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  1. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? | PSNet

    psnet.ahrq.gov/issue/discontinuation-antihyperglycemic-therapy-after-acute-myocardial-infarction-medical-necessity
    February 28, 2011 - Study Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? Citation Text: Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical e…

  2. Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. | PSNet

    psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
    December 22, 2018 - Study Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. Citation Text: Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…

  3. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
    June 02, 2021 - Study Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. Citation Text: Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…

  4. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. | PSNet

    psnet.ahrq.gov/issue/practice-gaps-patient-safety-among-dermatology-residents-and-their-teachers-survey-study
    August 19, 2009 - Study Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. Citation Text: Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JA…

  5. Case-control analysis of the financial cost of medication errors in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
    January 15, 2025 - Study Case-control analysis of the financial cost of medication errors in hospitalized patients. Citation Text: Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71. Copy…

  6. Getting by: underuse of interpreters by resident physicians. | PSNet

    psnet.ahrq.gov/issue/getting-underuse-interpreters-resident-physicians
    February 21, 2018 - Study Getting by: underuse of interpreters by resident physicians. Citation Text: Diamond LC, Schenker Y, Curry LA, et al. Getting by: underuse of interpreters by resident physicians. J Gen Intern Med. 2009;24(2):256-62. doi:10.1007/s11606-008-0875-7. Copy Citation Format: …

  7. Omitted and unjustified medications in the discharge summary. | PSNet

    psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
    May 18, 2022 - Study Omitted and unjustified medications in the discharge summary. Citation Text: Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588. Copy Citation Format: …

  8. Hospital costs associated with adverse events in gynecological oncology. | PSNet

    psnet.ahrq.gov/issue/hospital-costs-associated-adverse-events-gynecological-oncology
    March 09, 2022 - Study Hospital costs associated with adverse events in gynecological oncology. Citation Text: Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Hospital costs associated with adverse events in gynecological oncology. Gynecol Oncol. 2011;121(1):70-5. doi:10.1016/j.ygyno.2010.11.03…

  9. Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

    psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
    August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

  10. Improving quality through effective implementation of information technology in healthcare. | PSNet

    psnet.ahrq.gov/issue/improving-quality-through-effective-implementation-information-technology-healthcare
    October 17, 2016 - Study Improving quality through effective implementation of information technology in healthcare. Citation Text: Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information technology in healthcare. Int J Qual Health Care. 2007;19(5):259-6…

  11. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. | PSNet

    psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
    June 14, 2023 - Review The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Citation Text: Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…

  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. Read-back improves information transfer in simulated clinical crises. | PSNet

    psnet.ahrq.gov/issue/read-back-improves-information-transfer-simulated-clinical-crises
    March 12, 2017 - Study Read-back improves information transfer in simulated clinical crises. Citation Text: Boyd M, Cumin D, Lombard B, et al. Read-back improves information transfer in simulated clinical crises. BMJ Qual Saf. 2014;23(12):989-93. doi:10.1136/bmjqs-2014-003096. Copy Citation Format:…

  14. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. | PSNet

    psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
    August 09, 2023 - Review Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Citation Text: Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qu…

  15. Decreasing paediatric prescribing errors in a district general hospital. | PSNet

    psnet.ahrq.gov/issue/decreasing-paediatric-prescribing-errors-district-general-hospital
    June 09, 2011 - Study Decreasing paediatric prescribing errors in a district general hospital. Citation Text: Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212. Copy Citation …

  16. When a vital sign leads a country astray—the opioid epidemic. | PSNet

    psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic
    May 27, 2020 - Commentary When a vital sign leads a country astray—the opioid epidemic. Citation Text: Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. Copy Citation Format: …

  17. Peer support: healthcare professionals supporting each other after adverse medical events. | PSNet

    psnet.ahrq.gov/issue/peer-support-healthcare-professionals-supporting-each-other-after-adverse-medical-events
    July 24, 2024 - Study Peer support: healthcare professionals supporting each other after adverse medical events. Citation Text: van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. …

  18. Patient involvement in patient safety: the health-care professional's perspective. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-patient-safety-health-care-professionals-perspective
    July 06, 2012 - Study Patient involvement in patient safety: the health-care professional's perspective. Citation Text: Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …

  19. Do team processes really have an effect on clinical performance? A systematic literature review. | PSNet

    psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
    November 13, 2019 - Review Do team processes really have an effect on clinical performance? A systematic literature review. Citation Text: Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…

  20. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-curriculum-medical-residents-based-perspectives-residents-and-supervisors
    April 14, 2011 - Study A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. Citation Text: Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. J Patient Saf. 2011;7…
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