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  1. Standardization in patient safety: the WHO High 5s project. | PSNet

    psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project
    January 12, 2022 - Commentary Standardization in patient safety: the WHO High 5s project. Citation Text: Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010. Copy Citation Format: …

  2. Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
    January 13, 2010 - Commentary Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. Citation Text: Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Q…

  3. Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. | PSNet

    psnet.ahrq.gov/issue/predicting-future-staffing-needs-teaching-hospitals-use-analytical-program-multiple-variables
    October 19, 2022 - Study Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. Citation Text: Mitchell CC, Ashley SW, Zinner MJ, et al. Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. Arc…

  4. Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. | PSNet

    psnet.ahrq.gov/issue/opioid-related-inpatient-stays-and-emergency-department-visits-among-patients-aged-65-years
    March 14, 2018 - Book/Report Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. Citation Text: Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. Weiss AJ, Heslin KC, Barr…

  5. Implementation of an antibiotic stewardship program in long-term care facilities across the US. | PSNet

    psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
    July 20, 2022 - Study Implementation of an antibiotic stewardship program in long-term care facilities across the US. Citation Text: doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. 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: …

  7. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. | PSNet

    psnet.ahrq.gov/issue/effects-work-hour-limitations-resident-well-being-patient-care-and-education-internal
    January 13, 2021 - Study The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Citation Text: Goitein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care, and education in …

  8. 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…

  9. Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. | PSNet

    psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
    September 26, 2016 - Study Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. Citation Text: Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…

  10. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet

    psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
    March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…

  11. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. | PSNet

    psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
    March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…

  12. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. | PSNet

    psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
    October 21, 2020 - Study Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. Citation Text: Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…

  13. Influence of perioperative handoffs on complications and outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
    October 14, 2020 - Commentary Influence of perioperative handoffs on complications and outcomes. Citation Text: Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. Copy Citation Format: …

  14. 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…

  15. 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…

  16. 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…

  17. Using electronic health records to identify adverse drug events in ambulatory care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care-systematic
    May 04, 2012 - Review Using electronic health records to identify adverse drug events in ambulatory care: a systematic review. Citation Text: Feng C, Le D, McCoy AB. Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review. Appl Clin Inform. 2019;10(1):123…

  18. Errors and nonadherence in pediatric oral chemotherapy use. | PSNet

    psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
    April 08, 2020 - Study Errors and nonadherence in pediatric oral chemotherapy use. Citation Text: Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  19. Prevalence of burnout among surgical residents and surgeons in Switzerland. | PSNet

    psnet.ahrq.gov/issue/prevalence-burnout-among-surgical-residents-and-surgeons-switzerland
    December 21, 2014 - Study Prevalence of burnout among surgical residents and surgeons in Switzerland. Citation Text: Businger A, Stefenelli U, Guller U. Prevalence of burnout among surgical residents and surgeons in Switzerland. Arch Surg. 2010;145(10):1013-6. doi:10.1001/archsurg.2010.188. Copy Citatio…

  20. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
    June 19, 2024 - Study Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Citation Text: Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):3…
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