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  1. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems-systematic-review
    July 30, 2014 - Review Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Citation Text: Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. …

  2. FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. | PSNet

    psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporary-absence-warning-statement-vial-caps-two
    June 22, 2011 - Press Release/Announcement FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents. Citation Text: FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two n…

  3. Predicting patient complaints in hospital settings. | PSNet

    psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
    February 27, 2008 - Study Predicting patient complaints in hospital settings. Citation Text: Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281. Copy Citation Format: DOI Google Scholar Pu…

  4. Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. | PSNet

    psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
    July 05, 2017 - Commentary Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. Citation Text: Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Lea…

  5. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. | PSNet

    psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
    September 10, 2009 - Study Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Citation Text: Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.…

  6. Decoding laboratory test names: a major challenge to appropriate patient care. | PSNet

    psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
    April 24, 2018 - Study Decoding laboratory test names: a major challenge to appropriate patient care. Citation Text: Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…

  7. Patient safety stories: a project utilizing narratives in resident training. | PSNet

    psnet.ahrq.gov/issue/patient-safety-stories-project-utilizing-narratives-resident-training
    May 10, 2016 - Study Patient safety stories: a project utilizing narratives in resident training. Citation Text: Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med. 2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa. Copy Citation Format: …

  8. Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. | PSNet

    psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
    October 29, 2014 - Study Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. Citation Text: Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…

  9. A piece of my mind. Writing the wrong. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
    January 24, 2024 - Commentary A piece of my mind. Writing the wrong. Citation Text: Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  10. Computerized clinical decision support for medication prescribing and utilization in pediatrics. | PSNet

    psnet.ahrq.gov/issue/computerized-clinical-decision-support-medication-prescribing-and-utilization-pediatrics
    July 16, 2015 - Study Computerized clinical decision support for medication prescribing and utilization in pediatrics. Citation Text: Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.11…

  11. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. | PSNet

    psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
    March 17, 2021 - Study Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Citation Text: Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …

  12. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. | PSNet

    psnet.ahrq.gov/issue/twitter-tool-enhance-student-engagement-during-interprofessional-patient-safety-course
    July 08, 2020 - Study Twitter as a tool to enhance student engagement during an interprofessional patient safety course. Citation Text: Mckay M, Sanko JS, Shekhter I, et al. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. J Interprof Care. 2014;28(6):56…

  13. Validating patient safety in the endoscopy unit using The Joint Commission standards. | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
    March 02, 2011 - Commentary Validating patient safety in the endoscopy unit using The Joint Commission standards. Citation Text: Ragsdale JA. Validating patient safety in the endoscopy unit using the joint commission standards. Gastroenterol Nurs. 2011;34(3):218-23. doi:10.1097/SGA.0b013e3181d6e4b1. …

  14. Changes in prognosis after the first postoperative complication. | PSNet

    psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
    June 29, 2022 - Study Changes in prognosis after the first postoperative complication. Citation Text: Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31. Copy Citation Format: Google Scholar PubMed BibT…

  15. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/impact-proactive-rounding-rapid-response-team-patient-outcomes-academic-medical-center
    January 19, 2012 - Study Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. Citation Text: Butcher BW, Vittinghoff E, Maselli J, et al. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. J Hosp Med…

  16. Diagnostic error in pediatric cancer. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-pediatric-cancer
    November 16, 2022 - Study Diagnostic error in pediatric cancer. Citation Text: Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  17. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
    December 22, 2021 - Study Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. Citation Text: Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. J Healthc Qual. 2023;45(3):…

  18. Incidence of speech recognition errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
    February 14, 2017 - Study Incidence of speech recognition errors in the emergency department. Citation Text: Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005. Copy Citation Format: …

  19. Organizational costs of preventable medical errors. | PSNet

    psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
    April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  20. Cognitive testing of older clinicians prior to recredentialing. | PSNet

    psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
    January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…
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