

    psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states
    June 16, 2011 - Study Comparing safety climate between two populations of hospitals in the United States. Citation Text: Singer SJ, Hartmann CW, Hanchate A, et al. Comparing Safety Climate between Two Populations of Hospitals in the United States. Health Serv Res. 2009;44(5p1). doi:10.1111/j.1475-6773…
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