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  1. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." | PSNet

    psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure
    August 04, 2015 - Study Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." Citation Text: Covinsky KE, Pierluissi E, Johnston B. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011;306(16):1782-93. doi:10.1001…

  2. Chasing the 6-sigma: drawing lessons from the cockpit culture. | PSNet

    psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons-cockpit-culture
    April 22, 2015 - Commentary Chasing the 6-sigma: drawing lessons from the cockpit culture. Citation Text: Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. Copy Citation F…

  3. HIPAA and patient care: the role for professional judgment. | PSNet

    psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
    June 22, 2022 - Commentary HIPAA and patient care: the role for professional judgment. Citation Text: Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  4. Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. | PSNet

    psnet.ahrq.gov/issue/pediatric-clinician-comfort-discussing-diagnostic-errors-improving-patient-safety-survey
    July 06, 2022 - Study Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. Citation Text: Grubenhoff JA, Ziniel SI, Cifra CL, et al. Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety. Pediatr Qual Saf. 2020;5(2):e259. doi:10…

  5. Weekend versus weekday admission and mortality from myocardial infarction. | PSNet

    psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
    February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

  6. Can electronic clinical documentation help prevent diagnostic errors? | PSNet

    psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
    December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? Citation Text: Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734. Copy Citation Format: …

  7. Use of health information technology to reduce diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/use-health-information-technology-reduce-diagnostic-errors
    April 30, 2014 - Review Use of health information technology to reduce diagnostic errors. Citation Text: El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. Copy Citation Format: …

  8. Electronic prescribing in pediatrics: toward safer and more effective medication management. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management
    October 04, 2011 - Organizational Policy/Guidelines Electronic prescribing in pediatrics: toward safer and more effective medication management. Citation Text: Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…

  9. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

    psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
    August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

  10. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. | PSNet

    psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration
    July 03, 2014 - Study Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Citation Text: FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am J Hea…

  11. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet

    psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
    June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…

  12. A survey of the use of time-out protocols in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/survey-use-time-out-protocols-emergency-medicine
    November 30, 2012 - Study A survey of the use of time-out protocols in emergency medicine. Citation Text: Kelly JJ, Farley HL, O'Cain C, et al. A survey of the use of time-out protocols in emergency medicine. Jt Comm J Qual Patient Saf. 2011;37(6):285-288. Copy Citation Format: Google Schola…

  13. ASPEN parenteral nutrition safety consensus recommendations. | PSNet

    psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
    June 12, 2018 - Commentary ASPEN parenteral nutrition safety consensus recommendations. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations. JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992. Copy Citation …

  14. 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…

  15. Twelve tips for embedding human factors and ergonomics principles in healthcare education. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-embedding-human-factors-and-ergonomics-principles-healthcare-education
    January 09, 2018 - Commentary Twelve tips for embedding human factors and ergonomics principles in healthcare education. Citation Text: Vosper H, Hignett S, Bowie P. Twelve tips for embedding human factors and ergonomics principles in healthcare education. Med Teach. 2017;40(4):357-363. doi:10.1080/0142159…

  16. Training in quality and safety: the current landscape. | PSNet

    psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
    July 03, 2016 - Commentary Training in quality and safety: the current landscape. Citation Text: Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual. 2015;30(6):526-38. doi:10.1177/1062860614544194. Copy Citation Format: DOI Google Scholar PubMed BibT…

  17. ASHP guidelines on remote medication order processing. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

  18. Pre-surgery briefings and safety climate in the operating theatre. | PSNet

    psnet.ahrq.gov/issue/pre-surgery-briefings-and-safety-climate-operating-theatre
    September 27, 2016 - Study Pre-surgery briefings and safety climate in the operating theatre. Citation Text: Allard J, Bleakley A, Hobbs A, et al. Pre-surgery briefings and safety climate in the operating theatre. BMJ Qual Saf. 2011;20(8):711-7. doi:10.1136/bmjqs.2009.032672. Copy Citation Format: …

  19. Cost of medication-related problems at a university hospital. | PSNet

    psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
    January 13, 2021 - Study Classic Cost of medication-related problems at a university hospital. Citation Text: Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE Copy Citation Save Save to yo…

  20. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? | PSNet

    psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
    July 27, 2016 - Newspaper/Magazine Article The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? Citation Text: Hofmann PB. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and ou…
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