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  1. An iconic language for the graphical representation of medical concepts. | PSNet

    psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts
    March 05, 2025 - Study An iconic language for the graphical representation of medical concepts. Citation Text: Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16. Copy Citation …

  2. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. | PSNet

    psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
    September 27, 2023 - Commentary Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. Citation Text: Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…

  3. Ambulatory patient safety. What we know and need to know. | PSNet

    psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-know-and-need-know
    May 27, 2015 - Study Ambulatory patient safety. What we know and need to know. Citation Text: Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007. Copy Citation Format: …

  4. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | PSNet

    psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency
    June 17, 2014 - Study Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Citation Text: De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…

  5. Exploring the impact of employee engagement and patient safety. | PSNet

    psnet.ahrq.gov/issue/exploring-impact-employee-engagement-and-patient-safety
    July 27, 2022 - Review Exploring the impact of employee engagement and patient safety. Citation Text: Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059. Copy Citation Format: …

  6. Mindful workarounds in bar code medication administration. | PSNet

    psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration
    July 20, 2022 - Commentary Mindful workarounds in bar code medication administration. Citation Text: Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575. Copy Citation Format: DOI Google Scho…

  7. Sustained impact of a pediatric resident-led patient safety council. | PSNet

    psnet.ahrq.gov/issue/sustained-impact-pediatric-resident-led-patient-safety-council
    March 21, 2017 - Study Sustained impact of a pediatric resident-led patient safety council. Citation Text: Parente V, Feeney C, Page L, et al. Sustained Impact of a Pediatric Resident-Led Patient Safety Council. J Patient Saf. 2021;17(8):e1346-e1357. doi:10.1097/PTS.0000000000000495. Copy Citation …

  8. Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

    psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety
    July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

  9. Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. | PSNet

    psnet.ahrq.gov/issue/recommended-guidelines-monitoring-reporting-and-conducting-research-medical-emergency-team
    August 04, 2021 - Commentary Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. Citation Text: Peberdy MA, Cretikos MA, Abella BS, et al. Recommended Guidelines for Monitoring, …

  10. Artificial intelligence, bias and clinical safety. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety
    September 23, 2020 - Review Artificial intelligence, bias and clinical safety. Citation Text: Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf. 2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370. Copy Citation Format: DOI Google Scholar PubMed Bi…

  11. Using near-miss events to improve MRI safety in a large academic centre. | PSNet

    psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre
    May 31, 2017 - Commentary Using near-miss events to improve MRI safety in a large academic centre. Citation Text: Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. Copy Citation…

  12. Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality
    February 14, 2017 - Study Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. Citation Text: Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Qual…

  13. Outpatient prescribing errors and the impact of computerized prescribing. | PSNet

    psnet.ahrq.gov/issue/outpatient-prescribing-errors-and-impact-computerized-prescribing
    February 18, 2011 - Study Outpatient prescribing errors and the impact of computerized prescribing. Citation Text: Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x. …

  14. Patient and family engagement: a survey of US hospital practices. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-engagement-survey-us-hospital-practices
    January 02, 2017 - Study Patient and family engagement: a survey of US hospital practices. Citation Text: Herrin J, Harris KG, Kenward K, et al. Patient and family engagement: a survey of US hospital practices. BMJ Qual Saf. 2016;25(3):182-9. doi:10.1136/bmjqs-2015-004006. Copy Citation Format: …

  15. Strategies to reduce the risk of iatrogenic illness in complex older adults. | PSNet

    psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults
    January 12, 2022 - Review Strategies to reduce the risk of iatrogenic illness in complex older adults. Citation Text: Onder G, van der Cammen TJM, Petrovic M, et al. Strategies to reduce the risk of iatrogenic illness in complex older adults. Age Ageing. 2013;42(3):284-91. doi:10.1093/ageing/aft038. Cop…

  16. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. | PSNet

    psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
    April 15, 2020 - Study Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Citation Text: Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…

  17. ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances
    June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

  18. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. | PSNet

    psnet.ahrq.gov/issue/improving-code-team-performance-and-survival-outcomes-implementation-pediatric-resuscitation
    February 03, 2011 - Study Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. Citation Text: Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. C…

  19. Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

    psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high
    February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

  20. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. | PSNet

    psnet.ahrq.gov/issue/project-boost-effectiveness-multihospital-effort-reduce-rehospitalization
    September 10, 2014 - Study Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. Citation Text: Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054. Co…
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