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2521. The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. | PSNet
      psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
      July 14, 2010 - Study The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Citation Text: McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…

2522. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. | PSNet
      psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
      June 16, 2019 - Study Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Citation Text: Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…

2523. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. | PSNet
      psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
      January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …

2524. Evaluation of critical incidents in general surgery. | PSNet
      psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
      April 29, 2009 - Study Evaluation of critical incidents in general surgery. Citation Text: Zingg U, Zala-Mezoe E, Kuenzle B, et al. Evaluation of critical incidents in general surgery. Br J Surg. 2008;95(11):1420-5. doi:10.1002/bjs.6296. Copy Citation Format: DOI Google Scholar PubMed …

2525. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet
      psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
      December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

2526. An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet
      psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
      December 21, 2014 - Study An evaluation of information transfer through the continuum of surgical care: a feasibility study. Citation Text: Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…

2527. Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. | PSNet
      psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare
      June 01, 2012 - Study Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. Citation Text: Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38. doi:10.1…

2528. Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. | PSNet
      psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
      February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…

2529. What's the difference between a hospital and a bottling factory? | PSNet
      psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
      October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

2530. Student-observed surgical safety practices across an urban regional health authority. | PSNet
      psnet.ahrq.gov/issue/student-observed-surgical-safety-practices-across-urban-regional-health-authority
      August 12, 2020 - Study Student-observed surgical safety practices across an urban regional health authority. Citation Text: Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.04…

2531. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. | PSNet
      psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
      February 01, 2003 - Commentary Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Citation Text: Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…

2532. Infant deaths associated with cough and cold medications—two states, 2005. | PSNet
      psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
      February 27, 2019 - Government Resource Infant deaths associated with cough and cold medications—two states, 2005. Citation Text: Prevention C for DC and. Infant deaths associated with cough and cold medications--two states, 2005. MMWR Morb Mortal Wkly Rep. 2007;56(1):1-4. Copy Citation Format: …

2533. VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet
      psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
      July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…

2534. Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet
      psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
      October 22, 2014 - Study Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. Citation Text: Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. Copy Citation…

2535. A unified model of patient safety (or "Who froze my cheese?"). | PSNet
      psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
      August 23, 2023 - Commentary A unified model of patient safety (or "Who froze my cheese?"). Citation Text: Coiera E, Collins S, Kuziemsky C. A unified model of patient safety (or "Who froze my cheese?"). BMJ. 2013;347:f7273. doi:10.1136/bmj.f7273. Copy Citation Format: DOI Google Scholar …

2536. 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet
      psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
      April 17, 2024 - Study 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. Citation Text: Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…

2537. Quality, patient safety, and the cardiac surgical team. | PSNet
      psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
      October 07, 2013 - Review Quality, patient safety, and the cardiac surgical team. Citation Text: Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

2538. Severe hyperglycemia in patients incorrectly using insulin pens at home. | PSNet
      psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
      December 15, 2021 - Press Release/Announcement Severe hyperglycemia in patients incorrectly using insulin pens at home. Citation Text: Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…

2539. Examining nurses' decision process for medication management in home care. | PSNet
      psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
      December 21, 2018 - Commentary Examining nurses' decision process for medication management in home care. Citation Text: Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. Copy Citation Format: …

2540. Accountability in nursing practice: why it is important for patient safety. | PSNet
      psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
      April 07, 2021 - Commentary Accountability in nursing practice: why it is important for patient safety. Citation Text: Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008. Copy Citation Format…