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9461. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet
      psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
      September 12, 2018 - Study Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Citation Text: Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosi…

9462. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. | PSNet
      psnet.ahrq.gov/issue/medical-errors-involving-trainees-study-closed-malpractice-claims-5-insurers
      July 10, 2008 - Study Classic Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Citation Text: Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Me…

9463. Developing and aligning a safety event taxonomy for inpatient psychiatry. | PSNet
      psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
      September 14, 2022 - Study Developing and aligning a safety event taxonomy for inpatient psychiatry. Citation Text: Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. Copy …

9464. Implementing high-reliability organization principles into practice: a rapid evidence review. | PSNet
      psnet.ahrq.gov/issue/implementing-high-reliability-organization-principles-practice-rapid-evidence-review
      October 21, 2020 - Review Implementing high-reliability organization principles into practice: a rapid evidence review. Citation Text: Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. do…

9465. What we can do about maternal mortality—and how to do it quickly. | PSNet
      psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly
      September 01, 2016 - Commentary Emerging Classic What we can do about maternal mortality—and how to do it quickly. Citation Text: Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.10…

9466. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/shared-understanding-resilient-practices-context-inpatient-suicide-prevention-narrative
      December 23, 2020 - Study Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.…

9467. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. | PSNet
      psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
      September 15, 2011 - Study The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. Citation Text: Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency c…

9468. Parents' understanding of medication at discharge and potential harm in children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
      April 22, 2020 - Study Parents' understanding of medication at discharge and potential harm in children with medical complexity. Citation Text: Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…

9469. Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. | PSNet
      psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
      June 26, 2019 - Study Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. Citation Text: Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…

9470. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
      January 31, 2024 - Study Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Citation Text: Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…

9471. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. | PSNet
      psnet.ahrq.gov/issue/minor-flow-disruptions-traffic-related-factors-and-their-effect-major-flow-disruptions
      August 19, 2020 - Study Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room. Citation Text: Joseph A, Khoshkenar A, Taaffe KM, et al. Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating roo…

9472. Perspectives on anesthesia and perioperative patient safety: past, present, and future. | PSNet
      psnet.ahrq.gov/issue/perspectives-anesthesia-and-perioperative-patient-safety-past-present-and-future
      June 19, 2019 - Commentary Perspectives on anesthesia and perioperative patient safety: past, present, and future. Citation Text: Kanjia MK, Kurth CD, Hyman D, et al. Perspectives on anesthesia and perioperative patient safety: past, present, and future. Anesthesiology. 2024;141(5):835-848. doi:10.1097/…

9473. Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. | PSNet
      psnet.ahrq.gov/issue/communication-failure-analysis-prescribers-use-internal-free-text-field-electronic
      May 20, 2019 - Study Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. Citation Text: Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inf…

9474. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet
      psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
      November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…

9475. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. | PSNet
      psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
      December 23, 2008 - Study Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Citation Text: Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…

9476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38947/psn-pdf
      September 09, 2009 - Patients get power of fast response. September 9, 2009 Landro L. Wall Street Journal. September 1, 2009:D2. https://psnet.ahrq.gov/issue/patients-get-power-fast-response This column explains that some hospitals now afford patients and families the right to summon an immediate clinical response to a patient's worse…

9477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39152/psn-pdf
      January 28, 2011 - Medical simulation gets real. January 28, 2011 Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677. https://psnet.ahrq.gov/issue/medical-simulation-gets-real This news article reports on the growth of simulation as a teaching tool and describes several examples of its successful…

9478. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
      psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
      December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit Eduard E. Vasilevskis, MD; E. Wesley Ely, MD, MPH; Robert S. Dittus, MD, MPH | December 1, 2012  Also Read a Conversation View more articles from the same authors. …

9479. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - paroxysmal atrial fibrillation, an ascending aortic aneurysm, and a bicuspid aortic valve, presented to clinic

9480. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic