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  1. Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. | PSNet

    psnet.ahrq.gov/issue/implementing-delivery-room-checklists-and-communication-standards-multi-neonatal-icu-quality
    November 20, 2019 - Study Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. Citation Text: Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Impr…

  2. Why do people sue doctors? A study of patients and relatives taking legal action. | PSNet

    psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-and-relatives-taking-legal-action
    August 04, 2021 - Study Classic Why do people sue doctors? A study of patients and relatives taking legal action. Citation Text: Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. …

  3. A usability and safety analysis of electronic health records: a multi-center study. | PSNet

    psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study
    October 13, 2018 - Study Emerging Classic A usability and safety analysis of electronic health records: a multi-center study. Citation Text: Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…

  4. Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. | PSNet

    psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
    January 12, 2022 - Study Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. Citation Text: Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…

  5. Diagnostic inaccuracy of smartphone applications for melanoma detection. | PSNet

    psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
    April 24, 2018 - Study Diagnostic inaccuracy of smartphone applications for melanoma detection. Citation Text: Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. Copy Citat…

  6. Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. | PSNet

    psnet.ahrq.gov/issue/health-care-professionals-perceptions-unprofessional-behaviour-clinical-workplace
    November 03, 2021 - Study Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. Citation Text: Dabekaussen KFAA, Scheepers RA, Heineman E, et al. Health care professionals’ perceptions of unprofessional behaviour in the clinical workplace. PLoS ONE. 2023;18(1):e028044…

  7. Computerised prescribing for safer medication ordering: still a work in progress. | PSNet

    psnet.ahrq.gov/issue/computerised-prescribing-safer-medication-ordering-still-work-progress
    October 13, 2018 - Commentary Computerised prescribing for safer medication ordering: still a work in progress. Citation Text: Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004…

  8. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
    January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

  9. Deaths among opioid users: impact of potential inappropriate prescribing practices. | PSNet

    psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
    October 19, 2011 - Study Deaths among opioid users: impact of potential inappropriate prescribing practices. Citation Text: Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. Copy Citation Form…

  10. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. | PSNet

    psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
    February 17, 2017 - Commentary ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Citation Text: Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):62…

  11. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. | PSNet

    psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation
    May 20, 2019 - Study Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Citation Text: White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…

  12. Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. | PSNet

    psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
    May 27, 2020 - Study Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. Citation Text: Gray BM, Vandergrift JL, McCoy R…

  13. How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. | PSNet

    psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture
    July 07, 2021 - Commentary How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. Citation Text: Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…

  14. Trainees' perceptions of patient safety practices: recounting failures of supervision. | PSNet

    psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision
    September 20, 2011 - Study Trainees' perceptions of patient safety practices: recounting failures of supervision. Citation Text: Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95. Copy…

  15. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

    psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

  16. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
    October 26, 2022 - Study Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Citation Text: Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…

  17. Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. | PSNet

    psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
    May 09, 2018 - Study Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. Citation Text: Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…

  18. Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet

    psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
    October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

  19. Iatrogenic events contributing to ICU admission: a prospective study. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-events-contributing-icu-admission-prospective-study
    November 29, 2023 - Study Iatrogenic events contributing to ICU admission: a prospective study. Citation Text: Mercier E, Giraudeau B, Giniès G, et al. Iatrogenic events contributing to ICU admission: a prospective study. Intensive Care Med. 2010;36(6):1033-7. doi:10.1007/s00134-010-1793-9. Copy Citatio…

  20. Differential perceptions of what constitutes a medical error associated with electronic medical records. | PSNet

    psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records
    August 09, 2023 - Commentary Differential perceptions of what constitutes a medical error associated with electronic medical records. Citation Text: Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health …
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