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  1. The relationship between early emergency team calls and serious adverse events. | PSNet

    psnet.ahrq.gov/issue/relationship-between-early-emergency-team-calls-and-serious-adverse-events
    June 02, 2010 - Study The relationship between early emergency team calls and serious adverse events. Citation Text: Chen J, Bellomo R, Flabouris A, et al. The relationship between early emergency team calls and serious adverse events. Crit Care Med. 2009;37(1):148-53. doi:10.1097/CCM.0b013e3181928ce3…

  2. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? | PSNet

    psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience-affect
    February 06, 2014 - Study Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Citation Text: Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…

  3. Case study research: the view from complexity science. | PSNet

    psnet.ahrq.gov/issue/case-study-research-view-complexity-science
    January 03, 2017 - Commentary Case study research: the view from complexity science. Citation Text: Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  4. Role of computerized physician order entry usability in the reduction of prescribing errors. | PSNet

    psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
    June 23, 2021 - Study Role of computerized physician order entry usability in the reduction of prescribing errors. Citation Text: Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…

  5. Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. | PSNet

    psnet.ahrq.gov/issue/sociocultural-factors-influencing-incident-reporting-among-physicians-and-nurses
    May 18, 2016 - Study Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. Citation Text: Hewitt T, Chreim S, Forster AJ. Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Und…

  6. An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients. | PSNet

    psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
    March 02, 2016 - Study An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients. Citation Text: Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and medical studen…

  7. Patient safety attitudes and behaviors of graduating medical students. | PSNet

    psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students
    June 01, 2016 - Study Patient safety attitudes and behaviors of graduating medical students. Citation Text: Wetzel AP, Dow AW, Mazmanian PE. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof. 2012;35(2):221-38. doi:10.1177/0163278711414560. Copy Citation For…

  8. Communication during trauma resuscitation: do we know what is happening? | PSNet

    psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
    February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …

  9. "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

    psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern
    July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

  10. Using simulation to improve systems-based practices. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
    January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …

  11. Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet

    psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
    February 10, 2021 - Review Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 Citation Text: de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. Copy Citation Format: …

  12. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. | PSNet

    psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
    August 30, 2017 - Study Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Citation Text: Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. doi:10.1007/s00264-010-1112-7. Copy …

  13. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. | PSNet

    psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
    August 04, 2021 - Study From research to practice: factors affecting implementation of prospective targeted injury-detection systems. Citation Text: Sorensen A, Harrison MI, Kane HL, et al. From research to practice: factors affecting implementation of prospective targeted injury-detection systems. BMJ …

  14. Multidisciplinary in-hospital teams improve patient outcomes: a review. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve-patient-outcomes-review
    February 03, 2011 - Review Multidisciplinary in-hospital teams improve patient outcomes: a review. Citation Text: Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. Copy Citation Format: D…

  15. Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

    psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
    October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

  16. Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." | PSNet

    psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
    April 29, 2018 - Commentary Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system." Citation Text: Sittig DF, Ash JS, Zhang J, et al. Lessons from "Unexpected increased mortality after implementation of a commercially sold com…

  17. Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet

    psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
    January 22, 2017 - Study Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. Citation Text: Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for unexpected events during labor and deliv…

  18. The use of patient pictures and verification screens to reduce computerized provider order entry errors. | PSNet

    psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
    November 16, 2022 - Study The use of patient pictures and verification screens to reduce computerized provider order entry errors. Citation Text: Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(…

  19. What we know about designing an effective improvement intervention (but too often fail to put into practice). | PSNet

    psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice
    September 06, 2017 - Commentary What we know about designing an effective improvement intervention (but too often fail to put into practice). Citation Text: Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…

  20. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
    September 02, 2009 - Study Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Citation Text: Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. Copy Citati…
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