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  1. Resident duty-hour reform associated with increased morbidity following hip fracture. | PSNet

    psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
    October 19, 2022 - Study Resident duty-hour reform associated with increased morbidity following hip fracture. Citation Text: Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…

  2. Quality improvement through implementation of discharge order reconciliation. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
    September 23, 2020 - Commentary Quality improvement through implementation of discharge order reconciliation. Citation Text: Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …

  3. 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…

  4. Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. | PSNet

    psnet.ahrq.gov/issue/safe-practices-copy-and-paste-ehr-systematic-review-recommendations-and-novel-model-health-it
    April 08, 2018 - Review Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. Citation Text: Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review, Recommendations, and Novel Model for…

  5. Understanding the cognitive work of nursing in the acute care environment. | PSNet

    psnet.ahrq.gov/issue/understanding-cognitive-work-nursing-acute-care-environment
    July 20, 2022 - Study Understanding the cognitive work of nursing in the acute care environment. Citation Text: Potter P, Wolf L, Boxerman S, et al. Understanding the cognitive work of nursing in the acute care environment. J Nurs Adm. 2005;35(7-8):327-335. https://journals.lww.com/jonajournal/Abstract/…

  6. Opportunities to enhance laboratory professionals' role on the diagnostic team. | PSNet

    psnet.ahrq.gov/issue/opportunities-enhance-laboratory-professionals-role-diagnostic-team
    April 13, 2022 - Study Opportunities to enhance laboratory professionals' role on the diagnostic team. Citation Text: Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048. Copy Cit…

  7. Patient safety in the critical care environment. | PSNet

    psnet.ahrq.gov/issue/patient-safety-critical-care-environment
    November 16, 2022 - Commentary Patient safety in the critical care environment. Citation Text: Rossi PJ, Edmiston CE. Patient safety in the critical care environment. Surg Clin North Am. 2012;92(6):1369-86. doi:10.1016/j.suc.2012.08.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  8. Patient safety features of clinical computer systems: questionnaire survey of GP views. | PSNet

    psnet.ahrq.gov/issue/patient-safety-features-clinical-computer-systems-questionnaire-survey-gp-views
    May 31, 2011 - Study Patient safety features of clinical computer systems: questionnaire survey of GP views. Citation Text: Morris CJ, Savelyich BSP, Avery A, et al. Patient safety features of clinical computer systems: questionnaire survey of GP views. Qual Saf Health Care. 2005;14(3):164-8. Copy …

  9. Provider and patient perceptions of an external medication history function. | PSNet

    psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
    July 16, 2015 - Study Provider and patient perceptions of an external medication history function. Citation Text: Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197. C…

  10. Violations of behavioral practices revealed in closed claims reviews. | PSNet

    psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
    August 26, 2011 - Study Violations of behavioral practices revealed in closed claims reviews. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. Copy Citatio…

  11. Team-based care: the changing face of cardiothoracic surgery. | PSNet

    psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
    October 07, 2013 - Review Team-based care: the changing face of cardiothoracic surgery. Citation Text: Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. Copy Citation Format: D…

  12. Feedback from incident reporting: information and action to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
    August 26, 2009 - Study Feedback from incident reporting: information and action to improve patient safety. Citation Text: Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…

  13. Patient identification errors: the detective in the laboratory. | PSNet

    psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory
    March 09, 2022 - Study Patient identification errors: the detective in the laboratory. Citation Text: Salinas M, López-Garrigós M, Lillo R, et al. Patient identification errors: the detective in the laboratory. Clin Biochem. 2013;46(16-17):1767-9. doi:10.1016/j.clinbiochem.2013.08.005. Copy Citation …

  14. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. | PSNet

    psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review
    January 01, 2000 - Review Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. Citation Text: Austria D, McConnell C, Pope C. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. J Patient Saf. 2024;20(4):272-278. doi:10.…

  15. Fixed-dose combination antihypertensives and risk of medication errors. | PSNet

    psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
    September 28, 2016 - Study Fixed-dose combination antihypertensives and risk of medication errors. Citation Text: Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492. Copy Citation Format: …

  16. Case study research: the view from complexity science. | PSNet

    psnet.ahrq.gov/issue/case-study-research-view-complexity-science
    January 03, 2017 - Commentary Case study research: the view from complexity science. Citation Text: Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  17. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  18. Comparison of computerized surveillance and manual chart review for adverse events. | PSNet

    psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events
    August 31, 2011 - Study Comparison of computerized surveillance and manual chart review for adverse events. Citation Text: Tinoco A, Evans S, Staes CJ, et al. Comparison of computerized surveillance and manual chart review for adverse events. J Am Med Inform Assoc. 2011;18(4):491-7. doi:10.1136/amiajnl-…

  19. How often do physicians review medication charts on ward rounds? | PSNet

    psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
    September 23, 2020 - Study How often do physicians review medication charts on ward rounds? Citation Text: Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9. Copy Citation Format: DOI Google Scholar PubM…

  20. Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
    July 19, 2023 - Study Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Citation Text: Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…
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