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6621. I-CaRe: a case review tool focused on improving inpatient care. | PSNet
      psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
      February 18, 2011 - Commentary I-CaRe: a case review tool focused on improving inpatient care. Citation Text: Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. Copy Citation Format: Googl…

6622. Teamwork behaviours and errors during neonatal resuscitation. | PSNet
      psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
      September 13, 2011 - Study Teamwork behaviours and errors during neonatal resuscitation. Citation Text: Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. Copy Citation Format…

6623. The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
      April 03, 2019 - Book/Report The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…

6624. Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. | PSNet
      psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
      May 03, 2023 - Book/Report Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Citation Text: Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …

6625. Management of the difficult airway: a closed claims analysis. | PSNet
      psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
      July 13, 2010 - Study Management of the difficult airway: a closed claims analysis. Citation Text: Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39. Copy Citation Format: Google Scholar PubMed BibTeX…

6626. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway. | PSNet
      psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
      May 27, 2011 - Study Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway. Citation Text: Dean JE, Hutchinson A, Escoto KH, et al. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient …

6627. Safety huddles in the PACU: when a patient self-medicates. | PSNet
      psnet.ahrq.gov/issue/safety-huddles-pacu-when-patient-self-medicates
      December 14, 2016 - Commentary Safety huddles in the PACU: when a patient self-medicates. Citation Text: Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010. Copy Citation Format: DOI Google Sc…

6628. Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet
      psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
      December 13, 2023 - Review Role of intraoperative cholangiography in avoiding bile duct injury. Citation Text: Massarweh NN, Flum DR. Role of intraoperative cholangiography in avoiding bile duct injury. J Am Coll Surg. 2007;204(4):656-64. Copy Citation Format: Google Scholar PubMed BibTeX En…

6629. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet
      psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
      December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

6630. Time to sign off on signout. | PSNet
      psnet.ahrq.gov/issue/time-sign-signout
      March 11, 2011 - Commentary Time to sign off on signout. Citation Text: Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

6631. Accountability in nursing practice: why it is important for patient safety. | PSNet
      psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
      April 07, 2021 - Commentary Accountability in nursing practice: why it is important for patient safety. Citation Text: Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008. Copy Citation Format…

6632. Failure to notify reportable test results: significance in medical malpractice. | PSNet
      psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
      April 29, 2020 - Study Failure to notify reportable test results: significance in medical malpractice. Citation Text: Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…

6633. The wisdom of patients and families: ignore it at our peril. | PSNet
      psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
      March 13, 2013 - Commentary The wisdom of patients and families: ignore it at our peril. Citation Text: Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573. Copy Citation Format: DOI Google Scholar PubMe…

6634. 'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people. | PSNet
      psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistreatment-while-giving-birth-say-cdc-report-validates
      April 27, 2022 - Newspaper/Magazine Article 'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people. Citation Text: 'Nobody cared': Women who have reported mistreatment while giving b…

6635. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
      October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

6636. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet
      psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
      November 01, 2017 - Review Emerging Classic Overdiagnosis in primary care: framing the problem and finding solutions. Citation Text: Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. Copy C…

6637. Evaluating sample medications in primary care: a practice-based research network study. | PSNet
      psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
      July 12, 2010 - Study Evaluating sample medications in primary care: a practice-based research network study. Citation Text: Hansen LB, Saseen JJ, Westfall JM, et al. Evaluating sample medications in primary care: a practice-based research network study. Jt Comm J Qual Patient Saf. 2006;32(12):688-692…

6638. Formalizing the hidden curriculum of performance enhancing errors. | PSNet
      psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
      February 17, 2021 - Review Formalizing the hidden curriculum of performance enhancing errors. Citation Text: Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. Copy Citation Format: …

6639. Medical error and decision making: learning from the past and present in intensive care. | PSNet
      psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
      June 26, 2024 - Review Medical error and decision making: learning from the past and present in intensive care. Citation Text: Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001. C…

6640. The role of surgeon error in withdrawal of postoperative life support. | PSNet
      psnet.ahrq.gov/issue/role-surgeon-error-withdrawal-postoperative-life-support
      July 03, 2014 - Study The role of surgeon error in withdrawal of postoperative life support. Citation Text: Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5. Copy Citation …