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Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system

July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

The tipping point: the relationship between volume and patient harm. | PSNet

psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm

September 10, 2014 - Study The tipping point: the relationship between volume and patient harm. Citation Text: Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628. Copy Citation Format: DOI Google Scho…

Women's safety alerts in maternity care: is speaking up enough? | PSNet

psnet.ahrq.gov/issue/womens-safety-alerts-maternity-care-speaking-enough

July 08, 2015 - Study Women's safety alerts in maternity care: is speaking up enough? Citation Text: Rance S, McCourt C, Rayment J, et al. Women's safety alerts in maternity care: is speaking up enough? BMJ Qual Saf. 2013;22(4):348-55. doi:10.1136/bmjqs-2012-001295. Copy Citation Format: …

The role of anesthesia in surgical mortality. | PSNet

psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality

July 19, 2023 - Study Classic The role of anesthesia in surgical mortality. Citation Text: DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. | PSNet

psnet.ahrq.gov/issue/association-between-concurrent-use-prescription-opioids-and-benzodiazepines-and-overdose

November 16, 2022 - Study Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. Citation Text: Sun EC, Dixit A, Humphreys K, et al. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analys…

Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. | PSNet

psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically

May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…

The impact of major intraoperative adverse events on hospital readmissions. | PSNet

psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions

July 01, 2017 - Study The impact of major intraoperative adverse events on hospital readmissions. Citation Text: Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018. Copy Cita…

Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet

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November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…

Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. | PSNet

psnet.ahrq.gov/issue/beyond-clinical-team-evaluating-human-factors-oriented-training-non-clinical-professionals

March 12, 2025 - Study Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts. Citation Text: Lavelle M, Reedy GB, Attoe C, et al. Beyond the clinical team: evaluating the human factors-oriented training of non-clinical profes…

Am I safe here? Improving patients' perceptions of safety in hospitals. | PSNet

psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals

June 25, 2010 - Study Am I safe here? Improving patients' perceptions of safety in hospitals. Citation Text: Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. Copy Citation Format: Google Schol…

Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. | PSNet

psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-academic-medical

October 19, 2022 - Study Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. Citation Text: Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical cen…

Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic

November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? | PSNet

psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest

October 14, 2009 - Study How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Citation Text: Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the re…

An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. | PSNet

psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and

March 23, 2022 - Study An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Citation Text: Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…

Use of "Doctor" badges for physician role identification during clinical training. | PSNet

psnet.ahrq.gov/issue/use-doctor-badges-physician-role-identification-during-clinical-training

December 18, 2017 - Study Use of "Doctor" badges for physician role identification during clinical training. Citation Text: Foote MB, DeFilippis EM, Rome BN, et al. Use of "Doctor" Badges for Physician Role Identification During Clinical Training. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2416. …

Critical events in the lives of interns. | PSNet

psnet.ahrq.gov/issue/critical-events-lives-interns

November 16, 2022 - Study Critical events in the lives of interns. Citation Text: Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

Shifting supervision: implications for safe administration of medication by nursing students. | PSNet

psnet.ahrq.gov/issue/shifting-supervision-implications-safe-administration-medication-nursing-students

January 27, 2021 - Study Shifting supervision: implications for safe administration of medication by nursing students. Citation Text: Reid-Searl K, Moxham L, Walker S, et al. Shifting supervision: implications for safe administration of medication by nursing students. J Clin Nurs. 2008;17(20):2750-7. doi…

Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. | PSNet

psnet.ahrq.gov/issue/virginia-tech-sentinel-event-role-psychiatry-managing-emotionally-troubled-students-college

April 24, 2018 - Commentary Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. Citation Text: Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and …

The threat within: mitigating the risk of medical error. | PSNet

psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error

July 15, 2020 - Book/Report The threat within: mitigating the risk of medical error. Citation Text: Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. Copy Citation Format: DOI Google Scholar BibTeX…

Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet

psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff

May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients and staff. Citation Text: Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. Copy…

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