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5601. Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. | PSNet
      psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
      March 30, 2016 - Newspaper/Magazine Article Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Citation Text: Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23. Copy Citation Save Save to…

5602. Adverse Events Toolkit: Medical Record Review Methodology. | PSNet
      psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
      July 19, 2023 - Book/Report Adverse Events Toolkit: Medical Record Review Methodology. Citation Text: Adverse Events Toolkit: Medical Record Review Methodology. Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00…

5603. Patient safety: listen to whistleblowers. | PSNet
      psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
      May 22, 2019 - Commentary Patient safety: listen to whistleblowers. Citation Text: Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

5604. To err is human, to apologize is hard. | PSNet
      psnet.ahrq.gov/issue/err-human-apologize-hard
      September 28, 2022 - Commentary To err is human, to apologize is hard. Citation Text: Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

5605. Patient safety at the crossroads. | PSNet
      psnet.ahrq.gov/issue/patient-safety-crossroads
      March 18, 2019 - Commentary Patient safety at the crossroads. Citation Text: Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

5606. Measuring safety culture in healthcare: a case for accurate diagnosis. | PSNet
      psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
      May 29, 2014 - Commentary Measuring safety culture in healthcare: a case for accurate diagnosis. Citation Text: Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003. Copy Citation Format: DOI Google Scholar …

5607. Engineering the system of communication for safer surgery. | PSNet
      psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
      January 18, 2013 - Commentary Engineering the system of communication for safer surgery. Citation Text: Healey AN, Nagpal K, Moorthy K, et al. Engineering the system of communication for safer surgery. Cognition, Technology & Work. 2010;13(1). doi:10.1007/s10111-010-0152-5. Copy Citation Format: …

5608. Workarounds are routinely used by nurses—but are they ethical? | PSNet
      psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical
      October 27, 2016 - Commentary Workarounds are routinely used by nurses—but are they ethical? Citation Text: Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7. Copy Citation Format: DOI Google Schol…

5609. When machine learning goes off the rails. A guide to managing the risks. | PSNet
      psnet.ahrq.gov/issue/when-machine-learning-goes-rails-guide-managing-risks
      June 28, 2011 - Newspaper/Magazine Article When machine learning goes off the rails. A guide to managing the risks. Citation Text: When machine learning goes off the rails. A guide to managing the risks. Babic B, Cohen IG,  Evgeniou T, et al. Harv Bus Rev.  2021 January/February;99(1):76-…

5610. Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. | PSNet
      psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
      October 10, 2010 - Study Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. Citation Text: Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;…

5611. Changing practice to improve patient safety and quality of care in perinatal medicine. | PSNet
      psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine
      November 18, 2016 - Review Changing practice to improve patient safety and quality of care in perinatal medicine. Citation Text: Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826. Copy Cita…

5612. ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. | PSNet
      psnet.ahrq.gov/issue/acog-committee-opinion-680-use-and-development-checklists-obstetrics-and-gynecology
      December 14, 2016 - Commentary ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. Citation Text: ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. American College of Obstetricians and Gynecologists’ Committee on Pa…

5613. Health IT Safe Practices for Closing the Loop. | PSNet
      psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
      March 10, 2021 - Toolkit Health IT Safe Practices for Closing the Loop. Citation Text: Health IT Safe Practices for Closing the Loop. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. Copy Citation Save Save to your library Print Download…

5614. New perspectives on error in critical care. | PSNet
      psnet.ahrq.gov/issue/new-perspectives-error-critical-care
      March 10, 2011 - Review New perspectives on error in critical care. Citation Text: Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9. doi:10.1097/MCC.0b013e32830634ae. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

5615. Wide heart monitor use tied to missed alarms. | PSNet
      psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
      July 19, 2023 - Newspaper/Magazine Article Wide heart monitor use tied to missed alarms. Citation Text: Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…

5616. Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. | PSNet
      psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling-parenteral-infusion-drug
      December 16, 2020 - Government Resource Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. Citation Text: Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. Fed Reg. Nov. 28,…

5617. Speaking up about patient safety requires an observant questioner and a high index of suspicion. | PSNet
      psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index-suspicion
      June 10, 2018 - Newspaper/Magazine Article Speaking up about patient safety requires an observant questioner and a high index of suspicion. Citation Text: Speaking up about patient safety requires an observant questioner and a high index of suspicion. ISMP Medication Safety Alert! Acute Care Edition. Oc…

5618. Just Culture and its critical link to patient safety—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
      June 10, 2018 - Newspaper/Magazine Article Just Culture and its critical link to patient safety—part 1 and part 2. Citation Text: Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3. Copy …

5619. Appropriate prescribing of medications: an eight-step approach. | PSNet
      psnet.ahrq.gov/issue/appropriate-prescribing-medications-eight-step-approach
      January 10, 2024 - Commentary Appropriate prescribing of medications: an eight-step approach. Citation Text: Pollock M, Bazaldua O, Dobbie AE. Appropriate prescribing of medications: an eight-step approach. Am Fam Physician. 2007;75(2):231-236. Copy Citation Format: Google Scholar PubMed Bi…

5620. Promoting civility in the OR: an ethical imperative. | PSNet
      psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
      September 12, 2016 - Commentary Promoting civility in the OR: an ethical imperative. Citation Text: Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …