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1401. Using a medical emergency team to manage anaphylactic shock. | PSNet
      psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock
      June 26, 2024 - Commentary Using a medical emergency team to manage anaphylactic shock. Citation Text: Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. Copy Citation Format: Google Scholar PubMed …

1402. The safe day call: reducing silos in health care through frontline risk assessment. | PSNet
      psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
      May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

1403. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. | PSNet
      psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
      August 30, 2017 - Commentary Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. Citation Text: Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…

1404. Performance-based payment incentives increase burden and blame for hospital nurses. | PSNet
      psnet.ahrq.gov/issue/performance-based-payment-incentives-increase-burden-and-blame-hospital-nurses
      February 10, 2015 - Study Performance-based payment incentives increase burden and blame for hospital nurses. Citation Text: Kurtzman ET, O'Leary D, Sheingold BH, et al. Performance-based payment incentives increase burden and blame for hospital nurses. Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377…

1405. From guideline to order set to patient harm. | PSNet
      psnet.ahrq.gov/issue/guideline-order-set-patient-harm
      October 10, 2017 - Commentary From guideline to order set to patient harm. Citation Text: Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

1406. Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
      March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

1407. What have we learnt after 15 years of research into the 'weekend effect'? | PSNet
      psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
      December 02, 2020 - Commentary What have we learnt after 15 years of research into the 'weekend effect'? Citation Text: Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793. Copy Citation Format:…

1408. Distractions and the anaesthetist: a qualitative study of context and direction of distraction. | PSNet
      psnet.ahrq.gov/issue/distractions-and-anaesthetist-qualitative-study-context-and-direction-distraction
      April 24, 2018 - Study Distractions and the anaesthetist: a qualitative study of context and direction of distraction. Citation Text: Jothiraj H, Howland-Harris J, Evley R, et al. Distractions and the anaesthetist: a qualitative study of context and direction of distraction. Br J Anaesth. 2013;111(3):477…

1409. Near-miss medication errors provide a wake-up call. | PSNet
      psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
      January 24, 2024 - Commentary Near-miss medication errors provide a wake-up call. Citation Text: Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

1410. Residual anaesthesia drugs in intravenous lines—a silent threat? | PSNet
      psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
      July 13, 2010 - Commentary Residual anaesthesia drugs in intravenous lines—a silent threat? Citation Text: Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. Copy Citation Format: DOI G…

1411. Inaccuracies in assignment of clinical stage for localized prostate cancer. | PSNet
      psnet.ahrq.gov/issue/inaccuracies-assignment-clinical-stage-localized-prostate-cancer
      April 06, 2022 - Study Inaccuracies in assignment of clinical stage for localized prostate cancer. Citation Text: Reese AC, Sadetsky N, Carroll PR, et al. Inaccuracies in assignment of clinical stage for localized prostate cancer. Cancer. 2011;117(2):283-9. doi:10.1002/cncr.25596. Copy Citation Fo…

1412. Older veterans and emergency department discharge information. | PSNet
      psnet.ahrq.gov/issue/older-veterans-and-emergency-department-discharge-information
      March 02, 2011 - Study Older veterans and emergency department discharge information. Citation Text: Hastings S, Stechuchak K, Oddone E, et al. Older veterans and emergency department discharge information. BMJ Qual Saf. 2012;21(10):835-42. Copy Citation Format: Google Scholar PubMed BibT…

1413. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet
      psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
      August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

1414. Revisiting old slides—how worthwhile is it? | PSNet
      psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
      October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

1415. My brother's keeper: must a physician disclose another's medical error and potential negligence? | PSNet
      psnet.ahrq.gov/issue/my-brothers-keeper-must-physician-disclose-anothers-medical-error-and-potential-negligence
      February 01, 2023 - Commentary My brother's keeper: must a physician disclose another's medical error and potential negligence? Citation Text: Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10…

1416. The doctor's new dilemma. | PSNet
      psnet.ahrq.gov/issue/doctors-new-dilemma
      November 13, 2024 - Commentary The doctor's new dilemma. Citation Text: Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

1417. Building a community engagement approach for patient safety improvement. | PSNet
      psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
      April 01, 2010 - Commentary Building a community engagement approach for patient safety improvement. Citation Text: Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. Copy Citation Format:…

1418. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet
      psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
      November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

1419. Certified registered nurse anesthetist perceptions of factors impacting patient safety. | PSNet
      psnet.ahrq.gov/issue/certified-registered-nurse-anesthetist-perceptions-factors-impacting-patient-safety
      May 18, 2022 - Study Certified registered nurse anesthetist perceptions of factors impacting patient safety. Citation Text: McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69. Copy Citation …

1420. Tracking with virtual slides: a tool to study diagnostic error in histopathology. | PSNet
      psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
      January 08, 2020 - Study Tracking with virtual slides: a tool to study diagnostic error in histopathology. Citation Text: Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…