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  1. Preventable mortality after common urological surgery: failing to rescue? | PSNet

    psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
    July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

  2. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. | PSNet

    psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
    April 11, 2011 - Study The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Citation Text: Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…

  3. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet

    psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
    April 24, 2018 - Study An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. Citation Text: Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with pot…

  4. Directed peer review in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
    December 03, 2014 - Commentary Directed peer review in surgical pathology. Citation Text: Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

  5. High reliability leadership: a conceptual framework. | PSNet

    psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
    March 09, 2022 - Commentary High reliability leadership: a conceptual framework. Citation Text: Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. Copy Citation Format: DOI Google Scholar …

  6. Content analysis of patient complaints. | PSNet

    psnet.ahrq.gov/issue/content-analysis-patient-complaints
    January 18, 2023 - Study Content analysis of patient complaints. Citation Text: Montini T, Noble AA, Stelfox HT. Content analysis of patient complaints. Int J Qual Health Care. 2008;20(6):412-20. doi:10.1093/intqhc/mzn041. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  7. Overarching goals: a strategy for improving healthcare quality and safety? | PSNet

    psnet.ahrq.gov/issue/overarching-goals-strategy-improving-healthcare-quality-and-safety
    September 24, 2018 - Review Overarching goals: a strategy for improving healthcare quality and safety? Citation Text: Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082. Copy Ci…

  8. Error tracking in a clinical biochemistry laboratory. | PSNet

    psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory
    June 10, 2020 - Study Error tracking in a clinical biochemistry laboratory. Citation Text: Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  9. How is medication prescribing ceased? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
    June 14, 2019 - Review How is medication prescribing ceased? A systematic review. Citation Text: Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e. Copy Citation Format: DOI Google…

  10. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet

    psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
    August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…

  11. Hospital process compliance and surgical outcomes in Medicare beneficiaries. | PSNet

    psnet.ahrq.gov/issue/hospital-process-compliance-and-surgical-outcomes-medicare-beneficiaries
    May 01, 2015 - Study Hospital process compliance and surgical outcomes in Medicare beneficiaries. Citation Text: Nicholas LH, Osborne NH, Birkmeyer JD, et al. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010;145(10):999-1004. doi:10.1001/archsurg.2010.191. …

  12. Getting doctors to clean their hands: lead the followers. | PSNet

    psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - Study Getting doctors to clean their hands: lead the followers. Citation Text: Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396. Copy Citation Format: DOI Go…

  13. Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
    September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …

  14. The application of Aronson's taxonomy to medication errors in nursing. | PSNet

    psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
    January 15, 2009 - Study The application of Aronson's taxonomy to medication errors in nursing. Citation Text: Johnson M, Young H. The application of Aronson's taxonomy to medication errors in nursing. J Nurs Care Qual. 2011;26(2):128-35. doi:10.1097/NCQ.0b013e3181f54b14. Copy Citation Format: …

  15. A model for developing high-reliability teams. | PSNet

    psnet.ahrq.gov/issue/model-developing-high-reliability-teams
    September 01, 2018 - Commentary A model for developing high-reliability teams. Citation Text: Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x. Copy Citation Format: DOI Google Scholar Pub…

  16. Learning from every death. | PSNet

    psnet.ahrq.gov/issue/learning-every-death
    June 28, 2011 - Commentary Learning from every death. Citation Text: Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  17. Simulation to Improve Patient Safety: Getting Started. | PSNet

    psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
    June 26, 2024 - Book/Report Simulation to Improve Patient Safety: Getting Started. Citation Text: Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. Copy Citation Format: …

  18. Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. | PSNet

    psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
    September 21, 2016 - Review Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. Citation Text: Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement. J Hosp Med. 2016;11(2):120-2. doi…

  19. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
    August 20, 2018 - Commentary Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety. Citation Text: Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient …

  20. 2017 update on pediatric medical overuse: a review. | PSNet

    psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review
    March 04, 2020 - Review 2017 update on pediatric medical overuse: a review. Citation Text: Coon ER, Young PC, Quinonez RA, et al. 2017 Update on Pediatric Medical Overuse. JAMA Pediatr. 2018;172(5). doi:10.1001/jamapediatrics.2017.5752. Copy Citation Format: DOI Google Scholar BibTeX EndNot…
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