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  1. 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.…

  2. Specimen labeling errors in surgical pathology: an 18-month experience. | PSNet

    psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience
    January 04, 2012 - Study Specimen labeling errors in surgical pathology: an 18-month experience. Citation Text: Layfield LJ, Anderson GM. Specimen labeling errors in surgical pathology: an 18-month experience. Am J Clin Pathol. 2010;134(3):466-70. doi:10.1309/AJCPHLQHJ0S3DFJK. Copy Citation Format:…

  3. A national physician survey of diagnostic error in paediatrics. | PSNet

    psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
    August 04, 2021 - Study A national physician survey of diagnostic error in paediatrics. Citation Text: Perrem LM, Fanshawe TR, Sharif F, et al. A national physician survey of diagnostic error in paediatrics. Eur J Pediatr. 2016;175(10):1387-92. doi:10.1007/s00431-016-2772-0. Copy Citation Format: …

  4. Is the test result correct? A questionnaire study of blood collection practices in primary health care. | PSNet

    psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
    February 18, 2009 - Study Is the test result correct? A questionnaire study of blood collection practices in primary health care. Citation Text: Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…

  5. Assessing clinical handover between paramedics and the trauma team. | PSNet

    psnet.ahrq.gov/issue/assessing-clinical-handover-between-paramedics-and-trauma-team
    January 19, 2011 - Study Assessing clinical handover between paramedics and the trauma team. Citation Text: Evans S, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4. doi:10.1016/j.injury.2009.07.065. Copy Citation Format: …

  6. Strategies for improving patient safety: linking task type to error type. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
    August 22, 2012 - Commentary Strategies for improving patient safety: linking task type to error type. Citation Text: Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse. 2012;32(1):52-78. doi:10.4037/ccn2012303. Copy Citation Format: DOI Go…

  7. Fostering ethical conduct through psychological safety. | PSNet

    psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
    March 30, 2022 - Newspaper/Magazine Article Fostering ethical conduct through psychological safety. Citation Text: Fostering ethical conduct through psychological safety. Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43. Copy Citation Save Save to your lib…

  8. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. | PSNet

    psnet.ahrq.gov/issue/practice-gaps-patient-safety-among-dermatology-residents-and-their-teachers-survey-study
    August 19, 2009 - Study Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. Citation Text: Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JA…

  9. How often do physicians review medication charts on ward rounds? | PSNet

    psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

  10. Twelve tips for embedding human factors and ergonomics principles in healthcare education. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-embedding-human-factors-and-ergonomics-principles-healthcare-education
    January 09, 2018 - Commentary Twelve tips for embedding human factors and ergonomics principles in healthcare education. Citation Text: Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159…

  11. The risks to patient safety from health system expansions. | PSNet

    psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
    May 13, 2020 - Commentary Emerging Classic The risks to patient safety from health system expansions. Citation Text: Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074. Copy Cit…

  12. Checklists change communication about key elements of patient care. | PSNet

    psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
    November 16, 2022 - Study Checklists change communication about key elements of patient care. Citation Text: Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. …

  13. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  14. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  15. Quality and safety of artificial intelligence generated health information. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-generated-health-information
    October 19, 2022 - Commentary Quality and safety of artificial intelligence generated health information. Citation Text: Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596. Copy Citation Format: …

  16. The effect of the fit between organizational culture and structure on medication errors in medical group practices. | PSNet

    psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
    June 30, 2009 - Study The effect of the fit between organizational culture and structure on medication errors in medical group practices. Citation Text: Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…

  17. Patient safety in psychiatric inpatient care: a literature review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
    September 27, 2017 - Review Patient safety in psychiatric inpatient care: a literature review. Citation Text: Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x. Co…

  18. The error of omission: a simple checklist approach for improving operating room safety. | PSNet

    psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety
    August 03, 2022 - Commentary The error of omission: a simple checklist approach for improving operating room safety. Citation Text: Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0…

  19. Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
    July 19, 2023 - Study Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Citation Text: Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…

  20. Improving standardization of paging communication using quality improvement methodology. | PSNet

    psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
    September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…
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