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7481. Sentinel events. In memory of Ben—a case study. | PSNet
      psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
      July 01, 2016 - Study Sentinel events. In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

7482. Strategies for preventing distractions and interruptions in the OR. | PSNet
      psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
      January 23, 2008 - Study Strategies for preventing distractions and interruptions in the OR. Citation Text: Clark GJ. Strategies for preventing distractions and interruptions in the OR. AORN J. 2013;97(6):702-707. doi:10.1016/j.aorn.2013.01.018. Copy Citation Format: DOI Google Scholar PubMed…

7483. Economic measurement of medical errors using a hospital claims database. | PSNet
      psnet.ahrq.gov/issue/economic-measurement-medical-errors-using-hospital-claims-database
      March 03, 2011 - Study Economic measurement of medical errors using a hospital claims database. Citation Text: David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010. Copy Citati…

7484. Using improvement science methods to increase accuracy of surgical consents. | PSNet
      psnet.ahrq.gov/issue/using-improvement-science-methods-increase-accuracy-surgical-consents
      October 05, 2011 - Study Using improvement science methods to increase accuracy of surgical consents. Citation Text: Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. Copy Cit…

7485. Assessment of teamwork during structured interdisciplinary rounds on medical units. | PSNet
      psnet.ahrq.gov/issue/assessment-teamwork-during-structured-interdisciplinary-rounds-medical-units
      December 21, 2014 - Study Assessment of teamwork during structured interdisciplinary rounds on medical units. Citation Text: O'Leary KJ, Boudreau YN, Creden AJ, et al. Assessment of teamwork during structured interdisciplinary rounds on medical units. J Hosp Med. 2012;7(9):679-83. doi:10.1002/jhm.1970. …

7486. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-intensive-care-results-multinational-sentinel-events-evaluation-see-study
      March 03, 2011 - Study Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Citation Text: Valentin A, Capuzzo M, Guidet B, et al. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care …

7487. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet
      psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
      June 03, 2020 - Newspaper/Magazine Article Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. Citation Text: Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…

7488. Barriers and facilitators to nursing handoffs: recommendations for redesign. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
      January 22, 2016 - Study Barriers and facilitators to nursing handoffs: recommendations for redesign. Citation Text: Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005. Copy …

7489. Apology and unintended harm in global health. | PSNet
      psnet.ahrq.gov/issue/apology-and-unintended-harm-global-health
      March 19, 2019 - Commentary Apology and unintended harm in global health. Citation Text: Addiss DG, Amon JJ. Apology and Unintended Harm in Global Health. Health Hum Rights. 2019;21(1):19-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

7490. The limits of clinician vigilance as an AI safety bulwark. | PSNet
      psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
      September 07, 2022 - Commentary The limits of clinician vigilance as an AI safety bulwark. Citation Text: Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620. Copy Citation Format: DOI G…

7491. Cognitive balanced model: a conceptual scheme of diagnostic decision making. | PSNet
      psnet.ahrq.gov/issue/cognitive-balanced-model-conceptual-scheme-diagnostic-decision-making
      July 10, 2013 - Study Cognitive balanced model: a conceptual scheme of diagnostic decision making. Citation Text: Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. Copy Cit…

7492. Presenting complaint: use of language that disempowers patients. | PSNet
      psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
      July 13, 2022 - Commentary Presenting complaint: use of language that disempowers patients. Citation Text: doi:10.1136/bmj-2021-066720. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to …

7493. Attitudes of health sciences faculty members towards interprofessional teamwork and education. | PSNet
      psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-teamwork-and-education
      March 02, 2011 - Study Attitudes of health sciences faculty members towards interprofessional teamwork and education. Citation Text: Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896. Copy Cit…

7494. Medical error reduction and tort reform through private contractually-based quality medicine societies. | PSNet
      psnet.ahrq.gov/issue/medical-error-reduction-and-tort-reform-through-private-contractually-based-quality-medicine
      October 13, 2010 - Commentary Medical error reduction and tort reform through private contractually-based quality medicine societies. Citation Text: MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):5…

7495. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet
      psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
      April 06, 2022 - Study Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Citation Text: Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…

7496. Advancing a More Health-Literate Approach to Patient Safety | PSNet
      psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
      May 31, 2017 - Journal Article Advancing a More Health-Literate Approach to Patient Safety Citation Text: Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11. doi:10.1016/j.jpeds.2019.07.003. Copy Citation Format: DOI Google Scholar PubMed Bi…

7497. Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). | PSNet
      psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
      May 30, 2018 - Grant Announcement Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Citation Text: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018.…

7498. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet
      psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
      March 15, 2022 - Special or Theme Issue Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. Citation Text: Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…

7499. Mandatory pharmacy residencies: one way to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
      July 23, 2008 - Commentary Mandatory pharmacy residencies: one way to reduce medication errors. Citation Text: Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138. Copy Citation …

7500. Racism as a Root Cause approach: a new framework. | PSNet
      psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
      December 17, 2020 - Commentary Racism as a Root Cause approach: a new framework. Citation Text: Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. Copy Citation Format: DOI Google Scholar BibTeX En…