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Failure mode and effects analysis: too little for too much? | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much

November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? Citation Text: Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. Copy Citation Format: DOI Goo…

Piece of my mind. Stories doctors tell. | PSNet

psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell

August 28, 2013 - Commentary Piece of my mind. Stories doctors tell. Citation Text: Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Critical conversations: a call for a nonprocedural "time out." | PSNet

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February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…

Guide to Reducing Unintended Consequences of Electronic Health Records. | PSNet

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May 25, 2016 - Book/Report Guide to Reducing Unintended Consequences of Electronic Health Records. Citation Text: Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …

Health Literacy: Past, Present, and Future: Workshop Summary. | PSNet

psnet.ahrq.gov/issue/health-literacy-past-present-and-future-workshop-summary

December 17, 2014 - Meeting/Conference Proceedings Health Literacy: Past, Present, and Future: Workshop Summary. Citation Text: Health Literacy: Past, Present, and Future: Workshop Summary. Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. …

Information distortion in physicians' diagnostic judgments. | PSNet

psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments

April 07, 2021 - Study Information distortion in physicians' diagnostic judgments. Citation Text: Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241. Copy Citation Format: DO…

Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. | PSNet

psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases

October 26, 2022 - Study Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Citation Text: Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(…

Assessing and improving safety climate in a large cohort of intensive care units. | PSNet

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September 20, 2011 - Study Assessing and improving safety climate in a large cohort of intensive care units. Citation Text: Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…

Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. | PSNet

psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks

March 29, 2006 - Book/Report Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Citation Text: Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Bonnie RJ, Ford M…

Redesigning surgical decision making for high-risk patients. | PSNet

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July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. | PSNet

psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect

April 19, 2011 - Study Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. Citation Text: Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…

Pharmacist medication assessments in a surgical preadmission clinic. | PSNet

psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic

October 15, 2008 - Study Pharmacist medication assessments in a surgical preadmission clinic. Citation Text: Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission clinic. Arch Intern Med. 2007;167(10):1034-40. Copy Citation Format: Google Scholar…

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming

October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet

psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department

May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…

AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. | PSNet

psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report

April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …

Clinical Learning Environment Review (CLER) Program. | PSNet

psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program

November 18, 2020 - Multi-use Website Clinical Learning Environment Review (CLER) Program. Citation Text: Clinical Learning Environment Review (CLER) Program. Accreditation Council for Graduate Medical Education. Copy Citation Save Save to your library Print Download PDF …

Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet

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July 11, 2018 - Book/Report Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Citation Text: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…

Compensation of chief executive officers at nonprofit US hospitals. | PSNet

psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals

December 18, 2018 - Study Compensation of chief executive officers at nonprofit US hospitals. Citation Text: Joynt KE, Le ST, Orav J, et al. Compensation of chief executive officers at nonprofit US hospitals. JAMA Intern Med. 2014;174(1):61-7. doi:10.1001/jamainternmed.2013.11537. Copy Citation Format…

The limits of clinician vigilance as an AI safety bulwark. | PSNet

psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark

September 07, 2022 - Commentary The limits of clinician vigilance as an AI safety bulwark. Citation Text: Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620. Copy Citation Format: DOI G…

Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. | PSNet

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May 18, 2022 - Book/Report Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Citation Text: Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World H…

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