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9681. Saying "I'm sorry": error disclosure for ophthalmologists. | PSNet
      psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
      November 20, 2019 - Commentary Saying "I'm sorry": error disclosure for ophthalmologists. Citation Text: Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010. Copy Citation Format: DOI Google S…

9682. Using information to optimize medical outcomes. | PSNet
      psnet.ahrq.gov/issue/using-information-optimize-medical-outcomes
      August 04, 2021 - Commentary Using information to optimize medical outcomes. Citation Text: Duncan JR. Using Information to Optimize Medical Outcomes. JAMA. 2009;301(22). doi:10.1001/jama.2009.827. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

9683. Fallacious reasoning and complexity as root causes of clinical inertia. | PSNet
      psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
      June 17, 2020 - Commentary Fallacious reasoning and complexity as root causes of clinical inertia. Citation Text: Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc. 2007;8(6):349-54. Copy Citation Format: Google Scholar PubMed BibTeX End…

9684. Reporting adverse events to patients: a step-by-step approach. | PSNet
      psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
      November 16, 2022 - Newspaper/Magazine Article Reporting adverse events to patients: a step-by-step approach. Citation Text: Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. Copy Citation Format: Google Schola…

9685. Older Adults and COVID-19: Implications for Aging Policy and Practice. | PSNet
      psnet.ahrq.gov/issue/older-adults-and-covid-19-implications-aging-policy-and-practice
      July 18, 2018 - Special or Theme Issue Older Adults and COVID-19: Implications for Aging Policy and Practice. Citation Text: Older Adults and COVID-19: Implications for Aging Policy and Practice. Miller EA, ed. J Aging Soc Policy. 2020;32(4-5):297-535. Copy Citation Save …

9686. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet
      psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
      September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…

9687. Integrated Telemedicine System Demonstrates Reduction in Children’s Emergency Department Visits (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesMcConnochie2010.pdf
      January 01, 2001 - Integrated Telemedicine System Demonstrates Reduction in Children’s Emergency Department Visits                                                                                                                                                                                                                          …

9688. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. | PSNet
      psnet.ahrq.gov/issue/iatrogenic-events-neonates-beneficial-effects-prevention-strategies-and-continuous-monitoring
      February 20, 2008 - Study Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Citation Text: Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and continuous monitoring. Pediatrics. 2010;126(6):e146…

9689. Judging whether a patient is actually improving: more pitfalls from the science of human perception. | PSNet
      psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
      September 04, 2019 - Review Judging whether a patient is actually improving: more pitfalls from the science of human perception. Citation Text: Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…

9690. Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. | PSNet
      psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
      May 25, 2010 - Study Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. Citation Text: Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J P…

9691. From mindless to mindful practice—cognitive bias and clinical decision making. | PSNet
      psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
      November 23, 2016 - Commentary From mindless to mindful practice—cognitive bias and clinical decision making. Citation Text: Croskerry P. From mindless to mindful practice--cognitive bias and clinical decision making. N Engl J Med. 2013;368(26):2445-2448. doi:10.1056/NEJMp1303712. Copy Citation Form…

9692. Radically redesigning patient safety. | PSNet
      psnet.ahrq.gov/issue/radically-redesigning-patient-safety
      November 13, 2024 - Newspaper/Magazine Article Radically redesigning patient safety. Citation Text: Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

9693. 11 medicine mistakes to avoid. | PSNet
      psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
      March 20, 2024 - Newspaper/Magazine Article 11 medicine mistakes to avoid. Citation Text: Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

9694. Is "first do no harm" a lost concept in medical education? | PSNet
      psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
      December 01, 2004 - Commentary Is "first do no harm" a lost concept in medical education? Citation Text: O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

9695. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. | PSNet
      psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients
      April 21, 2011 - Commentary Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Citation Text: Brown SD, Lehman CD, Truog RD, et al. Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology. 2012;262(2):381-386. doi:10…

9696. Patient Safety and Quality Improvement Act of 2005. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
      March 29, 2023 - Legislation/Case Law Classic Patient Safety and Quality Improvement Act of 2005. Citation Text: Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41.  Copy Citation Save Save to your library Print Download…

9697. 10 Patient Safety Tips for Hospitals. | PSNet
      psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
      December 09, 2009 - Fact Sheet/FAQs Classic 10 Patient Safety Tips for Hospitals. Citation Text: 10 Patient Safety Tips for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-M008. Copy Citation Save …

9698. Becoming a high-reliability organization through shared learning of safety events | PSNet
      psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
      February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

9699. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
      August 01, 2022 - Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program Select for: Planning Grant Evaluation Report ( PDF , 715 KB) Demonstration Grant Evaluation Report ( PDF , 928 KB) On September 9, 2009, President Obama directed the Secretary of the U.S. Department of H…

9700. Chen C et al. 2009 "The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chen-c-et-al-2009
      January 01, 2009 - Chen C et al. 2009 "The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care." Reference Chen C, Garrido T, Chock D, et al. The Kaiser Permanente electronic health record: transforming and streamlining modalities of care. Health Aff 2009;28(2):323-333. Abs…