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8141. The cost of poor blood specimen quality and errors in preanalytical processes. | PSNet
      psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
      April 22, 2009 - Review The cost of poor blood specimen quality and errors in preanalytical processes. Citation Text: Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001. Copy Citation F…

8142. Facilitating and impeding factors for physicians' error disclosure: a structured literature review. | PSNet
      psnet.ahrq.gov/issue/facilitating-and-impeding-factors-physicians-error-disclosure-structured-literature-review
      September 12, 2011 - Review Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Citation Text: Kaldjian LC, Jones EW, Rosenthal GE. Facilitating and impeding factors for physicians' error disclosure: a structured literature review. Jt Comm J Qual Patient Saf. 2…

8143. Characteristics of medical professional liability claims in patients with cardiovascular diseases. | PSNet
      psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
      August 02, 2015 - Study Characteristics of medical professional liability claims in patients with cardiovascular diseases. Citation Text: Oetgen WJ, Parikh D, Cacchione JG, et al. Characteristics of medical professional liability claims in patients with cardiovascular diseases. Am J Cardiol. 2010;105(5):…

8144. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. | PSNet
      psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
      July 03, 2014 - Study Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. Citation Text: Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis. BMJ Open. 2013;3(6). doi:10…

8145. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet
      psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
      February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

8146. What's that sound? Managing alarm fatigue. | PSNet
      psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
      April 26, 2023 - Newspaper/Magazine Article What's that sound? Managing alarm fatigue. Citation Text: George TP, Martin V. Whatʼs that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f. Copy Citation Format: DOI Google Scholar B…

8147. Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? | PSNet
      psnet.ahrq.gov/issue/quali-quantitative-analysis-new-model-evaluation-unusual-cases-hospital-performance
      October 25, 2018 - Review Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? Citation Text: Bell E. Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? Aust Health Rev. 2007;31 Suppl 1:S86-97. Copy Citation …

8148. View the world through a different lens: shadowing another provider. | PSNet
      psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
      January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…

8149. Using "near misses" analysis to prevent wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/using-near-misses-analysis-prevent-wrong-site-surgery
      April 24, 2018 - Study Using "near misses" analysis to prevent wrong-site surgery. Citation Text: Yoon RS, Alaia MJ, Hutzler LH, et al. Using "near misses" analysis to prevent wrong-site surgery. J Healthc Qual. 2015;37(2):126-32. doi:10.1111/jhq.12037. Copy Citation Format: DOI Google Scho…

8150. Close calls in patient safety: should we be paying closer attention? | PSNet
      psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
      November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

8151. Medical librarians supporting information systems project lifecycles toward improved patient safety. | PSNet
      psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient
      March 27, 2024 - Commentary Medical librarians supporting information systems project lifecycles toward improved patient safety. Citation Text: Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians …

8152. Maintaining safety in the dialysis facility. | PSNet
      psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility
      May 25, 2011 - Commentary Maintaining safety in the dialysis facility. Citation Text: Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

8153. Preventable adverse events in infants hospitalized with bronchiolitis. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-events-infants-hospitalized-bronchiolitis
      April 11, 2011 - Study Preventable adverse events in infants hospitalized with bronchiolitis. Citation Text: McBride SC, Chiang VW, Goldmann DA, et al. Preventable adverse events in infants hospitalized with bronchiolitis. Pediatrics. 2005;116(3):603-608. doi:10.1542/peds.2004-2387. Copy Citation …

8154. Inability of providers to predict unplanned readmissions. | PSNet
      psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
      December 05, 2007 - Study Inability of providers to predict unplanned readmissions. Citation Text: Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. Copy Citation Format: DOI Go…

8155. Driving improvement in patient care: lessons from Toyota. | PSNet
      psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
      September 24, 2016 - Study Classic Driving improvement in patient care: lessons from Toyota. Citation Text: Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. Copy Citation Format: Google Scholar …

8156. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet
      psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
      June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

8157. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
      February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

8158. The problem with medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/problem-medication-reconciliation
      May 08, 2017 - Commentary The problem with medication reconciliation. Citation Text: Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

8159. Improving patient care. The cognitive psychology of missed diagnoses. | PSNet
      psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
      October 03, 2012 - Commentary Improving patient care. The cognitive psychology of missed diagnoses. Citation Text: Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142(2):115-120. Copy Citation Format: Google Scholar PubMed BibTeX End…

8160. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/prevention-3-never-events-operating-room-fires-gossypiboma-and-wrong-site-surgery
      February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…