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6861. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
      psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
      May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…

6862. Operating room briefings and wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
      November 26, 2008 - Study Classic Operating room briefings and wrong-site surgery. Citation Text: Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. Copy Citation Format: Google Scholar PubMe…

6863. Public sector organizational failure: a study of collective denial in the UK national health service. | PSNet
      psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
      June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…

6864. Improving team members' attention during the OR briefing or time out. | PSNet
      psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
      November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

6865. Preventing wrong site, procedure, and patient events using a common cause analysis. | PSNet
      psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
      October 03, 2017 - Study Preventing wrong site, procedure, and patient events using a common cause analysis. Citation Text: Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…

6866. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? | PSNet
      psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
      February 14, 2024 - Commentary The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Citation Text: Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. Copy Citation Format: Google Scholar P…

6867. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. | PSNet
      psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
      February 17, 2011 - Study Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Citation Text: Holden RJ, Campbell NL, Abebe E, et al. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. Res Social Adm Ph…

6868. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. | PSNet
      psnet.ahrq.gov/issue/fast-does-not-imply-flawed-analyzing-emergency-physician-productivity-and-medical-errors
      January 25, 2023 - Study Fast does not imply flawed: analyzing emergency physician productivity and medical errors. Citation Text: Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e1284…

6869. Transformational leadership in nursing and medication safety education: a discussion paper. | PSNet
      psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
      September 08, 2021 - Commentary Transformational leadership in nursing and medication safety education: a discussion paper. Citation Text: Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper.  J Nurs Manag. 2016;24(7):970-980…

6870. 'Even now it makes me angry': health care students' professionalism dilemma narratives. | PSNet
      psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
      June 12, 2019 - Study 'Even now it makes me angry': health care students' professionalism dilemma narratives. Citation Text: Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…

6871. Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. | PSNet
      psnet.ahrq.gov/issue/challenges-and-opportunities-agency-healthcare-research-and-quality-ahrq-research-summit
      October 04, 2020 - Meeting/Conference Proceedings Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. Citation Text: Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for H…

6872. Physician practice patterns resemble ACGME duty hours. | PSNet
      psnet.ahrq.gov/issue/physician-practice-patterns-resemble-acgme-duty-hours
      November 15, 2018 - Study Physician practice patterns resemble ACGME duty hours. Citation Text: Anim M, Markert RJ, Wood VC, et al. Physician practice patterns resemble ACGME duty hours. Am J Med. 2009;122(6):587-93. doi:10.1016/j.amjmed.2009.02.015. Copy Citation Format: DOI Google Scholar P…

6873. Professionalism in the era of duty hours: time for a shift change? | PSNet
      psnet.ahrq.gov/issue/professionalism-era-duty-hours-time-shift-change
      September 22, 2010 - Commentary Professionalism in the era of duty hours: time for a shift change? Citation Text: Arora V, Farnan JM, Humphrey HJ. Professionalism in the era of duty hours: time for a shift change? JAMA. 2012;308(21):2195-6. doi:10.1001/jama.2012.14584. Copy Citation Format: D…

6874. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. | PSNet
      psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
      June 16, 2021 - Study An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Citation Text: Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…

6875. Implementing SBAR across a large multihospital health system. | PSNet
      psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
      November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

6876. A scoping review of clinical handover mnemonic devices. | PSNet
      psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
      July 24, 2019 - Review A scoping review of clinical handover mnemonic devices. Citation Text: Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. Copy Citation Format: DOI Google Scholar…

6877. Just culture: the foundation of staff safety in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
      June 09, 2021 - Commentary Just culture: the foundation of staff safety in the perioperative environment. Citation Text: Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. Copy Citation …

6878. The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. | PSNet
      psnet.ahrq.gov/issue/proportion-clinically-relevant-alarms-decreases-patient-clinical-severity-decreases-intensive
      November 21, 2021 - Study The proportion of clinically relevant alarms decreases as patient clinical severity decreases in intensive care units: a pilot study. Citation Text: Inokuchi R, Sato H, Nanjo Y, et al. The proportion of clinically relevant alarms decreases as patient clinical severity decreases in…

6879. A comprehensive obstetrics patient safety program improves safety climate and culture. | PSNet
      psnet.ahrq.gov/issue/comprehensive-obstetrics-patient-safety-program-improves-safety-climate-and-culture
      October 20, 2014 - Study A comprehensive obstetrics patient safety program improves safety climate and culture. Citation Text: Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…

6880. Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet
      psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
      May 05, 2021 - Review Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;17…