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  1. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-310
    September 29, 2021 - Commentary Electronic health record interoperability-why electronically discontinued … Prior research has found that electronic health record systems (EHRs) cannot effectively communicate

  2. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
    May 01, 2013 - This medical center had a functioning electronic health record (EHR) and computerized provider order

  3. A prospective study of patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
    July 25, 2012 - Study Classic A prospective study of patient safety in the operating room. Citation Text: Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173. Copy Citation Format: …

  4. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead-electrocardiogram
    February 10, 2016 - Study The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Citation Text: Bond RR, Finlay DD, Nugent CD, et al. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Eur J…

  5. The power of regret. | PSNet

    psnet.ahrq.gov/issue/power-regret
    February 17, 2011 - Commentary The power of regret. Citation Text: Groopman J, Hartzband P. The Power of Regret. N Engl J Med. 2017;377(16):1507-1509. doi:10.1056/NEJMp1709917. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Risk factors of missed colorectal lesions after colonoscopy. | PSNet

    psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
    March 25, 2020 - Study Risk factors of missed colorectal lesions after colonoscopy. Citation Text: Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468. Copy Citation Format: DOI …

  7. Improving pathologists' communication skills. | PSNet

    psnet.ahrq.gov/issue/improving-pathologists-communication-skills
    May 18, 2022 - Commentary Improving pathologists' communication skills. Citation Text: Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  8. Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. | PSNet

    psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
    May 18, 2022 - Commentary Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. Citation Text: Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003. Copy Cit…

  9. The relationship between nurse education level and patient safety: an integrative review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-nurse-education-level-and-patient-safety-integrative-review
    April 10, 2024 - Review The relationship between nurse education level and patient safety: an integrative review. Citation Text: Ridley RT. The relationship between nurse education level and patient safety: an integrative review. J Nurs Educ. 2008;47(4):149-56. Copy Citation Format: Goo…

  10. Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet

    psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
    July 13, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…

  11. Bracing for the storm: one health care system's planning for the COVID-19 surge. | PSNet

    psnet.ahrq.gov/issue/bracing-storm-one-health-care-systems-planning-covid-19-surge
    July 22, 2020 - Commentary Bracing for the storm: one health care system's planning for the COVID-19 surge. Citation Text: Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.202…

  12. Black women's maternal health: insights from community based participatory research in Newark, New Jersey. | PSNet

    psnet.ahrq.gov/issue/black-womens-maternal-health-insights-community-based-participatory-research-newark-new
    June 21, 2023 - Study Black women's maternal health: insights from community based participatory research in Newark, New Jersey. Citation Text: Kantor LM, Cruz N, Adams C, et al. Black women's maternal health: insights from community based participatory research in Newark, New Jersey. Behav Med. 2024;50…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49499/psn-pdf
    December 02, 2020 - An Outpatient 'Zebra' January 1, 2006 Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/outpatient-zebra The Case A 64-year-old man presented to the outpatient clinic with a chief complaint of left foot pain and numbness. His past medical history included lumbar disc diseas…

  14. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-458
    August 28, 2024 - The commentary discusses how human factors engineering and electronic health record (EHR) functionalities

  15. Seen through the patients' eyes: surgical safety and checklists. | PSNet

    psnet.ahrq.gov/issue/seen-through-patients-eyes-surgical-safety-and-checklists
    May 16, 2018 - Study Seen through the patients' eyes: surgical safety and checklists. Citation Text: Bergs J, Lambrechts F, Desmedt M, et al. Seen through the patients' eyes: surgical safety and checklists. Int J Qual Health Care. 2018;30(2):118-123. doi:10.1093/intqhc/mzx180. Copy Citation Forma…

  16. Reducing the risk of diagnostic error in the COVID-19 era. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era
    September 23, 2020 - Commentary Emerging Classic Reducing the risk of diagnostic error in the COVID-19 era. Citation Text: Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. Copy Citation Forma…

  17. Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
    August 04, 2021 - Study Improving team performance during the preprocedure time-out in pediatric interventional radiology. Citation Text: Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…

  18. Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-quality-improvement-emergency-department-reducing-potential-errors-blood
    October 14, 2011 - Study Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. Citation Text: Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …

  19. Factors that influence the expected length of operation: results of a prospective study. | PSNet

    psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
    August 11, 2021 - Study Factors that influence the expected length of operation: results of a prospective study. Citation Text: Gillespie BM, Chaboyer W, Fairweather N. Factors that influence the expected length of operation: results of a prospective study. BMJ Qual Saf. 2012;21(1):3-12. doi:10.1136/bmjqs…

  20. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. | PSNet

    psnet.ahrq.gov/issue/predictors-completeness-patients-self-reported-personal-medication-lists-and-discrepancies
    October 19, 2022 - Study Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists. Citation Text: Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal medication lists and discrepancies with…
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