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2201. Ambiguities of chronic illness management and challenges to the medical error paradigm. | PSNet
      psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
      July 02, 2014 - Study Ambiguities of chronic illness management and challenges to the medical error paradigm. Citation Text: Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25. Copy Citation Format: …

2202. Clinical decision support and malpractice risk. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
      September 24, 2017 - Commentary Clinical decision support and malpractice risk. Citation Text: Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

2203. Electronic fetal heart rate monitoring: applying principles of patient safety. | PSNet
      psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
      October 10, 2018 - Commentary Electronic fetal heart rate monitoring: applying principles of patient safety. Citation Text: Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016. Copy C…

2204. Verbal medication orders in the OR. | PSNet
      psnet.ahrq.gov/issue/verbal-medication-orders-or
      March 06, 2024 - Commentary Verbal medication orders in the OR. Citation Text: Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

2205. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet
      psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
      November 29, 2017 - Commentary Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Citation Text: Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…

2206. Iatrogenic delirium and coma: a "near miss." | PSNet
      psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
      September 23, 2020 - Commentary Iatrogenic delirium and coma: a "near miss." Citation Text: Dunn WF, Adams SC, Adams RW. Iatrogenic delirium and coma: a "near miss". Chest. 2008;133(5):1217-20. doi:10.1378/chest.08-0471. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

2207. Risk of mistaken DNR orders. | PSNet
      psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
      October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

2208. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet
      psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
      July 19, 2017 - Newspaper/Magazine Article Sounding the alarm. Nurses, organizations work to address alarm fatigue. Citation Text: Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. Copy Citation Format: Google Scholar PubMed…

2209. The quality of pharmacologic care for vulnerable older patients. | PSNet
      psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
      August 27, 2012 - Study The quality of pharmacologic care for vulnerable older patients. Citation Text: Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20. Copy Citation Format: Google Scholar PubMe…

2210. Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet
      psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
      December 12, 2018 - Newspaper/Magazine Article Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. Citation Text: Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024. Copy…

2211. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
      April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

2212. Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
      March 10, 2021 - Commentary Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. Citation Text: Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2. Copy Citation Format: DOI G…

2213. A concept analysis of systems thinking. | PSNet
      psnet.ahrq.gov/issue/concept-analysis-systems-thinking
      August 20, 2018 - Review A concept analysis of systems thinking. Citation Text: Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

2214. Thinking fast and slow in medicine. | PSNet
      psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
      June 21, 2017 - Commentary Thinking fast and slow in medicine. Citation Text: Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

2215. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet
      psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
      December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

2216. Medical error: the second victim. | PSNet
      psnet.ahrq.gov/issue/medical-error-second-victim-0
      February 17, 2017 - Commentary Medical error: the second victim. Citation Text: McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

2217. Critical incident stress debriefing after adverse patient safety events. | PSNet
      psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
      April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. Citation Text: Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. Copy Citation Format: Google Scholar PubMed BibTeX E…

2218. EAU policy on live surgery events. | PSNet
      psnet.ahrq.gov/issue/eau-policy-live-surgery-events
      December 29, 2014 - Review EAU policy on live surgery events. Citation Text: Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

2219. Home medical device safety tops ECRI'S list of healthcare technology. | PSNet
      psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology
      February 08, 2023 - Newspaper/Magazine Article Home medical device safety tops ECRI'S list of healthcare technology. Citation Text: Home medical device safety tops ECRI'S list of healthcare technology. Wicklund E. HealthLeaders. January 19, 2023. Copy Citation Save Save to your lib…

2220. Assessing and monitoring override medications in automated dispensing devices. | PSNet
      psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
      May 06, 2009 - Study Assessing and monitoring override medications in automated dispensing devices. Citation Text: Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. Copy Citation F…