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  1. Prescription of teratogenic medications in United States ambulatory practices. | PSNet

    psnet.ahrq.gov/issue/prescription-teratogenic-medications-united-states-ambulatory-practices
    March 23, 2012 - Study Prescription of teratogenic medications in United States ambulatory practices. Citation Text: Schwarz EB, Maselli J, Norton M, et al. Prescription of teratogenic medications in United States ambulatory practices. Am J Med. 2005;118(11):1240-9. Copy Citation Format: …

  2. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. | PSNet

    psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
    January 06, 2017 - Commentary The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Citation Text: Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. Copy Citation …

  3. Adverse events following an emergency department visit. | PSNet

    psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
    April 22, 2011 - Study Adverse events following an emergency department visit. Citation Text: Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22. Copy Citation Format: Google Scholar PubMed BibTeX End…

  4. Developing and testing a tool to measure nurse/physician communication in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
    June 01, 2011 - Study Developing and testing a tool to measure nurse/physician communication in the intensive care unit. Citation Text: Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b0…

  5. Interventions to reduce medication errors in adult intensive care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-errors-adult-intensive-care-systematic-review
    January 22, 2016 - Review Interventions to reduce medication errors in adult intensive care: a systematic review. Citation Text: Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2…

  6. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. | PSNet

    psnet.ahrq.gov/issue/evidence-based-red-cell-transfusion-critically-ill-quality-improvement-using-computerized
    February 15, 2017 - Study Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Citation Text: Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician …

  7. Interorganizational complexity and organizational accident risk: a literature review. | PSNet

    psnet.ahrq.gov/issue/interorganizational-complexity-and-organizational-accident-risk-literature-review
    June 02, 2021 - Review Interorganizational complexity and organizational accident risk: a literature review. Citation Text: Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. Copy Citation …

  8. "First, know thyself": cognition and error in medicine. | PSNet

    psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
    March 09, 2022 - Review "First, know thyself": cognition and error in medicine. Citation Text: Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. Copy Citation Format: DOI Google Schola…

  9. Differences in day and night shift clinical performance in anesthesiology. | PSNet

    psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
    September 29, 2017 - Study Differences in day and night shift clinical performance in anesthesiology. Citation Text: Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. Copy Citation Format: Google S…

  10. 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…

  11. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  12. More to teamwork than knowledge, skill and attitude. | PSNet

    psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
    July 13, 2009 - Study More to teamwork than knowledge, skill and attitude. Citation Text: Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x. Copy Citation Format: DOI Google Sc…

  13. Learning from defects to enhance morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
    May 20, 2009 - Commentary Learning from defects to enhance morbidity and mortality conferences. Citation Text: Berenholtz SM, Hartsell TL, Pronovost P. Learning from defects to enhance morbidity and mortality conferences. Am J Med Qual. 2009;24(3):192-5. doi:10.1177/1062860609332370. Copy Citation …

  14. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. | PSNet

    psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
    September 24, 2010 - Study Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. Citation Text: Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …

  15. Formalizing the hidden curriculum of performance enhancing errors. | PSNet

    psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
    February 17, 2021 - Review Formalizing the hidden curriculum of performance enhancing errors. Citation Text: Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. Copy Citation Format: …

  16. Association of resident fatigue and distress with perceived medical errors. | PSNet

    psnet.ahrq.gov/issue/association-resident-fatigue-and-distress-perceived-medical-errors
    February 02, 2011 - Study Association of resident fatigue and distress with perceived medical errors. Citation Text: West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. Copy Citation …

  17. Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. | PSNet

    psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
    June 14, 2017 - Newspaper/Magazine Article Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. Citation Text: Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…

  18. Use of board certification and recertification of pediatricians in health plan credentialing policies. | PSNet

    psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
    February 02, 2011 - Study Use of board certification and recertification of pediatricians in health plan credentialing policies. Citation Text: Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…

  19. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet

    psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
    October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

  20. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

    psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
    May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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