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Showing results for "suggestions".

  1. psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
    May 19, 2021 - Study Increased patient safety-related incidents following the transition into Daylight Savings Time. Citation Text: Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…
  2. psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
    September 09, 2013 - Review Classic Clinical pharmacists and inpatient medical care: a systematic review. Citation Text: Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955-64. Copy Citati…
  3. psnet.ahrq.gov/issue/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
    September 29, 2021 - Study Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Citation Text: Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi…
  4. psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
    June 08, 2022 - Study Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. Citation Text: Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method use…
  5. psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
    April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…
  6. psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
    June 16, 2021 - Study Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' Citation Text: Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…
  7. psnet.ahrq.gov/issue/are-we-heeding-warning-signs-examining-providers-overrides-computerized-drug-drug-interaction
    September 01, 2016 - Study Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. Citation Text: Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction…
  8. psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care
    April 13, 2022 - Study Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. Citation Text: de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …
  9. psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
    March 09, 2022 - Study Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. Citation Text: Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA…
  10. psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes
    June 08, 2022 - Study Emerging Classic Association of overlapping surgery with perioperative outcomes. Citation Text: Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. Copy…
  11. psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially
    July 10, 2008 - Study Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. Citation Text: Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to reduce the use of poten…
  12. psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
    August 04, 2015 - Study Classic Discussion of medical errors in morbidity and mortality conferences. Citation Text: Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. Copy Citation …
  13. psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
    June 14, 2011 - Study Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Citation Text: Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…
  14. psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
    November 02, 2016 - Study Classic Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. Citation Text: Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualit…
  15. psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
    September 11, 2019 - Study Classic Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. Citation Text: Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…
  16. psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error
    October 11, 2023 - Study "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. Citation Text: Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…
  17. psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
    November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…
  18. psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement
    January 20, 2015 - Study Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program. Citation Text: McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the …
  19. psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
    April 12, 2023 - Study Emerging Classic Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. Citation Text: Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…
  20. psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
    June 02, 2021 - Study Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. Citation Text: Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …