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Exploring the causes of adverse events in hospitals and potential prevention strategies. | PSNet

psnet.ahrq.gov/issue/exploring-causes-adverse-events-hospitals-and-potential-prevention-strategies

February 20, 2013 - Study Exploring the causes of adverse events in hospitals and potential prevention strategies. Citation Text: Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.20…

Hospital complications: linking payment reduction to preventability. | PSNet

psnet.ahrq.gov/issue/hospital-complications-linking-payment-reduction-preventability

July 13, 2010 - Commentary Hospital complications: linking payment reduction to preventability. Citation Text: Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5. Copy Citation Format: …

The economics of health care quality and medical errors. | PSNet

psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors

August 19, 2020 - Commentary The economics of health care quality and medical errors. Citation Text: Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50. Copy Citation Format: Google Scholar PubMed BibTeX…

Adverse drug event trigger tool: a practical methodology for measuring medication related harm. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm

January 05, 2017 - Study Classic Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Citation Text: Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual S…

The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. | PSNet

psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric

January 22, 2016 - Review The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Citation Text: Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…

Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. | PSNet

psnet.ahrq.gov/issue/determining-patients-comfort-inquiring-about-healthcare-providers-hand-washing-behavior

September 03, 2011 - Study Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. Citation Text: Clare CA, Afzal O, Knapp K, et al. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. J Patient Saf. 2013;9(2):68-74. doi:10.…

Postoperative opioid prescribing: Getting it RIGHTT. | PSNet

psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt

August 20, 2018 - Review Emerging Classic Postoperative opioid prescribing: Getting it RIGHTT. Citation Text: Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001. Copy Citation Format:…

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? | PSNet

psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety

May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…

What causes prescribing errors in children? Scoping review. | PSNet

psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review

September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …

Assumptions of quality medicine: the role of uncertainty. | PSNet

psnet.ahrq.gov/issue/assumptions-quality-medicine-role-uncertainty

October 31, 2014 - Commentary Assumptions of quality medicine: the role of uncertainty. Citation Text: Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257. Copy Citation Format:…

Using simulation to address hierarchy issues during medical crises. | PSNet

psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises

June 15, 2012 - Commentary Using simulation to address hierarchy issues during medical crises. Citation Text: Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…

Electronic medical record availability and primary care depression treatment. | PSNet

psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment

November 16, 2022 - Study Electronic medical record availability and primary care depression treatment. Citation Text: Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0. Copy …

The pharmacist-physician relationship in the detection of ambulatory medication errors. | PSNet

psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors

September 30, 2020 - Study The pharmacist-physician relationship in the detection of ambulatory medication errors. Citation Text: Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24. Copy Citation Fo…

The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve

January 14, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. Citation Text: Riley W, Liang BA, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b…

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-provisions-and-potential-opportunities

February 15, 2011 - Commentary The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities. Citation Text: Liang BA, Riley W, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005: Provisions and Potential Opportunities. American Journal of Medical …

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet

psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts

August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. | PSNet

psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse

August 15, 2012 - Book/Report Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Citation Text: Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. Washington, DC: United States Government Acco…

Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician. | PSNet

psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk

December 21, 2014 - Review Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician. Citation Text: Abbott RL, Weber P, Kelley B. Medical professional liability insurance and its relation to medical error and healthcare risk man…

Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries

June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

Speaking up: an ethical action exercise. | PSNet

psnet.ahrq.gov/issue/speaking-ethical-action-exercise

February 13, 2014 - Commentary Speaking up: an ethical action exercise. Citation Text: Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

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