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2561. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet
      psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
      April 06, 2022 - Study Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Citation Text: Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…

2562. Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. | PSNet
      psnet.ahrq.gov/issue/standardized-postoperative-handover-process-improves-outcomes-intensive-care-unit-model
      June 21, 2015 - Study Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. Citation Text: Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med…

2563. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet
      psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
      October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

2564. Surgical site signing and "time out": issues of compliance or complacence. | PSNet
      psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
      January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …

2565. Creating an oversight infrastructure for electronic health record–related patient safety hazards. | PSNet
      psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
      May 22, 2015 - Commentary Creating an oversight infrastructure for electronic health record–related patient safety hazards. Citation Text: Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …

2566. Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient-perceptions
      March 02, 2016 - Study Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. Citation Text: Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.10…

2567. Can teamwork promote safety in organizations? | PSNet
      psnet.ahrq.gov/issue/can-teamwork-promote-safety-organizations
      April 24, 2019 - Review Emerging Classic Can teamwork promote safety in organizations? Citation Text: Salas E, Bisbey TM, Traylor AM, et al. Can teamwork promote safety in organizations? . Ann Rev Org Psychol Org Behav. 2020;7(1):283-313. doi:10.1146/annurev-orgpsych-012119-0454…

2568. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet
      psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
      June 03, 2020 - Newspaper/Magazine Article Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. Citation Text: Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…

2569. Sharing the process of diagnostic decision making. | PSNet
      psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
      January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …

2570. Deaths in Acute Hospitals: Caring to the End? | PSNet
      psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
      March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

2571. Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. | PSNet
      psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
      November 22, 2017 - Book/Report Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Citation Text: Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …

2572. The ethical imperative to think about thinking. | PSNet
      psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
      June 27, 2018 - Commentary The ethical imperative to think about thinking. Citation Text: Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061. Copy Citation …

2573. Adverse events after screening and follow-up colonoscopy. | PSNet
      psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
      September 30, 2010 - Study Adverse events after screening and follow-up colonoscopy. Citation Text: Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5. Copy Citation Format: …

2574. Patient safety climate in hospitals: act locally on variation across units. | PSNet
      psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
      August 27, 2012 - Study Patient safety climate in hospitals: act locally on variation across units. Citation Text: Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26. Copy Citation Format:…

2575. Approaching the evidence basis for aviation-derived teamwork training in medicine. | PSNet
      psnet.ahrq.gov/issue/approaching-evidence-basis-aviation-derived-teamwork-training-medicine
      August 09, 2023 - Review Approaching the evidence basis for aviation-derived teamwork training in medicine. Citation Text: Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664. Copy Citation…

2576. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. | PSNet
      psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
      September 23, 2020 - Commentary Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Citation Text: Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2…

2577. Safety-I, Safety-II and resilience engineering. | PSNet
      psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
      December 16, 2015 - Commentary Safety-I, Safety-II and resilience engineering. Citation Text: Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. Copy Citation Format: DOI Google…

2578. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet
      psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
      November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

2579. An exploration of safety climate in nursing homes. | PSNet
      psnet.ahrq.gov/issue/exploration-safety-climate-nursing-homes
      January 03, 2017 - Study An exploration of safety climate in nursing homes. Citation Text: Singer SJ, Kitch BT, Rao SR, et al. An exploration of safety climate in nursing homes. J Patient Saf. 2012;8(3):104-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

2580. Implementing patient safety and quality improvement in dermatology. | PSNet
      psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
      September 30, 2015 - Commentary Implementing patient safety and quality improvement in dermatology. Citation Text: Implementing patient safety and quality improvement in dermatology. Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. Copy Citation Save …