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  1. When a vital sign leads a country astray—the opioid epidemic. | PSNet

    psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
    May 27, 2020 - Commentary When a vital sign leads a country astray—the opioid epidemic. Citation Text: Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. Copy Citation Format: …

  2. Imagining improved interactions: patients' designs to address implicit bias. | PSNet

    psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias
    March 27, 2019 - Study Imagining improved interactions: patients' designs to address implicit bias. Citation Text: Imagining improved interactions: patients' designs to address implicit bias. Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. Copy Citation Sav…

  3. Cognitive aids in the management of clinical emergencies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
    January 12, 2022 - Review Cognitive aids in the management of clinical emergencies: a systematic review. Citation Text: Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. Copy Cita…

  4. Building an ambulatory safety program at an academic health system. | PSNet

    psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
    April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

  5. Mentorship for newly appointed physicians: a strategy for enhancing patient safety? | PSNet

    psnet.ahrq.gov/issue/mentorship-newly-appointed-physicians-strategy-enhancing-patient-safety
    April 22, 2012 - Study Mentorship for newly appointed physicians: a strategy for enhancing patient safety? Citation Text: Harrison R, McClean S, Lawton R, et al. Mentorship for newly appointed physicians: a strategy for enhancing patient safety? J Patient Saf. 2014;10(3):159-67. doi:10.1097/PTS.0b013e318…

  6. The Human Factors Analysis Classification System (HFACS) applied to health care. | PSNet

    psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
    November 16, 2022 - Study The Human Factors Analysis Classification System (HFACS) applied to health care. Citation Text: Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …

  7. Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
    October 13, 2018 - Review Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. Citation Text: Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from …

  8. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. | PSNet

    psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive
    December 02, 2020 - Study Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. Citation Text: Ksouri H, Balanant P-Y, Tadié J-M, et al. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive c…

  9. Health care worker perspectives of their motivation to reduce health care–associated infections. | PSNet

    psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
    June 02, 2019 - Study Health care worker perspectives of their motivation to reduce health care–associated infections. Citation Text: McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…

  10. Implementing patient safety practices in small ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
    April 19, 2013 - Study Implementing patient safety practices in small ambulatory care settings. Citation Text: Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. Copy Citation Format: Google Sc…

  11. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
    October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

  12. Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. | PSNet

    psnet.ahrq.gov/issue/task-errors-emergency-physicians-are-associated-interruptions-multitasking-fatigue-and
    March 29, 2017 - Study Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. Citation Text: Westbrook JI, Raban MZ, Walter SR, et al. Task errors by emergency physicians are associated with interr…

  13. Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. | PSNet

    psnet.ahrq.gov/issue/higher-rates-misdiagnosis-pediatric-patients-versus-adults-hospitalized-imported-malaria
    March 14, 2022 - Study Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. Citation Text: Goldman-Yassen AE, Mony VK, Arguin PM, et al. Higher Rates of Misdiagnosis in Pediatric Patients Versus Adults Hospitalized With Imported Malaria. Pediatr Emerg Care.…

  14. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
    August 26, 2011 - Study Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Citation Text: Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…

  15. "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. | PSNet

    psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
    August 10, 2010 - Study "It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency. Citation Text: Wu MS, Rawal S. "It's the difference between life and death": The views of profession…

  16. 'Trust but verify'—five approaches to ensure safe medical apps. | PSNet

    psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps
    September 27, 2023 - Commentary 'Trust but verify'—five approaches to ensure safe medical apps. Citation Text: Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z. Copy Citation Format: DOI Google Scholar PubM…

  17. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. | PSNet

    psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-elderly-systematic-review
    September 23, 2020 - Review Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. Citation Text: Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam Pract. 2006;55(4):305-12. Copy Citation Format: Google Sc…

  18. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-us-rural-healthcare-call-action
    December 22, 2018 - Book/Report Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. Citation Text: Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…

  19. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. | PSNet

    psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
    November 07, 2012 - Study Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Citation Text: Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006;113(8):1079-85. Copy C…

  20. Addressing bias in acute postoperative pain management. | PSNet

    psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pain-management
    September 23, 2020 - Review Addressing bias in acute postoperative pain management. Citation Text: Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0. Copy Citation Format: …
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