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  1. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-approach-inpatient-medication-reconciliation-academic-setting
    January 05, 2017 - Study Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Citation Text: Varkey P, Cunningham J, O'Meara J, et al. Multidisciplinary approach to inpatient medication reconciliation in an academic setting. Am J Health Syst Pharm. 2007;64(8):850-4. …

  2. Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
    August 04, 2021 - Study Improving team performance during the preprocedure time-out in pediatric interventional radiology. Citation Text: Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…

  3. Reducing delay in diagnosis: multistage recommendation tracking. | PSNet

    psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
    June 19, 2012 - Study Reducing delay in diagnosis: multistage recommendation tracking. Citation Text: Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332. Copy Citation Format: DOI Googl…

  4. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. | PSNet

    psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
    March 25, 2015 - Study Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Citation Text: Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…

  5. Stressful intensive care unit medical crises: how individual responses impact on team performance. | PSNet

    psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
    May 26, 2010 - Study Stressful intensive care unit medical crises: how individual responses impact on team performance. Citation Text: Piquette D, Reeves S, LeBlanc VR. Stressful intensive care unit medical crises: How individual responses impact on team performance. Crit Care Med. 2009;37(4):1251-12…

  6. National efforts to improve health information system safety in Canada, the United States of America and England. | PSNet

    psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
    July 14, 2009 - Review National efforts to improve health information system safety in Canada, the United States of America and England. Citation Text: Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and …

  7. Attitudes and barriers to incident reporting: a collaborative hospital study. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
    June 15, 2011 - Study Attitudes and barriers to incident reporting: a collaborative hospital study. Citation Text: Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006;15(1):39-43. Copy Citation Format: …

  8. Communication during trauma resuscitation: do we know what is happening? | PSNet

    psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-happening
    February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …

  9. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-us-rural-healthcare-call-action
    December 22, 2018 - Book/Report Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action. Citation Text: Ali KJ, Galvez NJ, Craig S, et al. Diagnostic Excellence In U.s. Rural Healthcare: A Call To Action. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Publication No…

  10. Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. | PSNet

    psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
    June 15, 2011 - Commentary Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. Citation Text: Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…

  11. Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. | PSNet

    psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes
    March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…

  12. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? | PSNet

    psnet.ahrq.gov/issue/disrupting-diagnostic-reasoning-do-interruptions-instructions-and-experience-affect
    February 06, 2014 - Study Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Citation Text: Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…

  13. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. | PSNet

    psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps
    October 19, 2022 - Study Classic The high cost of low-frequency events: the anatomy and economics of surgical mishaps. Citation Text: Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…

  14. General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. | PSNet

    psnet.ahrq.gov/issue/general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-thread-unites-us
    April 03, 2024 - Commentary General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. Citation Text: Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern M…

  15. Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. | PSNet

    psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
    November 09, 2022 - Study Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. Citation Text: Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…

  16. Clinical perspective: creating an effective practice peer review process—a primer. | PSNet

    psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
    November 16, 2022 - Commentary Clinical perspective: creating an effective practice peer review process—a primer. Citation Text: Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.aj…

  17. Practising safely in the foundation years. | PSNet

    psnet.ahrq.gov/issue/practising-safely-foundation-years
    February 04, 2015 - Commentary Practising safely in the foundation years. Citation Text: Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

  18. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. | PSNet

    psnet.ahrq.gov/issue/impact-obstetrical-hospitalist-program-safety-events-mid-sized-obstetrical-unit
    April 03, 2019 - Study Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. Citation Text: Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181.…

  19. Disruptive behaviour in the perioperative setting: a contemporary review. | PSNet

    psnet.ahrq.gov/issue/disruptive-behaviour-perioperative-setting-contemporary-review
    March 06, 2024 - Review Disruptive behaviour in the perioperative setting: a contemporary review. Citation Text: Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. Copy …

  20. Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
    April 06, 2011 - Study Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Citation Text: Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…
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