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  1. For whom the Bell Commission tolls: unintended effects of limiting residents' hours. | PSNet

    psnet.ahrq.gov/issue/whom-bell-commission-tolls-unintended-effects-limiting-residents-hours
    April 20, 2011 - Commentary For whom the Bell Commission tolls: unintended effects of limiting residents' hours. Citation Text: Millard WB. For whom the bell commission tolls: unintended effects of limiting residents' hours. Ann Emerg Med. 2009;54(4):A25-9. Copy Citation Format: Google Sc…

  2. The computerized rounding report: implementation of a model system to support transitions of care. | PSNet

    psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
    October 19, 2022 - Study The computerized rounding report: implementation of a model system to support transitions of care. Citation Text: Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…

  3. Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. | PSNet

    psnet.ahrq.gov/issue/faculty-member-review-and-feedback-using-sign-out-checklist-improving-intern-written-sign-out
    February 15, 2017 - Study Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. Citation Text: Bump GM, Bost JE, Buranosky R, et al. Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. Acad Med. 2012;87(8):1125-31. do…

  4. A novel process audit for standardized perioperative handoff protocols. | PSNet

    psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
    June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

  5. Patient and family empowerment as agents of ambulatory care safety and quality. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-empowerment-agents-ambulatory-care-safety-and-quality
    December 15, 2021 - Commentary Patient and family empowerment as agents of ambulatory care safety and quality. Citation Text: Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. C…

  6. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-prescribing-and-transcribing-2010
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing--2010. Am J Health Syst Pharm…

  7. Women's safety alerts in maternity care: is speaking up enough? | PSNet

    psnet.ahrq.gov/issue/womens-safety-alerts-maternity-care-speaking-enough
    July 08, 2015 - Study Women's safety alerts in maternity care: is speaking up enough? Citation Text: Rance S, McCourt C, Rayment J, et al. Women's safety alerts in maternity care: is speaking up enough? BMJ Qual Saf. 2013;22(4):348-55. doi:10.1136/bmjqs-2012-001295. Copy Citation Format: …

  8. Prolonged hospital stay and the resident duty hour rules of 2003. | PSNet

    psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-duty-hour-rules-2003
    February 18, 2011 - Study Prolonged hospital stay and the resident duty hour rules of 2003. Citation Text: Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. Copy Citation Format: …

  9. Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. | PSNet

    psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
    September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…

  10. Association between opioid prescribing patterns and abuse in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/association-between-opioid-prescribing-patterns-and-abuse-ophthalmology
    April 12, 2019 - Study Association between opioid prescribing patterns and abuse in ophthalmology. Citation Text: Patel S, Sternberg P. Association Between Opioid Prescribing Patterns and Abuse in Ophthalmology. JAMA Ophthalmol. 2017;135(11):1216-1220. doi:10.1001/jamaophthalmol.2017.4055. Copy Citatio…

  11. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. | PSNet

    psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident
    August 10, 2011 - Study Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. Citation Text: Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporti…

  12. From harm to hope and purposeful action: what could we do after Francis? | PSNet

    psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
    August 01, 2016 - Commentary From harm to hope and purposeful action: what could we do after Francis? Citation Text: Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. Copy Ci…

  13. Care management implementation and patient safety. | PSNet

    psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
    July 14, 2010 - Study Care management implementation and patient safety. Citation Text: Care management implementation and patient safety. Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96. Copy Citation Save Save to your library Print Downlo…

  14. Critical events in the lives of interns. | PSNet

    psnet.ahrq.gov/issue/critical-events-lives-interns
    November 16, 2022 - Study Critical events in the lives of interns. Citation Text: Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  15. Methicillin-resistant Staphylococcus aureus disease in three communities. | PSNet

    psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
    July 03, 2014 - Study Methicillin-resistant Staphylococcus aureus disease in three communities. Citation Text: Fridkin SK, Hageman JC, Morrison M, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005;352(14):1436-44. Copy Citation Format: Go…

  16. Longitudinal evaluation of a programme for safety culture change in a mental health service. | PSNet

    psnet.ahrq.gov/issue/longitudinal-evaluation-programme-safety-culture-change-mental-health-service
    January 24, 2018 - Study Longitudinal evaluation of a programme for safety culture change in a mental health service. Citation Text: Dickens GL, Salamonson Y, Johnson A, et al. Longitudinal evaluation of a programme for safety culture change in a mental health service. J Nurs Manag. 2021;29(4):690-698. doi…

  17. Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/video-analysis-factors-associated-response-time-physiologic-monitor-alarms-childrens-hospital
    November 06, 2015 - Study Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. Citation Text: Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. J…

  18. E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes
    September 30, 2015 - Study E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. Citation Text: Gabriel MH, Powers C, Encinosa W, et al. E-Prescribing and Adverse Drug Events: An Observational Study of the Medicare Part D Population With Diabetes. Med …

  19. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. | PSNet

    psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized
    November 12, 2014 - Commentary Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. Citation Text: Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…

  20. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds
    February 02, 2011 - Study Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Citation Text: Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…
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