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  1. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
    June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

  2. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." | PSNet

    psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure
    August 04, 2015 - Study Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." Citation Text: Covinsky KE, Pierluissi E, Johnston B. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011;306(16):1782-93. doi:10.1001…

  3. Certain uncertainties: modes of patient safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare
    April 04, 2011 - Study Certain uncertainties: modes of patient safety in healthcare. Citation Text: Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Soc Stud Sci. 2012;42(5):732-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  4. Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. | PSNet

    psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
    April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…

  5. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. | PSNet

    psnet.ahrq.gov/issue/building-capacity-and-capability-patient-safety-education-train-trainers-programme-senior
    January 15, 2014 - Study Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. BMJ…

  6. Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. | PSNet

    psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
    August 14, 2019 - Commentary Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. Citation Text: Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.…

  7. Timing and interventions of emergency teams during the MERIT study. | PSNet

    psnet.ahrq.gov/issue/timing-and-interventions-emergency-teams-during-merit-study
    June 02, 2010 - Study Timing and interventions of emergency teams during the MERIT study. Citation Text: Flabouris A, Chen J, Hillman K, et al. Timing and interventions of emergency teams during the MERIT study. Resuscitation. 2010;81(1):25-30. doi:10.1016/j.resuscitation.2009.09.025. Copy Citation …

  8. Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/diagnostic-delays-and-errors-head-and-neck-cancer-patients-opportunities-improvement
    March 14, 2022 - Study Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. Citation Text: Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. do…

  9. The power of regret. | PSNet

    psnet.ahrq.gov/issue/power-regret
    February 17, 2011 - Commentary The power of regret. Citation Text: Groopman J, Hartzband P. The Power of Regret. N Engl J Med. 2017;377(16):1507-1509. doi:10.1056/NEJMp1709917. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  10. Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. | PSNet

    psnet.ahrq.gov/issue/automated-electronic-reminders-prevent-miscommunication-among-primary-medical-surgical-and
    August 16, 2017 - Commentary Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. Citation Text: Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary m…

  11. Incomplete care—on the trail of flaws in the system. | PSNet

    psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
    February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. Citation Text: Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313. Copy Citation Format: DOI Google Scholar PubMed B…

  12. When less is better, but physicians are afraid not to intervene. | PSNet

    psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
    July 29, 2020 - Commentary When less is better, but physicians are afraid not to intervene. Citation Text: Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med. 2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257. Copy Citation Format: DOI Google …

  13. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. | PSNet

    psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population
    August 28, 2024 - Study Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Citation Text: Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. G…

  14. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. | PSNet

    psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula
    November 15, 2018 - Study The missing link: dedicated patient safety education within top-ranked US nursing school curricula. Citation Text: Howard JN. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. J Patient Saf. 2010;6(3):165-71. Copy Citation F…

  15. Zero tolerance for deadly hospital-acquired infections. | PSNet

    psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
    March 11, 2020 - Newspaper/Magazine Article Zero tolerance for deadly hospital-acquired infections. Citation Text: Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  16. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. | PSNet

    psnet.ahrq.gov/issue/setting-quality-and-safety-priorities-target-rich-environment-academic-medical-centers
    September 24, 2018 - Study Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Citation Text: Mort E, Demehin AA, Marple KB, et al. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Acad Med. 20…

  17. Nurses' medication work: what do nurses know? | PSNet

    psnet.ahrq.gov/issue/nurses-medication-work-what-do-nurses-know
    September 20, 2023 - Review Nurses' medication work: what do nurses know? Citation Text: Folkmann L, Rankin J. Nurses' medication work: what do nurses know? J Clin Nurs. 2010;19(21-22):3218-26. doi:10.1111/j.1365-2702.2010.03249.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  18. Interprofessional learning for medication safety. | PSNet

    psnet.ahrq.gov/issue/interprofessional-learning-medication-safety
    September 23, 2020 - Commentary Interprofessional learning for medication safety. Citation Text: Hardisty J, Scott L, Chandler S, et al. Interprofessional learning for medication safety. Clin Teach. 2014;11(4):290-6. doi:10.1111/tct.12148. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  19. Information behavior in the context of improving patient safety. | PSNet

    psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
    March 24, 2019 - Commentary Information behavior in the context of improving patient safety. Citation Text: MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…

  20. Beyond medication reconciliation: the correct medication list. | PSNet

    psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
    February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…
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