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7121. Patient safety and error reduction in surgical pathology. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
      January 08, 2016 - Review Patient safety and error reduction in surgical pathology. Citation Text: Nakhleh RE. Patient safety and error reduction in surgical pathology. Arch Pathol Lab Med. 2008;132(2):181-185. doi:10.1043/1543-2165(2008)132[181:PSAERI]2.0.CO;2. Copy Citation Format: DOI Go…

7122. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. | PSNet
      psnet.ahrq.gov/issue/optimising-surgical-training-use-feedback-reduce-errors-during-simulated-surgical-procedure
      February 19, 2014 - Study Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Citation Text: Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure. Postgrad Med J. 201…

7123. Management of test results in family medicine offices. | PSNet
      psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
      July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

7124. Medication prescribing errors in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
      December 23, 2008 - Study Classic Medication prescribing errors in a teaching hospital. Citation Text: Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. Copy Citation Format: Google Scholar P…

7125. Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns-about-patient
      December 04, 2013 - Study Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. Citation Text: Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns abo…

7126. Adverse drug event–related emergency department visits associated with complex chronic conditions. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
      August 20, 2016 - Study Adverse drug event–related emergency department visits associated with complex chronic conditions. Citation Text: Feinstein JA, Feudtner C, Kempe A. Adverse drug event-related emergency department visits associated with complex chronic conditions. Pediatrics. 2014;133(6):e1575-85. …

7127. A system-wide hospital child maltreatment patient safety program. | PSNet
      psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
      September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

7128. ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. | PSNet
      psnet.ahrq.gov/issue/acgme-summary-report-pursuing-excellence-pathway-leaders-patient-safety-collaborative
      October 18, 2017 - Book/Report ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Citation Text: ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient Safety Collaborative. Passiment M, Wagner R, Weiss KB for the Pursuing Excellence in Clinical Learn…

7129. Psychiatry morbidity and mortality rounds: implementation and impact. | PSNet
      psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact
      March 27, 2024 - Study Psychiatry morbidity and mortality rounds: implementation and impact. Citation Text: Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383. Copy Citation Format: …

7130. Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. | PSNet
      psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
      July 07, 2021 - Study Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. Citation Text: Masoudi FA, Magid DJ, Vinson DR, e…

7131. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. | PSNet
      psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims
      September 27, 2017 - Study Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. Citation Text: Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;1…

7132. Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet
      psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
      October 05, 2022 - Commentary Patient safety in palliative care at the end of life from the perspective of complex thinking. Citation Text: Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Base…

7133. Hospice diagnosis: polypharmacy—a teachable moment. | PSNet
      psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
      April 24, 2018 - Commentary Hospice diagnosis: polypharmacy—a teachable moment. Citation Text: Larson CK, Kao H. Hospice Diagnosis: Polypharmacy: A Teachable Moment. JAMA Intern Med. 2015;175(11):1750-1751. doi:10.1001/jamainternmed.2015.5253. Copy Citation Format: DOI Google Scholar PubMed…

7134. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet
      psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
      March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

7135. Improving the safety of medication administration using an interactive CD-ROM program. | PSNet
      psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program
      February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…

7136. Opportunities for diagnostic improvement among pediatric hospital readmissions. | PSNet
      psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
      August 30, 2023 - Study Opportunities for diagnostic improvement among pediatric hospital readmissions. Citation Text: Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. Co…

7137. An appeal for evidence-based resident duty hours reform. | PSNet
      psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform
      August 09, 2023 - Commentary An appeal for evidence-based resident duty hours reform. Citation Text: Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. Copy Citation Format: DOI Google S…

7138. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. | PSNet
      psnet.ahrq.gov/issue/pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety
      September 15, 2011 - Commentary The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. Citation Text: Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event…

7139. Patients' and family members' experiences of open disclosure following adverse events. | PSNet
      psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse-events
      September 29, 2017 - Study Patients' and family members' experiences of open disclosure following adverse events. Citation Text: Iedema R, Sorensen R, Manias E, et al. Patients' and family members' experiences of open disclosure following adverse events. Int J Qual Health Care. 2008;20(6):421-32. doi:10.1093…

7140. Improving medication management through the redesign of the hospital code cart medication drawer. | PSNet
      psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
      October 31, 2018 - Study Improving medication management through the redesign of the hospital code cart medication drawer. Citation Text: Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…