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  1. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-us-rural-healthcare-call-action
    December 22, 2018 - Book/Report Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. Citation Text: Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…

  2. Nonopioid directives: unintended consequences in the operating room. | PSNet

    psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
    September 07, 2022 - Commentary Nonopioid directives: unintended consequences in the operating room. Citation Text: Bicket MC, Waljee JF, Hilliard P. Nonopioid directives: unintended consequences in the operating room. JAMA Health Forum. 2022;3(6):e221356. doi:10.1001/jamahealthforum.2022.1356. Copy Citati…

  3. The sensitivity of adverse event cost estimates to diagnostic coding error. | PSNet

    psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error
    March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. Citation Text: Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…

  4. Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet

    psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
    May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

  5. ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. | PSNet

    psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems
    April 24, 2018 - Commentary ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. Citation Text: Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…

  6. The complexity, diversity, and science of primary care teams. | PSNet

    psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams
    November 18, 2016 - Review Emerging Classic The complexity, diversity, and science of primary care teams. Citation Text: Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. Copy Citation …

  7. Automated detection of harm in healthcare with information technology: a systematic review. | PSNet

    psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
    April 11, 2011 - Review Automated detection of harm in healthcare with information technology: a systematic review. Citation Text: Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e…

  8. Evolution of a rapid response system from voluntary to mandatory activation. | PSNet

    psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
    June 07, 2023 - Commentary Evolution of a rapid response system from voluntary to mandatory activation. Citation Text: Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241. Copy Citation Forma…

  9. Teaching a 'good' ward round. | PSNet

    psnet.ahrq.gov/issue/teaching-good-ward-round
    October 28, 2020 - Commentary Teaching a 'good' ward round. Citation Text: Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  10. A system safety approach to assessing risks in the sepsis treatment process. | PSNet

    psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
    February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…

  11. Complications: acknowledging, managing, and coping with human error. | PSNet

    psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
    March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…

  12. Measuring to improve medication reconciliation in a large subspecialty outpatient practice. | PSNet

    psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
    February 02, 2011 - Study Measuring to improve medication reconciliation in a large subspecialty outpatient practice. Citation Text: Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…

  13. Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. | PSNet

    psnet.ahrq.gov/issue/correlation-between-24-hour-predischarge-opioid-use-and-amount-opioids-prescribed-hospital
    November 13, 2024 - Study Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital discharge. Citation Text: Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018…

  14. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. | PSNet

    psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
    October 15, 2014 - Study An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. Citation Text: Katz MG, Rockne WY, Braga R, et al. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. A…

  15. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

    psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic
    November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

  16. Improving electronic health record usability and safety requires transparency. | PSNet

    psnet.ahrq.gov/issue/improving-electronic-health-record-usability-and-safety-requires-transparency
    September 19, 2018 - Commentary Improving electronic health record usability and safety requires transparency. Citation Text: Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079. Copy Cita…

  17. Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-systems
    March 01, 2017 - Study Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. Citation Text: Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10…

  18. Classification of adverse events occurring in a surgical intensive care unit. | PSNet

    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - Study Classification of adverse events occurring in a surgical intensive care unit. Citation Text: Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. Copy Citation Format: Goog…

  19. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

    psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
    January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

  20. Adoption of order entry with decision support for chronic care by physician organizations. | PSNet

    psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
    October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations. Citation Text: Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9. Copy …
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