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4541. One system's journey in creating a disclosure and apology program. | PSNet
      psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
      May 27, 2011 - Commentary One system's journey in creating a disclosure and apology program. Citation Text: Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. Copy Citation Format: …

4542. Recognizing and managing errors of cognitive underspecification. | PSNet
      psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
      November 14, 2018 - Commentary Recognizing and managing errors of cognitive underspecification. Citation Text: Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. Copy Citation Format: DOI Google Scholar …

4543. Patient handoffs. | PSNet
      psnet.ahrq.gov/issue/patient-handoffs
      June 17, 2014 - Newspaper/Magazine Article Patient handoffs. Citation Text: Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

4544. Improving patient safety through transparency. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
      September 04, 2024 - Commentary Improving patient safety through transparency. Citation Text: Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

4545. Nurses' role in medication safety. | PSNet
      psnet.ahrq.gov/issue/nurses-role-medication-safety
      June 26, 2024 - Review Nurses' role in medication safety. Citation Text: Choo J, Hutchinson A, Bucknall T. Nurses' role in medication safety. J Nurs Manag. 2010;18(7):853-61. doi:10.1111/j.1365-2834.2010.01164.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

4546. Health IT Hazard Manager Beta-Test Appendix B: Revised Hazard Manager Ontology (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/AppendixB_HIT_Hazard_Manager_Beta_Test.pdf
      June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix B: Revised Hazard Manager Ontology Appendix B – Revised Hazard Manager Ontology Hazard Manager Common Formats Usability • Information hard to find • Difficult data entry • Excessive demands on human memory • Sub-optimal support of teamwork (situation awareness) • C…

4547. Is an indication-based prescribing system in our future? | PSNet
      psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
      February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …

4548. Value of the pharmacist in the medication reconciliation process. | PSNet
      psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
      March 27, 2024 - Commentary Value of the pharmacist in the medication reconciliation process. Citation Text: Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

4549. The Objective Structured Clinical Examination as an educational tool in patient safety. | PSNet
      psnet.ahrq.gov/issue/objective-structured-clinical-examination-educational-tool-patient-safety
      May 01, 2014 - Study The Objective Structured Clinical Examination as an educational tool in patient safety. Citation Text: Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. Copy Citation Format:…

4550. Decreasing 30-day readmission rates. | PSNet
      psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
      July 19, 2018 - Commentary Decreasing 30-day readmission rates. Citation Text: Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

4551. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
      March 15, 2017 - Study Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Citation Text: Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…

4552. Removing the "me" from "MD." | PSNet
      psnet.ahrq.gov/issue/removing-me-md
      July 18, 2016 - Commentary Removing the "me" from "MD." Citation Text: Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

4553. Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. | PSNet
      psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
      May 01, 2024 - Newspaper/Magazine Article Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. Citation Text: Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you …

4554. Observational assessment of surgical teamwork: a feasibility study. | PSNet
      psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
      August 18, 2017 - Study Observational assessment of surgical teamwork: a feasibility study. Citation Text: Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83. Copy Citation Format: Google Scholar PubMed B…

4555. Instrument readiness: an important link to patient safety. | PSNet
      psnet.ahrq.gov/issue/instrument-readiness-important-link-patient-safety
      January 05, 2011 - Commentary Instrument readiness: an important link to patient safety. Citation Text: McNamara SA. Instrument readiness: an important link to patient safety. AORN J. 2011;93(1):160-4. doi:10.1016/j.aorn.2010.09.027. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

4556. Is "first do no harm" a lost concept in medical education? | PSNet
      psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
      December 01, 2004 - Commentary Is "first do no harm" a lost concept in medical education? Citation Text: O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

4557. Emergent CSCW systems: the resolution and bandwidth of workplaces. | PSNet
      psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces
      May 01, 2015 - Commentary Emergent CSCW systems: the resolution and bandwidth of workplaces. Citation Text: Xiao Y, Seagull J. Emergent CSCW systems: the resolution and bandwidth of workplaces. Int J Med Inform. 2007;76 Suppl 1:S261-6. Copy Citation Format: Google Scholar PubMed BibTeX …

4558. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? | PSNet
      psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
      October 23, 2018 - Commentary To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Citation Text: Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Radiology. 2013;268(1):4-7. doi…

4559. Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. | PSNet
      psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
      December 08, 2024 - Meeting/Conference Proceedings Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Citation Text: Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…

4560. Finding the patient in patient safety. | PSNet
      psnet.ahrq.gov/issue/finding-patient-patient-safety
      November 17, 2014 - Commentary Finding the patient in patient safety. Citation Text: Hor S-Y, Godbold N, Collier A, et al. Finding the patient in patient safety. Health (London). 2013;17(6):567-83. doi:10.1177/1363459312472082. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…