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  1. Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. | PSNet

    psnet.ahrq.gov/issue/strategic-work-arounds-accommodate-new-technology-case-smart-pumps-hospital-care
    July 14, 2010 - Study Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. Citation Text: McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63. …

  2. Diagnostic errors and the bedside clinical examination. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination
    August 20, 2018 - Review Emerging Classic Diagnostic errors and the bedside clinical examination. Citation Text: Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. Copy…

  3. Relationship between systems-level factors and hand hygiene adherence. | PSNet

    psnet.ahrq.gov/issue/relationship-between-systems-level-factors-and-hand-hygiene-adherence
    September 28, 2011 - Study Relationship between systems-level factors and hand hygiene adherence. Citation Text: Dunn-Navarra A-M, Cohen B, Stone PW, et al. Relationship between systems-level factors and hand hygiene adherence. J Nurs Care Qual. 2011;26(1):30-38. doi:10.1097/NCQ.0b013e3181e15c71. Copy Ci…

  4. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
    July 23, 2014 - Study Oral chemotherapy safety practices at US cancer centres: questionnaire survey. Citation Text: Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55. Copy Cita…

  5. Supervision, autonomy, and medical error in the teaching clinic. | PSNet

    psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
    November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

  6. Ambiguity and workarounds as contributors to medical error. | PSNet

    psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
    December 23, 2008 - Commentary Ambiguity and workarounds as contributors to medical error. Citation Text: Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  7. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet

    psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
    May 03, 2018 - Commentary CMS changes in reimbursement for HAIs: setting a research agenda. Citation Text: Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f. Copy Citation Format: …

  8. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
    August 20, 2018 - Study Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. Citation Text: Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …

  9. Medication errors in a pharmacy-based bar-code-repackaging center. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center
    June 28, 2010 - Study Medication errors in a pharmacy-based bar-code-repackaging center. Citation Text: Cina J, Fanikos J, Mitton P, et al. Medication errors in a pharmacy-based bar-code-repackaging center. Am J Health Syst Pharm. 2006;63(2):165-8. Copy Citation Format: Google Scholar Pu…

  10. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. | PSNet

    psnet.ahrq.gov/issue/correlation-workload-disagreement-and-amendment-rates-surgical-pathology-and-nongynecologic
    January 14, 2011 - Study Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Citation Text: Renshaw AA, Gould EW. Correlation of workload with disagreement and amendment rates in surgical pathology and nongynecologic cytology. Am J Clin Pathol.…

  11. Rural hospital patient safety systems implementation in two states. | PSNet

    psnet.ahrq.gov/issue/rural-hospital-patient-safety-systems-implementation-two-states
    February 03, 2011 - Study Rural hospital patient safety systems implementation in two states. Citation Text: Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x. Copy Citation …

  12. Hospital patient safety: characteristics of best-performing hospitals. | PSNet

    psnet.ahrq.gov/issue/hospital-patient-safety-characteristics-best-performing-hospitals
    February 03, 2011 - Study Hospital patient safety: characteristics of best-performing hospitals. Citation Text: Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. Copy Citation Format: …

  13. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet

    psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
    February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

  14. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. | PSNet

    psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
    January 14, 2011 - Review Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Citation Text: Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …

  15. Database construction for improving patient safety by examining pathology errors.   | PSNet

    psnet.ahrq.gov/issue/database-construction-improving-patient-safety-examining-pathology-errors
    December 22, 2008 - Commentary Database construction for improving patient safety by examining pathology errors.   Citation Text: Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7…

  16. Medication errors and patient complications with continuous renal replacement therapy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-patient-complications-continuous-renal-replacement-therapy
    June 25, 2009 - Study Medication errors and patient complications with continuous renal replacement therapy. Citation Text: Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5. Copy Cita…

  17. Assessment of latent factors contributing to error: addressing surgical pathology error wisely. | PSNet

    psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
    September 01, 2012 - Study Assessment of latent factors contributing to error: addressing surgical pathology error wisely. Citation Text: Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011…

  18. Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-responses-alleged-serious-events
    February 18, 2009 - Government Resource Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Citation Text: Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspecto…

  19. Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
    July 14, 2010 - Study Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. Citation Text: Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …

  20. Interns overestimate the effectiveness of their hand-off communication. | PSNet

    psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
    March 02, 2011 - Study Interns overestimate the effectiveness of their hand-off communication. Citation Text: Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351. Copy Citation For…
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