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Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

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July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. | PSNet

psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect

April 19, 2011 - Study Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. Citation Text: Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…

Process indicators of quality clinical pharmacy services during transitions of care. | PSNet

psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care

December 05, 2012 - Commentary Process indicators of quality clinical pharmacy services during transitions of care. Citation Text: Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi…

Pharmacist medication assessments in a surgical preadmission clinic. | PSNet

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October 15, 2008 - Study Pharmacist medication assessments in a surgical preadmission clinic. Citation Text: Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. Copy Citation Format: Google Scholar…

Enhancing the effectiveness of team debriefings in medical simulation: more best practices. | PSNet

psnet.ahrq.gov/issue/enhancing-effectiveness-team-debriefings-medical-simulation-more-best-practices

March 17, 2021 - Commentary Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Citation Text: Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3…

Critical conversations: a call for a nonprocedural "time out." | PSNet

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February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…

The problem with medication reconciliation. | PSNet

psnet.ahrq.gov/issue/problem-medication-reconciliation

May 08, 2017 - Commentary The problem with medication reconciliation. Citation Text: Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. | PSNet

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July 31, 2019 - Commentary Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. Citation Text: Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…

Narrativizing nursing students' experiences with medical errors during clinicals. | PSNet

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September 28, 2010 - Study Narrativizing nursing students' experiences with medical errors during clinicals. Citation Text: Noland CM, Carmack HJ. Narrativizing Nursing Students' Experiences With Medical Errors During Clinicals. Qual Health Res. 2015;25(10):1423-34. doi:10.1177/1049732314562892. Copy Citat…

Vital Signs: Core Metrics for Health and Health Care Progress. | PSNet

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November 24, 2021 - Book/Report Vital Signs: Core Metrics for Health and Health Care Progress. Citation Text: Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…

Health IT and Patient Safety: Building Safer Systems for Better Care. | PSNet

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June 16, 2011 - Book/Report Classic Health IT and Patient Safety: Building Safer Systems for Better Care. Citation Text: Health IT and Patient Safety: Building Safer Systems for Better Care. Committee on Patient Safety and Health Information Technology, Board on Health Care Ser…

Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. | PSNet

psnet.ahrq.gov/issue/communicating-medication-changes-community-pharmacy-post-discharge-good-bad-and-improvements

June 11, 2014 - Study Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Citation Text: Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Int J…

Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. | PSNet

psnet.ahrq.gov/issue/dual-process-cognitive-interventions-enhance-diagnostic-reasoning-systematic-review

March 20, 2019 - Review Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. Citation Text: Lambe KA, O'Reilly G, Kelly BD, et al. Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review. BMJ Qual Saf. 2016;25(10):808-820. doi:10.113…

Improving patient care. The cognitive psychology of missed diagnoses. | PSNet

psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses

October 03, 2012 - Commentary Improving patient care. The cognitive psychology of missed diagnoses. Citation Text: Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142(2):115-120. Copy Citation Format: Google Scholar PubMed BibTeX End…

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. | PSNet

psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984

October 20, 2021 - Book/Report Classic Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. Citation Text: Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Brist…

Pediatric chest radiographs: common and less common errors. | PSNet

psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors

September 02, 2020 - Commentary Pediatric chest radiographs: common and less common errors. Citation Text: Menashe SJ, Iyer RS, Parisi MT, et al. Pediatric Chest Radiographs: Common and Less Common Errors. AJR Am J Roentgenol. 2016;207(4):903-911. doi:10.2214/AJR.16.16449. Copy Citation Format: …

Redesigning surgical decision making for high-risk patients. | PSNet

psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients

July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

Deprescribing as a clinical improvement focus. | PSNet

psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus

April 08, 2011 - Study Deprescribing as a clinical improvement focus. Citation Text: Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031. Copy Citation Format: DOI Google Scholar Pub…

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming

October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. | PSNet

psnet.ahrq.gov/issue/reimagining-healthcare-teams-leveraging-patient-clinician-ai-triad-improve-diagnostic-safety

September 13, 2023 - Book/Report Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. Citation Text: Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety. James C, Singh K, Valley TS, et al. Rockville, MD; Agency…

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