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  1. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet

    psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
    January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…

  2. Anatomy of an incident disclosure: the importance of dialogue. | PSNet

    psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
    February 20, 2012 - Commentary Anatomy of an incident disclosure: the importance of dialogue. Citation Text: Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. Copy Citation Format: Google Scholar PubMed BibTeX En…

  3. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. | PSNet

    psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
    September 25, 2011 - Study Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Citation Text: Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…

  4. Medication prescribing errors in a teaching hospital. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
    December 23, 2008 - Study Classic Medication prescribing errors in a teaching hospital. Citation Text: Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. Copy Citation Format: Google Scholar P…

  5. Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. | PSNet

    psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety
    September 19, 2017 - Study Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. Citation Text: Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to…

  6. Improving the safety of medication administration using an interactive CD-ROM program. | PSNet

    psnet.ahrq.gov/issue/improving-safety-medication-administration-using-interactive-cd-rom-program
    February 15, 2011 - Commentary Improving the safety of medication administration using an interactive CD-ROM program. Citation Text: Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-6…

  7. Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. | PSNet

    psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
    August 09, 2023 - Study Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. Citation Text: Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…

  8. 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…

  9. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. | PSNet

    psnet.ahrq.gov/issue/pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety
    September 15, 2011 - Commentary The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations. Citation Text: Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event…

  10. Diagnostic error in the pediatric hospital: a narrative review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
    November 16, 2022 - Review Diagnostic error in the pediatric hospital: a narrative review. Citation Text: Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040. Copy Citation …

  11. Patient safety and suicide prevention in mental health services: time for a new paradigm? | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-suicide-prevention-mental-health-services-time-new-paradigm
    April 19, 2023 - Commentary Patient safety and suicide prevention in mental health services: time for a new paradigm? Citation Text: Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi…

  12. Resilience from a stakeholder perspective: the role of next of kin in cancer care. | PSNet

    psnet.ahrq.gov/issue/resilience-stakeholder-perspective-role-next-kin-cancer-care
    April 14, 2021 - Study Resilience from a stakeholder perspective: the role of next of kin in cancer care. Citation Text: Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532…

  13. Patient safety culture in home care: experiences of home-care nurses. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-home-care-experiences-home-care-nurses
    July 02, 2008 - Study Patient safety culture in home care: experiences of home-care nurses. Citation Text: Berland A, Holm AL, Gundersen D, et al. Patient safety culture in home care: experiences of home-care nurses. J Nurs Manag. 2012;20(6):794-801. doi:10.1111/j.1365-2834.2012.01461.x. Copy Citati…

  14. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. | PSNet

    psnet.ahrq.gov/issue/safety-teletriage-nurses-and-physicians-united-states-and-israel-narrative-review-and
    April 29, 2020 - Study Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. Citation Text: Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum…

  15. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. | PSNet

    psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
    August 04, 2021 - Study Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. Citation Text: Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…

  16. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet

    psnet.ahrq.gov/issue/conflict-interest-dr-charles-denham-and-journal-patient-safety
    July 07, 2021 - Review Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. Citation Text: Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. Copy Ci…

  17. Perceptions of rounding checklists in the intensive care unit: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/perceptions-rounding-checklists-intensive-care-unit-qualitative-study
    July 21, 2021 - Study Perceptions of rounding checklists in the intensive care unit: a qualitative study. Citation Text: Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.…

  18. Time-out and checklists: a survey of rural and urban operating room personnel. | PSNet

    psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
    January 09, 2014 - Study Time-out and checklists: a survey of rural and urban operating room personnel. Citation Text: Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. Copy Citation Format: Google Scholar…

  19. Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/oncology-patients-willingness-report-their-medication-safety-concerns-home-qualitative-study
    August 21, 2024 - Study Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. Citation Text: Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer…

  20. Nurse–patient ratios as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
    March 20, 2013 - Review Nurse–patient ratios as a patient safety strategy: a systematic review. Citation Text: Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. Copy Citation F…
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