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6461. Emotional harm in the radiology department: analysis of an underrecognized preventable error. | PSNet
      psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable-error
      March 06, 2019 - Study Emotional harm in the radiology department: analysis of an underrecognized preventable error. Citation Text: Siewert B, Swedeen S, Brook OR, et al. Emotional harm in the radiology department: analysis of an underrecognized preventable error. Radiology. 2022;302(3):613-619. doi:10.1…

6462. We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record. | PSNet
      psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
      October 13, 2018 - Study We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record. Citation Text: Sheu L, Fung K, Mourad M, et al. We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record. J …

6463. Association of nurse engagement and nurse staffing on patient safety. | PSNet
      psnet.ahrq.gov/issue/association-nurse-engagement-and-nurse-staffing-patient-safety
      January 22, 2016 - Study Emerging Classic Association of nurse engagement and nurse staffing on patient safety. Citation Text: Carthon MB, Hatfield L, Plover C, et al. Association of nurse engagement and nurse staffing on patient safety. J Nurs Care Qual. 2019;34(1):40-46. doi:10.…

6464. Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. | PSNet
      psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new
      December 30, 2014 - Commentary Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. Citation Text: Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured…

6465. Updating Eindhoven: clarifying the features of a patient safety near miss. | PSNet
      psnet.ahrq.gov/issue/updating-eindhoven-clarifying-features-patient-safety-near-miss
      March 13, 2024 - Study Updating Eindhoven: clarifying the features of a patient safety near miss. Citation Text: Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096. …

6466. Ensuring access to medications in the US during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic
      May 08, 2017 - Commentary Ensuring access to medications in the US during the COVID-19 pandemic. Citation Text: Alexander GC, Qato DM. Ensuring access to medications in the US during the COVID-19 pandemic. JAMA. 2020;324(1):31-32. doi:10.1001/jama.2020.6016. Copy Citation Format: DOI Goog…

6467. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet
      psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
      December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. Citation Text: Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: Organisational factors and indicato…

6468. The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. | PSNet
      psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and
      January 20, 2015 - Study The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. Citation Text: Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explain…

6469. Alterations in Spanish language interpretation during pediatric critical care family meetings. | PSNet
      psnet.ahrq.gov/issue/alterations-spanish-language-interpretation-during-pediatric-critical-care-family-meetings
      April 24, 2018 - Study Alterations in Spanish language interpretation during pediatric critical care family meetings. Citation Text: Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. do…

6470. The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
      April 06, 2022 - Study The role of feedback in emergency ambulance services: a qualitative interview study. Citation Text: Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…

6471. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. | PSNet
      psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000
      February 22, 2019 - Review Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Citation Text: Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…

6472. Process of care failures in breast cancer diagnosis. | PSNet
      psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
      January 06, 2017 - Study Process of care failures in breast cancer diagnosis. Citation Text: Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. Copy Citation Format: DOI Googl…

6473. Outcomes with overlapping surgery at a large academic medical center. | PSNet
      psnet.ahrq.gov/issue/outcomes-overlapping-surgery-large-academic-medical-center
      May 03, 2023 - Study Outcomes with overlapping surgery at a large academic medical center. Citation Text: Ponce BA, Wills BW, Hudson PW, et al. Outcomes With Overlapping Surgery at a Large Academic Medical Center. Ann Surg. 2019;269(3):465-470. doi:10.1097/SLA.0000000000002701. Copy Citation Form…

6474. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. | PSNet
      psnet.ahrq.gov/issue/patient-safety-perspectives-providers-and-nurses-experience-rural-ambulatory-care-practice
      January 13, 2010 - Study Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. Citation Text: Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory …

6475. Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/coe1304.html
      April 01, 2013 - Maryland Guides Prescribers on Use of Atypical Antipsychotic Medications Search All Impact Case Studies April 2013 The Maryland Department of Health and Mental Hygiene used materials created by AHRQ's Effective Health Care Program to help set up a new program for appropriate use of antipsychotic medications…

6476. Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. | PSNet
      psnet.ahrq.gov/issue/executive-summary-american-college-obstetricians-and-gynecologists-presidential-task-force
      September 23, 2020 - Commentary Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. Citation Text: Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…

6477. Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency. | PSNet
      psnet.ahrq.gov/issue/gender-power-and-leadership-effect-superiors-gender-respiratory-therapists-ability-challenge
      December 02, 2015 - Study Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency. Citation Text: Pattni N, Bould MD, Hayter MA, et al. Gender, power and leadership: the effect of a superior's gender on re…

6478. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet
      psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
      July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

6479. Trainees' perceptions of patient safety practices: recounting failures of supervision. | PSNet
      psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision
      September 20, 2011 - Study Trainees' perceptions of patient safety practices: recounting failures of supervision. Citation Text: Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95. Copy…

6480. An opportunity to engage obstetrics and gynecology patients through shared visit notes. | PSNet
      psnet.ahrq.gov/issue/opportunity-engage-obstetrics-and-gynecology-patients-through-shared-visit-notes
      July 01, 2020 - Study An opportunity to engage obstetrics and gynecology patients through shared visit notes. Citation Text: Herlihy M, Harcourt K, Fossa A, et al. An Opportunity to Engage Obstetrics and Gynecology Patients Through Shared Visit Notes. Obstet Gynecol. 2019;134(1):128-137. doi:10.1097/AOG…