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  1. Causes of preventable drug-related hospital admissions: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/causes-preventable-drug-related-hospital-admissions-qualitative-study
    October 16, 2012 - Study Causes of preventable drug-related hospital admissions: a qualitative study. Citation Text: Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care. 2008;17(2):109-116. doi:10.1136/qshc.2007.022681. Copy Ci…

  2. Patient safety instruction in US health professions education. | PSNet

    psnet.ahrq.gov/issue/patient-safety-instruction-us-health-professions-education
    September 01, 2015 - Review Patient safety instruction in US health professions education. Citation Text: Kiersma ME, Plake KS, Darbishire PL. Patient safety instruction in US health professions education. Am J Pharm Educ. 2011;75(8):162. doi:10.5688/ajpe758162. Copy Citation Format: DOI Goog…

  3. What did the doctor say? Health literacy and recall of medical instructions. | PSNet

    psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
    December 21, 2014 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…

  4. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." | PSNet

    psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure
    August 04, 2015 - Study Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." Citation Text: Covinsky KE, Pierluissi E, Johnston B. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011;306(16):1782-93. doi:10.1001…

  5. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet

    psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

  6. Certain uncertainties: modes of patient safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare
    April 04, 2011 - Study Certain uncertainties: modes of patient safety in healthcare. Citation Text: Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Soc Stud Sci. 2012;42(5):732-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  7. Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. | PSNet

    psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
    April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…

  8. Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. | PSNet

    psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
    January 04, 2017 - Commentary Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. Citation Text: Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7…

  9. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. | PSNet

    psnet.ahrq.gov/issue/can-positivity-promote-safety-psychological-capital-development-combats-cynicism-and-unsafe
    June 09, 2011 - Study Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Citation Text: Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…

  10. Assessment of adverse drug events among patients in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…

  11. Medical malpractice in the People's Republic of China: the 2002 regulation on the handling of medical accidents. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-peoples-republic-china-2002-regulation-handling-medical-accidents
    January 08, 2025 - Commentary Medical malpractice in the People's Republic of China: the 2002 regulation on the handling of medical accidents. Citation Text: Harris DM, Wu C-C. Medical malpractice in the People's Republic of China: the 2002 Regulation on the Handling of Medical Accidents. J Law Med Ethics…

  12. Implementation of computerized physician order entry in seven countries. | PSNet

    psnet.ahrq.gov/issue/implementation-computerized-physician-order-entry-seven-countries
    April 05, 2017 - Study Implementation of computerized physician order entry in seven countries. Citation Text: Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff (Millwood). 2009;28(2):404-414. doi:10.1377/hlthaff.28.2.404. Copy Citation Format: …

  13. Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
    August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program. Citation Text: Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. Copy Citation Format: D…

  14. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. | PSNet

    psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-liverpool-womens-nhs-foundation-trust
    September 09, 2008 - Commentary Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Citation Text: Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. Co…

  15. Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet

    psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
    August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…

  16. Use of information technology in medication reconciliation: a scoping review. | PSNet

    psnet.ahrq.gov/issue/use-information-technology-medication-reconciliation-scoping-review
    June 15, 2022 - Review Use of information technology in medication reconciliation: a scoping review. Citation Text: Bassi J, Lau F, Bardal S. Use of information technology in medication reconciliation: a scoping review. Ann Pharmacother. 2010;44(5):885-97. doi:10.1345/aph.1M699. Copy Citation For…

  17. The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. | PSNet

    psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
    February 10, 2016 - Book/Report The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Citation Text: The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…

  18. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. | PSNet

    psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
    September 03, 2015 - Study Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. Citation Text: Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bm…

  19. Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? | PSNet

    psnet.ahrq.gov/issue/partial-do-not-resuscitate-orders-hazard-patient-safety-and-clinical-outcomes
    April 24, 2018 - Review Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? Citation Text: Sanders A, Schepp M, Baird M. Partial do-not-resuscitate orders: A hazard to patient safety and clinical outcomes? Crit Care Med. 2011;39(1):14-8. doi:10.1097/CCM.0b013e3181feb8f6…

  20. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. | PSNet

    psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
    January 23, 2017 - Study Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Citation Text: Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…
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