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  1. Silent witnesses: faculty reluctance to report medical students' professionalism lapses. | PSNet

    psnet.ahrq.gov/issue/silent-witnesses-faculty-reluctance-report-medical-students-professionalism-lapses
    March 10, 2021 - Study Silent witnesses: faculty reluctance to report medical students' professionalism lapses. Citation Text: Ziring D, Frankel RM, Danoff D, et al. Silent Witnesses: Faculty Reluctance to Report Medical Students' Professionalism Lapses. Acad Med. 2018;93(11):1700-1706. doi:10.1097/ACM.0…

  2. Design of a safety dashboard for patients. | PSNet

    psnet.ahrq.gov/issue/design-safety-dashboard-patients
    March 16, 2022 - Study Design of a safety dashboard for patients. Citation Text: Gibson B, Butler J, Schnock KO, et al. Design of a safety dashboard for patients. Patient Educ Couns. 2019;103(4):741-747. doi:10.1016/j.pec.2019.10.021. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  3. Communicating uncertainty: a narrative review and framework for future research. | PSNet

    psnet.ahrq.gov/issue/communicating-uncertainty-narrative-review-and-framework-future-research
    February 24, 2021 - Review Communicating uncertainty: a narrative review and framework for future research. Citation Text: Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. Cop…

  4. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

  5. Information loss in emergency medical services handover of trauma patients. | PSNet

    psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
    August 04, 2021 - Study Information loss in emergency medical services handover of trauma patients. Citation Text: Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260. Copy …

  6. A systemwide strategy to embed equity into patient safety event analysis. | PSNet

    psnet.ahrq.gov/issue/systemwide-strategy-embed-equity-patient-safety-event-analysis
    November 16, 2022 - Study A systemwide strategy to embed equity into patient safety event analysis. Citation Text: Chandra K, Garcia M, Bajaj K, et al. A systemwide strategy to embed equity into patient safety event analysis. Jt Comm J Qual Patient Saf. 2024;50(8):606-611 . doi:10.1016/j.jcjq.2024.04.004. …

  7. Clinical and financial implications of second-opinion surgical pathology review. | PSNet

    psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review
    August 04, 2021 - Study Clinical and financial implications of second-opinion surgical pathology review. Citation Text: Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa…

  8. Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet

    psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
    November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…

  9. Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. | PSNet

    psnet.ahrq.gov/issue/comparison-adverse-events-during-procedural-sedation-between-specially-trained-pediatric
    August 21, 2008 - Study Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. Citation Text: Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially tra…

  10. Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. | PSNet

    psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
    December 02, 2020 - Study Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. Citation Text: Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2…

  11. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice
    February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

  12. Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
    November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. Citation Text: Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…

  13. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
    December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

  14. Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

    psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute
    January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

  15. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. | PSNet

    psnet.ahrq.gov/issue/dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
    March 08, 2017 - Commentary Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. Citation Text: Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5)…

  16. Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/measurement-performance-driver-case-national-measurement-system-improve-patient-safety
    September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…

  17. The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. | PSNet

    psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning
    July 02, 2014 - Study The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. Citation Text: Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…

  18. Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

    psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
    June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

  19. Safety of inpatient care in surgical settings: cohort study. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…

  20. Communication of preclinical emergency teams in critical situations: a nationwide study. | PSNet

    psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study
    January 23, 2019 - Study Communication of preclinical emergency teams in critical situations: a nationwide study. Citation Text: Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.…
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