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  1. Improving the quality of discharge communication with an educational intervention. | PSNet

    psnet.ahrq.gov/issue/improving-quality-discharge-communication-educational-intervention
    April 24, 2018 - Study Improving the quality of discharge communication with an educational intervention. Citation Text: Key-Solle M, Paulk E, Bradford K, et al. Improving the quality of discharge communication with an educational intervention. Pediatrics. 2010;126(4):734-9. doi:10.1542/peds.2010-0884. …

  2. The lost art of doctoring: reflections of a pediatric resident. | PSNet

    psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident
    November 21, 2021 - Commentary The lost art of doctoring: reflections of a pediatric resident. Citation Text: Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. Copy Citation Format: DOI Google Schola…

  3. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. | PSNet

    psnet.ahrq.gov/issue/linking-nurse-characteristics-team-member-effectiveness-practice-environment-and-medication
    May 14, 2008 - Study Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. Citation Text: Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2…

  4. Reducing administrative harm in medicine - clinicians and administrators together. | PSNet

    psnet.ahrq.gov/issue/reducing-administrative-harm-medicine-clinicians-and-administrators-together
    February 23, 2022 - Commentary Reducing administrative harm in medicine - clinicians and administrators together. Citation Text: O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174. Copy Citation …

  5. Clinical alarms: improving efficiency and effectiveness. | PSNet

    psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
    February 22, 2010 - Study Clinical alarms: improving efficiency and effectiveness. Citation Text: Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  6. Outcome of 6 years of protocol use for preventing wrong site office surgery. | PSNet

    psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
    February 10, 2012 - Study Outcome of 6 years of protocol use for preventing wrong site office surgery. Citation Text: Starling J, Coldiron BM. Outcome of 6 years of protocol use for preventing wrong site office surgery. J Am Acad Dermatol. 2011;65(4):807-810. doi:10.1016/j.jaad.2011.05.011. Copy Citatio…

  7. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet

    psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
    January 21, 2015 - Study Toward safer practice in otology: a report on 15 years of clinical negligence claims. Citation Text: Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.2…

  8. Characteristics associated with postdischarge medication errors. | PSNet

    psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
    April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …

  9. Medication safety in primary care practice: results from a PPRNet quality improvement intervention. | PSNet

    psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-intervention
    April 23, 2008 - Study Medication safety in primary care practice: results from a PPRNet quality improvement intervention. Citation Text: Wessell AM, Ornstein SM, Jenkins RG, et al. Medication Safety in Primary Care Practice: results from a PPRNet quality improvement intervention. Am J Med Qual. 2013;2…

  10. Strategies for safe medication use in ambulatory care settings in the United States. | PSNet

    psnet.ahrq.gov/issue/strategies-safe-medication-use-ambulatory-care-settings-united-states
    March 08, 2017 - Study Strategies for safe medication use in ambulatory care settings in the United States. Citation Text: Sorensen AV, Bernard SL. Strategies for Safe Medication Use in Ambulatory Care Settings in the United States. J Patient Saf. 2009;5(3). doi:10.1097/pts.0b013e3181b3afc1. Copy Cit…

  11. Getting moving on patient safety—harnessing electronic data for safer care. | PSNet

    psnet.ahrq.gov/issue/getting-moving-patient-safety-harnessing-electronic-data-safer-care
    April 05, 2013 - Commentary Getting moving on patient safety—harnessing electronic data for safer care. Citation Text: Jha AK, Classen D. Getting moving on patient safety--harnessing electronic data for safer care. N Engl J Med. 2011;365(19):1756-8. doi:10.1056/NEJMp1109398. Copy Citation Format:…

  12. New solutions to reduce wrong route medication errors. | PSNet

    psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
    March 20, 2019 - Review New solutions to reduce wrong route medication errors. Citation Text: Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279. Copy Citation Format: DOI Google Scholar PubMed Bib…

  13. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
    June 19, 2018 - Commentary Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Citation Text: Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…

  14. Management of adverse surgical events: a structured education module for residents. | PSNet

    psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
    August 26, 2011 - Study Management of adverse surgical events: a structured education module for residents. Citation Text: Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. Copy Citation Form…

  15. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet

    psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

  16. Patient safety: what is really at issue? | PSNet

    psnet.ahrq.gov/issue/patient-safety-what-really-issue
    October 18, 2017 - Commentary Patient safety: what is really at issue? Citation Text: Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

    psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma
    March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

  18. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. | PSNet

    psnet.ahrq.gov/issue/can-positivity-promote-safety-psychological-capital-development-combats-cynicism-and-unsafe
    June 09, 2011 - Study Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Citation Text: Stratman JL, Youssef-Morgan CM. Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. Safety Sci. 2019;116:13-25. d…

  19. Patient safety in the context of neonatal intensive care: research and educational opportunities. | PSNet

    psnet.ahrq.gov/issue/patient-safety-context-neonatal-intensive-care-research-and-educational-opportunities
    April 11, 2011 - Commentary Patient safety in the context of neonatal intensive care: research and educational opportunities. Citation Text: Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109-15. do…

  20. Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction. | PSNet

    psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over-opioid-dose-reduction
    September 15, 2021 - Newspaper/Magazine Article Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction. Citation Text: Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction. Joseph A. STAT. November 22, 2021 Co…
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