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9641. America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. | PSNet
      psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
      November 23, 2016 - Book/Report America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Citation Text: America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Oakbrook Terrace, IL: The Joint Commission; November 2014. Copy Citatio…

9642. 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…

9643. Patient safety knowledge and its determinants in medical trainees. | PSNet
      psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
      July 29, 2020 - Study Patient safety knowledge and its determinants in medical trainees. Citation Text: Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees. J Gen Intern Med. 2007;22(8):1150-4. Copy Citation Format: Google Scholar Pu…

9644. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. | PSNet
      psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
      June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. Citation Text: Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system er…

9645. 'Between the flags': implementing a rapid response system at scale. | PSNet
      psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
      June 08, 2011 - Commentary 'Between the flags': implementing a rapid response system at scale. Citation Text: Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845. Copy Citation For…

9646. Health literacy and quality: focus on chronic illness care and patient safety. | PSNet
      psnet.ahrq.gov/issue/health-literacy-and-quality-focus-chronic-illness-care-and-patient-safety
      September 26, 2012 - Commentary Health literacy and quality: focus on chronic illness care and patient safety. Citation Text: Rothman RL, Yin S, Mulvaney S, et al. Health literacy and quality: focus on chronic illness care and patient safety. Pediatrics. 2009;124 Suppl 3:S315-S326. doi:10.1542/peds.2009-11…

9647. Quality improvement in medical education: current state and future directions. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
      June 09, 2015 - Review Quality improvement in medical education: current state and future directions. Citation Text: Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x. Cop…

9648. Simulation based adverse event reporting system: development and feasibility. | PSNet
      psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
      July 08, 2020 - Study Simulation based adverse event reporting system: development and feasibility. Citation Text: Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. Copy Citation Format: …

9649. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. | PSNet
      psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
      July 19, 2023 - Study Sources and types of discrepancies between electronic medical records and actual outpatient medication use. Citation Text: Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…

9650. Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. | PSNet
      psnet.ahrq.gov/issue/speaking-across-drapes-communication-strategies-anesthesiologists-and-obstetricians-during
      May 08, 2017 - Study Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. Citation Text: Minehart RD, Pian-Smith MCM, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetrician…

9651. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet
      psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
      June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

9652. Adverse event protocol for interventional pain medicine: the importance of an organized response. | PSNet
      psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
      January 12, 2022 - Study Adverse event protocol for interventional pain medicine: the importance of an organized response. Citation Text: Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…

9653. The Broselow tape as an effective medication dosing instrument: a review of the literature. | PSNet
      psnet.ahrq.gov/issue/broselow-tape-effective-medication-dosing-instrument-review-literature
      April 09, 2009 - Review The Broselow tape as an effective medication dosing instrument: a review of the literature. Citation Text: Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…

9654. Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. | PSNet
      psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
      November 10, 2015 - Study Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. Citation Text: Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. Copy Citation Format: DOI Googl…

9655. Using a change model to reduce the risk of surgical site infection. | PSNet
      psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
      June 06, 2018 - Commentary Using a change model to reduce the risk of surgical site infection. Citation Text: Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

9656. A handoff is not a telegram: an understanding of the patient is co-constructed. | PSNet
      psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
      September 03, 2014 - Commentary A handoff is not a telegram: an understanding of the patient is co-constructed. Citation Text: Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. Copy Citation…

9657. Creating a fellowship curriculum in patient safety and quality. | PSNet
      psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
      September 09, 2020 - Commentary Creating a fellowship curriculum in patient safety and quality. Citation Text: Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. Copy Citation Format: …

9658. 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…

9659. Narrativizing errors of care: critical incident reporting in clinical practice. | PSNet
      psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice
      September 06, 2017 - Commentary Narrativizing errors of care: critical incident reporting in clinical practice. Citation Text: Iedema R, Flabouris A, Grant S, et al. Narrativizing errors of care: critical incident reporting in clinical practice. Soc Sci Med. 2006;62(1):134-44. Copy Citation Format: …

9660. Patient, physician, medical assistant, and office visit factors associated with medication list agreement. | PSNet
      psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
      June 28, 2017 - February 17, 2017 Differing perceptions of safety culture across job roles in the ambulatory … setting: analysis of the AHRQ Medical Office Survey on Patient Safety Culture. … January 8, 2018 What patients think doctors know: beliefs about provider knowledge as