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  1. Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
    August 25, 2010 - Commentary Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…

  2. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
    April 15, 2009 - Study Mix of methods is needed to identify adverse events in general practice: a prospective observational study. Citation Text: Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…

  3. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. | PSNet

    psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health
    June 01, 2022 - Study Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. Citation Text: Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Hea…

  4. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet

    psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
    June 24, 2010 - Review A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Citation Text: Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …

  5. Do HSMRs really measure patient safety?  | PSNet

    psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
    June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety?  Citation Text: Do HSMRs really measure patient safety?  Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Gh…

  6. Improving prescription drug warnings to promote patient comprehension. | PSNet

    psnet.ahrq.gov/issue/improving-prescription-drug-warnings-promote-patient-comprehension
    December 21, 2014 - Study Improving prescription drug warnings to promote patient comprehension. Citation Text: Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. Copy Citation …

  7. What words convey: the potential for patient narratives to inform quality improvement. | PSNet

    psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
    August 19, 2015 - Study What words convey: the potential for patient narratives to inform quality improvement. Citation Text: Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…

  8. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
    April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

  9. Identification of poor performance in a national medical workforce over 11 years: an observational study. | PSNet

    psnet.ahrq.gov/issue/identification-poor-performance-national-medical-workforce-over-11-years-observational-study
    August 12, 2014 - Study Identification of poor performance in a national medical workforce over 11 years: an observational study. Citation Text: Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Sa…

  10. Misdiagnosis of heart failure: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature
    October 06, 2021 - Review Misdiagnosis of heart failure: a systematic review of the literature. Citation Text: Wong CW, Tafuro J, Azam Z, et al. Misdiagnosis of heart failure: a systematic review of the literature. J Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014. Copy Citation …

  11. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. | PSNet

    psnet.ahrq.gov/issue/radiologist-initiated-double-reading-abdominal-ct-retrospective-analysis-clinical-importance
    September 01, 2016 - Study Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. Citation Text: Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the c…

  12. Coronavirus: can this California prison save itself from Covid-19? | PSNet

    psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19
    July 01, 2020 - Newspaper/Magazine Article Coronavirus: can this California prison save itself from Covid-19? Citation Text: Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News, Washington. 2020;Jul 27. Copy Citation Format: Google Scholar BibT…

  13. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. | PSNet

    psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors
    April 30, 2014 - Study Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Citation Text: Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. Copy Citatio…

  14. A system-wide hospital child maltreatment patient safety program. | PSNet

    psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
    September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

  15. Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. | PSNet

    psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
    July 07, 2021 - Study Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study. Citation Text: Masoudi FA, Magid DJ, Vinson DR, e…

  16. New U.S. health crisis looms as patients without COVID-19 delay care. | PSNet

    psnet.ahrq.gov/issue/new-us-health-crisis-looms-patients-without-covid-19-delay-care
    July 29, 2020 - Newspaper/Magazine Article New U.S. health crisis looms as patients without COVID-19 delay care. Citation Text: Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  17. Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
    November 02, 2022 - Commentary Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. Citation Text: McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…

  18. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. | PSNet

    psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
    September 13, 2023 - Study Clinical features and preventability of delayed diagnosis of pediatric appendicitis. Citation Text: Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…

  19. Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet

    psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
    November 18, 2016 - Commentary Curriculum development and implementation of a national interprofessional fellowship in patient safety. Citation Text: Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…

  20. Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. | PSNet

    psnet.ahrq.gov/issue/testing-and-improving-acceptability-web-based-platform-collective-intelligence-improve
    December 02, 2020 - Study Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics. Citation Text: Fontil V, Radcliffe K, Lyson HC, et al. Testing and improving the acceptability of a web-based platform for collective …
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