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2201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50927/psn-pdf
      February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …

2202. Duplicate Insulin Order | PSNet
      psnet.ahrq.gov/web-mm/duplicate-insulin-order
      May 04, 2012 - Duplicate Insulin Order Citation Text: Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

2203. Professionalism in medicine: results of a national survey of physicians. | PSNet
      psnet.ahrq.gov/issue/professionalism-medicine-results-national-survey-physicians
      February 17, 2011 - Study Classic Professionalism in medicine: results of a national survey of physicians. Citation Text: Campbell EG, Regan S, Gruen RL, et al. Professionalism in medicine: results of a national survey of physicians. Ann Intern Med. 2007;147(11):795-802. Copy C…

2204. Patient safety and professional discourses: implications for interprofessionalism. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-professional-discourses-implications-interprofessionalism
      March 08, 2023 - Study Patient safety and professional discourses: implications for interprofessionalism. Citation Text: Rowland P, Kitto S. Patient safety and professional discourses: implications for interprofessionalism. J Interprof Care. 2014;28(4):331-8. doi:10.3109/13561820.2014.891574. Copy Cita…

2205. Sentinel events. In memory of Ben—a case study. | PSNet
      psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
      July 01, 2016 - Study Sentinel events. In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2206. Development of a rating system for surgeons' non-technical skills. | PSNet
      psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
      June 12, 2008 - Study Development of a rating system for surgeons' non-technical skills. Citation Text: Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104. Copy Citation Format: Google Scholar PubMed …

2207. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
      August 20, 2018 - Study Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. Citation Text: Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …

2208. Human factors in surgery: from Three Mile Island to the operating room. | PSNet
      psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
      July 12, 2019 - Review Human factors in surgery: from Three Mile Island to the operating room. Citation Text: D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662. Copy Citation Form…

2209. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. | PSNet
      psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality
      April 12, 2017 - Review Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. Citation Text: Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res.…

2210. Incorporating indications into medication ordering—time to enter the age of reason. | PSNet
      psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
      June 05, 2018 - Commentary Incorporating indications into medication ordering—time to enter the age of reason. Citation Text: Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp16039…

2211. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/development-and-sustainability-inpatient-outpatient-discharge-handoff-tool-quality
      August 04, 2015 - Study Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Citation Text: Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt C…

2212. Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. | PSNet
      psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health
      November 28, 2018 - Book/Report Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Citation Text: Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. Silver Spring, MD: US Food and Drug Administration; April 2018. Copy Citation Sav…

2213. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. | PSNet
      psnet.ahrq.gov/issue/improving-quality-surgical-morbidity-and-mortality-conference-prospective-intervention-study
      March 14, 2012 - Study Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Citation Text: Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013…

2214. Implementation of the safety huddle. | PSNet
      psnet.ahrq.gov/issue/implementation-safety-huddle
      November 03, 2021 - Commentary Implementation of the safety huddle. Citation Text: Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

2215. Time out for patient safety. | PSNet
      psnet.ahrq.gov/issue/time-out-patient-safety
      October 26, 2022 - Commentary Time out for patient safety. Citation Text: Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

2216. Detection of medication-related problems in hospital practice: a review. | PSNet
      psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
      June 16, 2021 - Review Detection of medication-related problems in hospital practice: a review. Citation Text: Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049. Copy Citation Format: DOI Google S…

2217. Conducting root cause analysis with nursing students: best practice in nursing education. | PSNet
      psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
      September 09, 2015 - Commentary Conducting root cause analysis with nursing students: best practice in nursing education. Citation Text: Lambton J, Mahlmeister L. Conducting root cause analysis with nursing students: best practice in nursing education. J Nurs Educ. 2010;49(8):444-8. doi:10.3928/01484834-…

2218. Words: the "drug" with the highest frequency of dispensing errors. | PSNet
      psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
      March 04, 2015 - Commentary Words: the "drug" with the highest frequency of dispensing errors. Citation Text: Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. Copy Citation Format: DOI Google…

2219. Surgical ward round quality and impact on variable patient outcomes. | PSNet
      psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
      June 17, 2015 - Study Surgical ward round quality and impact on variable patient outcomes. Citation Text: Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376. Copy Citation Format: …

2220. Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. | PSNet
      psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
      May 31, 2017 - Study Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. Citation Text: Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5. Copy Citation …