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Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet

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January 12, 2022 - Review Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. Citation Text: Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem…

Safe Administration of Medication in School: Policy Statement. | PSNet

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May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…

Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. | PSNet

psnet.ahrq.gov/issue/communication-training-adverse-events-and-quality-measures-2-retrospective-database-analyses

August 04, 2021 - Study Communication training, adverse events, and quality measures: 2 retrospective database analyses in Washington State hospitals. Citation Text: Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2 Retrospective Database Analyses in Washi…

Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. | PSNet

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April 29, 2020 - Book/Report Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Citation Text: Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…

Reducing pediatric emergency department prescription errors. | PSNet

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October 26, 2022 - Study Reducing pediatric emergency department prescription errors. Citation Text: Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. Copy Citation Format: …

Intentional rounding—an integrative literature review. | PSNet

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October 08, 2016 - Review Intentional rounding—an integrative literature review. Citation Text: Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. Copy Citation Format: DOI Google Scholar PubMed …

Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. | PSNet

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March 01, 2011 - Study Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Citation Text: Leendertse AJ, Egberts ACG, Stoker LJ, et al. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Inte…

Economic evaluation in patient safety: a literature review of methods. | PSNet

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March 05, 2025 - Review Economic evaluation in patient safety: a literature review of methods. Citation Text: de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191. Copy Citation …

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. | PSNet

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January 07, 2015 - Study Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. Citation Text: Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136…

Safety climate, safety climate strength, and length of stay in the NICU. | PSNet

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February 06, 2019 - Study Safety climate, safety climate strength, and length of stay in the NICU. Citation Text: Tawfik DS, Thomas EJ, Vogus TJ, et al. Safety climate, safety climate strength, and length of stay in the NICU. BMC Health Serv Res. 2019;19(1):738. doi:10.1186/s12913-019-4592-1. Copy Citatio…

Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk

December 02, 2020 - Study Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Citation Text: Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals

December 31, 2014 - Study Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. Citation Text: Simon SR, Keohane CA, Amato MG, et al. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a quali…

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…

Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. | PSNet

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July 27, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administra…

Medication errors reported in a pediatric intensive care unit for oncologic patients. | PSNet

psnet.ahrq.gov/issue/medication-errors-reported-pediatric-intensive-care-unit-oncologic-patients

September 20, 2011 - Study Medication errors reported in a pediatric intensive care unit for oncologic patients. Citation Text: Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b0…

Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. | PSNet

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January 05, 2012 - Review Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. Citation Text: Allegranzi B, Sax H, Pittet D. Hand hygiene and healthcare system change within multi-modal promotion: a narrative review. J Hosp Infect. 2013;83 Suppl 1:S3-10. doi:10.1016…

Strategies for improving family engagement during family-centered rounds. | PSNet

psnet.ahrq.gov/issue/strategies-improving-family-engagement-during-family-centered-rounds

December 22, 2018 - Study Strategies for improving family engagement during family-centered rounds. Citation Text: Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. Copy Citation Format: …

Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet

psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety

November 30, 2016 - Study Provider perspectives on partnering with parents of hospitalized children to improve safety. Citation Text: Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …

Family-centered multidisciplinary rounds enhance the team approach in pediatrics. | PSNet

psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics

November 21, 2021 - Study Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Citation Text: Rosen P, Stenger E, Bochkoris M, et al. Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics. 2009;123(4):e603-8. doi:10.1542/peds.2008-2238. C…

From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. | PSNet

psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients

December 20, 2017 - Study From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. Citation Text: Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on pa…

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