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  1. Addressing the elephant in the room: a shame resilience seminar for medical students. | PSNet

    psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
    June 07, 2023 - Commentary Addressing the elephant in the room: a shame resilience seminar for medical students. Citation Text: Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…

  2. Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-appropriateness-vulnerable-older-adults-healthy-skepticism-appropriate
    October 04, 2023 - Review Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. Citation Text: Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. …

  3. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

    psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance
    January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

  4. Strategies to reduce the risk of iatrogenic illness in complex older adults. | PSNet

    psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults
    January 12, 2022 - Review Strategies to reduce the risk of iatrogenic illness in complex older adults. Citation Text: Onder G, van der Cammen TJM, Petrovic M, et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing. 2013;42(3):284-91. doi:10.1093/ageing/aft038. Cop…

  5. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. | PSNet

    psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
    September 09, 2020 - Study Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Citation Text: D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…

  6. Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
    May 19, 2021 - Study Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. Citation Text: Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packagi…

  7. Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. | PSNet

    psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational
    June 01, 2022 - Review Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. Citation Text: Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcom…

  8. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis
    March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

  9. Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. | PSNet

    psnet.ahrq.gov/issue/investigating-teamwork-operating-room-engaging-stakeholders-and-setting-agenda
    January 31, 2018 - Study Investigating teamwork in the operating room: engaging stakeholders and setting the agenda. Citation Text: Frasier LL, Quamme SRP, Becker A, et al. Investigating Teamwork in the Operating Room: Engaging Stakeholders and Setting the Agenda. JAMA Surg. 2017;152(1):109-111. doi:10.100…

  10. Automated identification of diagnostic labelling errors in medicine. | PSNet

    psnet.ahrq.gov/issue/automated-identification-diagnostic-labelling-errors-medicine
    September 23, 2020 - Study Automated identification of diagnostic labelling errors in medicine. Citation Text: Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine. Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039. Copy Citation Format: …

  11. Drug-related problems in older people after hospital discharge and interventions to reduce them. | PSNet

    psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
    September 13, 2023 - Review Drug-related problems in older people after hospital discharge and interventions to reduce them. Citation Text: Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing.…

  12. What's in a name? Provider perception of injured John Doe patients. | PSNet

    psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
    September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

  13. Facility-level variation in potentially inappropriate prescribing for older veterans. | PSNet

    psnet.ahrq.gov/issue/facility-level-variation-potentially-inappropriate-prescribing-older-veterans
    February 17, 2017 - Study Facility-level variation in potentially inappropriate prescribing for older veterans. Citation Text: Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5…

  14. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-prevent-transfusion-errors-qualitative-evaluation-safer
    March 20, 2019 - Study Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). Citation Text: Heddle NM, Fung MK, Hervig T, et al. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUES…

  15. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet

    psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
    June 14, 2023 - Study Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. Citation Text: Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…

  16. Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
    October 25, 2023 - Commentary Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. Citation Text: Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…

  17. Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture | PSNet

    psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
    February 10, 2021 - Study Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture Citation Text: Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…

  18. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents
    August 04, 2021 - Study Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Citation Text: Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/…

  19. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. | PSNet

    psnet.ahrq.gov/issue/prevention-retained-surgical-sponges-decision-analytic-model-predicting-relative-cost
    January 04, 2010 - Study Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Citation Text: Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surger…

  20. Analysis of errors enacted by surgical trainees during skills training courses. | PSNet

    psnet.ahrq.gov/issue/analysis-errors-enacted-surgical-trainees-during-skills-training-courses
    August 20, 2018 - Study Analysis of errors enacted by surgical trainees during skills training courses. Citation Text: Tang B, Hanna GB, Cuschieri A. Analysis of errors enacted by surgical trainees during skills training courses. Surgery. 2005;138(1):14-20. Copy Citation Format: Google Sch…
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