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Reasons provided by prescribers when overriding drug–drug interaction alerts. | PSNet

psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts

April 27, 2010 - Study Reasons provided by prescribers when overriding drug–drug interaction alerts. Citation Text: Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578. Copy Citation Format: …

Insufficient communication about medication use at the interface between hospital and primary care. | PSNet

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February 03, 2021 - Study Insufficient communication about medication use at the interface between hospital and primary care. Citation Text: Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface between hospital and primary care. Qual Saf Health Care. 2007;1…

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. | PSNet

psnet.ahrq.gov/issue/qualitative-exploration-impact-distressed-family-member-pediatric-resuscitation-teams

March 25, 2020 - Study A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Citation Text: Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;…

Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet

psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist

May 04, 2012 - Study Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Citation Text: Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…

Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. | PSNet

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April 24, 2018 - Study Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. Citation Text: Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted…

Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. | PSNet

psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-organization-blueprint

May 21, 2019 - Commentary Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Citation Text: Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(…

Implementation of a structured hospital-wide morbidity and mortality rounds model. | PSNet

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January 20, 2015 - Study Implementation of a structured hospital-wide morbidity and mortality rounds model. Citation Text: Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…

Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. | PSNet

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October 19, 2022 - Study Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. Citation Text: Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and …

Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet

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July 28, 2021 - Review Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Citation Text: Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…

Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays

August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

Reducing medication errors in critical care: a multimodal approach. | PSNet

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March 27, 2019 - Review Reducing medication errors in critical care: a multimodal approach. Citation Text: Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. Copy Citation Format: DOI Goo…

Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach. | PSNet

psnet.ahrq.gov/issue/usability-testing-mobile-app-report-medication-errors-anonymously-mixed-methods-approach

May 12, 2021 - Study Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach. Citation Text: George D, Hassali MA, Hss A-S. Usability Testing of a Mobile App to Report Medication Errors Anonymously: Mixed-Methods Approach. JMIR Hum Factors. 2018;5(4):e12232. do…

Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. | PSNet

psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians

March 11, 2013 - Study Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Citation Text: Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881.…

Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

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July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

Teaching a 'good' ward round. | PSNet

psnet.ahrq.gov/issue/teaching-good-ward-round

October 28, 2020 - Commentary Teaching a 'good' ward round. Citation Text: Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet

psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths

October 19, 2022 - Review Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. Citation Text: Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…

Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency

September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. | PSNet

psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise

March 08, 2017 - Commentary Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. Citation Text: Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…

Communication discrepancies between physicians and hospitalized patients. | PSNet

psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients

October 12, 2022 - Study Classic Communication discrepancies between physicians and hospitalized patients. Citation Text: Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archintern…

Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms

June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

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