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Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet

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October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data? | PSNet

psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration

April 01, 2010 - Study Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data? Citation Text: Rosen AK, Rivard PE, Zhao S, et al. Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data? Med Care. 2005;…

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

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July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

Systems thinking for managing COVID-19 in health care systems: seven key messages. | PSNet

psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages

October 21, 2015 - Commentary Systems thinking for managing COVID-19 in health care systems: seven key messages. Citation Text: Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-0…

Catastrophic medical malpractice payouts in the United States. | PSNet

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April 17, 2013 - Study Catastrophic medical malpractice payouts in the United States. Citation Text: Bixenstine PJ, Shore AD, Mehtsun WT, et al. Catastrophic Medical Malpractice Payouts in the United States. J Healthc Qual. 2013;36(4):43-53. doi:10.1111/jhq.12011. Copy Citation Format: DOI …

Nurse-staffing levels and the quality of care in hospitals. | PSNet

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June 25, 2010 - Study Classic Nurse-staffing levels and the quality of care in hospitals. Citation Text: Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22. Copy Citation Format: …

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. | PSNet

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September 01, 2016 - Study Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. Citation Text: Rabbani N, Pageler NM, Hoffman JM, et al. Association between electronic health record implementations and hospital-acquired conditions in pediatric …

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? | PSNet

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October 30, 2013 - Commentary Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? Citation Text: Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…

Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. | PSNet

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March 18, 2009 - Study Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. Citation Text: Wong BJ, Nassar AK, Earley M, et al. Perceptions of use of names, recognition of roles, and teamwork after labeling surgical caps. JAMA Netw Open. 2023;6(11):e2341182. doi:1…

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. | PSNet

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April 24, 2018 - Commentary Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. Citation Text: Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Saf…

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream

April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

An automated, dynamic radiation oncology prescription checking system. | PSNet

psnet.ahrq.gov/issue/automated-dynamic-radiation-oncology-prescription-checking-system

October 27, 2010 - Study An automated, dynamic radiation oncology prescription checking system. Citation Text: Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002. Copy Citation…

The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. | PSNet

psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures

April 11, 2011 - Study The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adve…

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. | PSNet

psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting

December 06, 2013 - Study Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Citation Text: Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;…

Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. | PSNet

psnet.ahrq.gov/issue/tackling-communication-barriers-between-long-term-care-facility-and-emergency-department

August 02, 2017 - Commentary Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. Citation Text: Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department tran…

The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet

psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation

April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…

Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/promoting-engagement-patients-and-families-reduce-adverse-events-acute-care-settings

July 02, 2014 - Review Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review. Citation Text: Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic …

Nurse staffing in hospitals: is there a business case for quality? | PSNet

psnet.ahrq.gov/issue/nurse-staffing-hospitals-there-business-case-quality

February 18, 2011 - Study Classic Nurse staffing in hospitals: is there a business case for quality? Citation Text: Needleman J, Buerhaus P, Stewart M, et al. Nurse staffing in hospitals: is there a business case for quality? Health Aff (Millwood). 2006;25(1):204-11. Copy Citat…

Accuracy of a popular online symptom checker for ophthalmic diagnoses. | PSNet

psnet.ahrq.gov/issue/accuracy-popular-online-symptom-checker-ophthalmic-diagnoses

March 04, 2011 - Study Accuracy of a popular online symptom checker for ophthalmic diagnoses. Citation Text: Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571. Copy Citatio…

Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. | PSNet

psnet.ahrq.gov/issue/beyond-dr-google-evidence-consumer-facing-digital-tools-diagnosis

August 20, 2018 - Review Emerging Classic Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. Citation Text: Millenson ML, Baldwin JL, Zipperer L, et al. Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. Diagnosis (Berl). …

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