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7821. 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…

7822. Who's covering our loved ones: surprising barriers in the sign-out process. | PSNet
      psnet.ahrq.gov/issue/whos-covering-our-loved-ones-surprising-barriers-sign-out-process
      October 19, 2022 - Study Who's covering our loved ones: surprising barriers in the sign-out process. Citation Text: Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. Co…

7823. 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…

7824. 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…

7825. 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…

7826. 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…

7827. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. | PSNet
      psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care
      September 28, 2022 - Commentary Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. Citation Text: Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;2…

7828. Neonatal near-miss audits: a systematic review and a call to action. | PSNet
      psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
      August 04, 2021 - Review Neonatal near-miss audits: a systematic review and a call to action. Citation Text: Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. Copy Citation Format…

7829. Clinical reasoning of a generative artificial intelligence model compared with physicians. | PSNet
      psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians
      November 13, 2024 - Study Clinical reasoning of a generative artificial intelligence model compared with physicians. Citation Text: Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model compared with physicians. JAMA Intern Med. 2024;184(5):581-583. doi:10.1…

7830. 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…

7831. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. | PSNet
      psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
      September 23, 2020 - Study Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Citation Text: Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1…

7832. 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…

7833. 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 …

7834. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
      January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

7835. Organizational culture: an important context for addressing and improving hospital to community patient discharge. | PSNet
      psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient
      December 30, 2014 - Study Organizational culture: an important context for addressing and improving hospital to community patient discharge. Citation Text: Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…

7836. Diagnostic error in the pediatric hospital: a narrative review. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
      November 16, 2022 - Review Diagnostic error in the pediatric hospital: a narrative review. Citation Text: Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040. Copy Citation …

7837. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. | PSNet
      psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
      February 18, 2011 - Study Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Citation Text: Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…

7838. 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…

7839. 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…

7840. 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…