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  1. Effectiveness of random and focused review in detecting surgical pathology error. | PSNet

    psnet.ahrq.gov/issue/effectiveness-random-and-focused-review-detecting-surgical-pathology-error
    August 04, 2021 - Study Effectiveness of random and focused review in detecting surgical pathology error. Citation Text: Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5…

  2. The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. | PSNet

    psnet.ahrq.gov/issue/daily-goals-communication-sheet-simple-and-novel-tool-improved-communication-and-care
    October 14, 2009 - Commentary The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. Citation Text: Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for improved communication and care. Jt Comm J Qual Patient S…

  3. Second victims and mindfulness: a systematic review. | PSNet

    psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
    July 22, 2020 - Review Second victims and mindfulness: a systematic review. Citation Text: S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176. Copy Citation Format: DOI Google Scholar…

  4. Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. | PSNet

    psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
    March 20, 2013 - Study Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Citation Text: Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…

  5. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. | PSNet

    psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
    April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…

  6. Current challenges and future perspectives for patient safety in surgery. | PSNet

    psnet.ahrq.gov/issue/current-challenges-and-future-perspectives-patient-safety-surgery
    December 21, 2014 - Commentary Current challenges and future perspectives for patient safety in surgery. Citation Text: Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9. Copy Citation Fo…

  7. Nurses' work schedule characteristics, nurse staffing, and patient mortality. | PSNet

    psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
    June 16, 2010 - Study Nurses' work schedule characteristics, nurse staffing, and patient mortality. Citation Text: Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d. Copy…

  8. Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. | PSNet

    psnet.ahrq.gov/issue/pediatric-clinician-comfort-discussing-diagnostic-errors-improving-patient-safety-survey
    July 06, 2022 - Study Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. Citation Text: Grubenhoff JA, Ziniel SI, Cifra CL, et al. Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety. Pediatr Qual Saf. 2020;5(2):e259. doi:10…

  9. Observation for assessment of clinician performance: a narrative review. | PSNet

    psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
    September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…

  10. Learning from defects to enhance morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
    May 20, 2009 - Commentary Learning from defects to enhance morbidity and mortality conferences. Citation Text: Berenholtz SM, Hartsell TL, Pronovost P. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009;24(3):192-5. doi:10.1177/1062860609332370. Copy Citation …

  11. Health literacy in primary care practice. | PSNet

    psnet.ahrq.gov/issue/health-literacy-primary-care-practice
    September 06, 2017 - Commentary Health literacy in primary care practice. Citation Text: Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  12. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. | PSNet

    psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
    September 24, 2010 - Study Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. Citation Text: Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …

  13. A piece of my mind. The patient you least want to see. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
    August 14, 2024 - Commentary A piece of my mind. The patient you least want to see. Citation Text: Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  14. Use of board certification and recertification of pediatricians in health plan credentialing policies. | PSNet

    psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
    February 02, 2011 - Study Use of board certification and recertification of pediatricians in health plan credentialing policies. Citation Text: Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…

  15. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. | PSNet

    psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
    March 10, 2021 - Review Twenty-four/seven: a mixed-method systematic review of the off-shift literature. Citation Text: de Cordova PB, Phibbs CS, Bartel AP, et al. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. J Adv Nurs. 2012;68(7):1454-68. Copy Citation Forma…

  16. Factors associated with disclosure of medical errors by housestaff. | PSNet

    psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
    January 27, 2019 - Study Factors associated with disclosure of medical errors by housestaff. Citation Text: Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084. Copy Citation Format: …

  17. Effective physician–nurse communication: a patient safety essential for labor and delivery. | PSNet

    psnet.ahrq.gov/issue/effective-physician-nurse-communication-patient-safety-essential-labor-and-delivery
    May 21, 2019 - Study Effective physician–nurse communication: a patient safety essential for labor and delivery. Citation Text: Lyndon A, Zlatnik MG, Wachter R. Effective physician-nurse communication: a patient safety essential for labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-6. doi:10.10…

  18. Patient safety strategies: are we on the same team? | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-are-we-same-team
    September 24, 2014 - Commentary Patient safety strategies: are we on the same team? Citation Text: Moffatt-Bruce SD, Funai EF, Nash M, et al. Patient safety strategies: are we on the same team? Obstet Gynecol. 2012;120(4):743-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  19. Approaches to decreasing medication and other care errors in the ICU. | PSNet

    psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other-care-errors-icu
    September 30, 2010 - Review Approaches to decreasing medication and other care errors in the ICU. Citation Text: Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9. Copy Citation Format: DOI …

  20. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. | PSNet

    psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis
    September 23, 2020 - Commentary Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. Citation Text: Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis. J Law Med Ethics. 2004;32(2)…
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