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  1. Adoption of order entry with decision support for chronic care by physician organizations. | PSNet

    psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
    October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations. Citation Text: Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9. Copy …

  2. Framework for analysing risk and safety in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
    February 19, 2014 - Commentary Framework for analysing risk and safety in clinical medicine. Citation Text: Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. Copy Citation Format: Google Scholar PubMed BibTeX E…

  3. Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. | PSNet

    psnet.ahrq.gov/issue/student-perceptions-medical-errors-incorporating-explicit-professionalism-curriculum-third
    August 04, 2021 - Study Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the third-year surgery clerkship. Citation Text: Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit professionalism curriculum in the …

  4. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? | PSNet

    psnet.ahrq.gov/issue/increased-mortality-associated-weekend-hospital-admission-case-expanded-seven-day-services
    March 02, 2012 - Study Increased mortality associated with weekend hospital admission: a case for expanded seven day services? Citation Text: Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596.…

  5. Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet

    psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
    March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…

  6. Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet

    psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
    May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

  7. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
    December 02, 2015 - Commentary Medication reconciliation to facilitate transitions of care after hospitalization. Citation Text: Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. Copy C…

  8. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet

    psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
    May 01, 2019 - Study Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Citation Text: Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…

  9. The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. | PSNet

    psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
    October 19, 2022 - Study The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. Citation Text: Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…

  10. Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
    January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …

  11. Managing safety in perioperative settings: strategies of meso-level nurse leaders. | PSNet

    psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
    April 06, 2011 - Study Managing safety in perioperative settings: strategies of meso-level nurse leaders. Citation Text: Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…

  12. Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. | PSNet

    psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
    December 22, 2018 - Study Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. Citation Text: Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…

  13. A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. | PSNet

    psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education
    August 10, 2022 - Study A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. Citation Text: Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient …

  14. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
    October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

  15. Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. | PSNet

    psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
    April 08, 2020 - Study Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. Citation Text: Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…

  16. Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet

    psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
    September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

  17. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. | PSNet

    psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
    November 12, 2014 - Review Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Citation Text: Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…

  18. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
    June 02, 2021 - Study Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. Citation Text: Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…

  19. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. | PSNet

    psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children
    December 21, 2022 - Study Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Citation Text: Smith RB, Dynan L, Fairbrother G, et al. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Health Serv Res. 2012;47(4):1621-4…

  20. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. | PSNet

    psnet.ahrq.gov/issue/patient-safety-numerical-skills-and-drug-calculation-abilities-nursing-students-and
    July 08, 2020 - Study Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. Citation Text: McMullan M, Jones R, Lea S. Patient safety: numerical skills and drug calculation abilities of nursing students and Registered Nurses. J Adv Nurs. 2010;66(4). …
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