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  1. Minimizing inappropriate medications in older populations: a ten-step conceptual framework. | PSNet

    psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual-framework
    June 23, 2021 - Commentary Minimizing inappropriate medications in older populations: a ten-step conceptual framework. Citation Text: Scott IA, Gray LC, Martin J, et al. Minimizing inappropriate medications in older populations: a 10-step conceptual framework. Am J Med. 2012;125(6):529-37.e4. doi:10.1…

  2. The impact of racism on child and adolescent health. | PSNet

    psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health
    January 12, 2022 - Organizational Policy/Guidelines The impact of racism on child and adolescent health. Citation Text: Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. Copy Citation Format: …

  3. Quality improvement initiative to reduce serious safety events and improve patient safety culture. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve-patient-safety
    July 24, 2017 - Study Quality improvement initiative to reduce serious safety events and improve patient safety culture. Citation Text: Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e…

  4. Building a highway to quality health care. | PSNet

    psnet.ahrq.gov/issue/building-highway-quality-health-care
    February 14, 2017 - Commentary Building a highway to quality health care. Citation Text: Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  5. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. | PSNet

    psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
    May 18, 2022 - Study Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. Citation Text: Friedman CP, Gatti GG, Franz TM, et al. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. J Gen Int…

  6. Cascades of care after incidental findings in a US national survey of physicians. | PSNet

    psnet.ahrq.gov/issue/cascades-care-after-incidental-findings-us-national-survey-physicians
    April 24, 2018 - Study Classic Cascades of care after incidental findings in a US national survey of physicians. Citation Text: Ganguli I, Simpkin AL, Lupo C, et al. Cascades of Care After Incidental Findings in a US National Survey of Physicians. JAMA Netw Open. 2019;2(10):e191…

  7. Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet

    psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
    December 13, 2023 - Review Role of intraoperative cholangiography in avoiding bile duct injury. Citation Text: Massarweh NN, Flum DR. Role of intraoperative cholangiography in avoiding bile duct injury. J Am Coll Surg. 2007;204(4):656-64. Copy Citation Format: Google Scholar PubMed BibTeX En…

  8. Electronic health records and National Patient-Safety Goals. | PSNet

    psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safety-goals
    December 06, 2023 - Commentary Electronic health records and National Patient-Safety Goals. Citation Text: Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420. Copy Citation Format: DOI Goog…

  9. A leadership framework for culture change in health care. | PSNet

    psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Commentary A leadership framework for culture change in health care. Citation Text: Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. Copy Citation Format: Google Scholar PubMed B…

  10. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
    September 01, 2016 - Study Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Citation Text: Mansfield J, Jarrett S. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. Hosp Pharm. 2013;48(11):942-950. doi:10.1310…

  11. Medical error, incident investigation and the second victim: doing better but feeling worse? | PSNet

    psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse
    July 29, 2020 - Commentary Medical error, incident investigation and the second victim: doing better but feeling worse? Citation Text: Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-20…

  12. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet

    psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
    January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…

  13. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. | PSNet

    psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
    March 10, 2021 - Review Twenty-four/seven: a mixed-method systematic review of the off-shift literature. Citation Text: de Cordova PB, Phibbs CS, Bartel AP, et al. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. J Adv Nurs. 2012;68(7):1454-68. Copy Citation Forma…

  14. Factors associated with disclosure of medical errors by housestaff. | PSNet

    psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
    January 27, 2019 - Study Factors associated with disclosure of medical errors by housestaff. Citation Text: Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084. Copy Citation Format: …

  15. How to discuss errors and adverse events with cancer patients. | PSNet

    psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
    April 01, 2010 - Commentary How to discuss errors and adverse events with cancer patients. Citation Text: Yardley I, Yardley SJ, Wu AW. How to discuss errors and adverse events with cancer patients. Curr Oncol Rep. 2010;12(4):253-60. doi:10.1007/s11912-010-0109-0. Copy Citation Format: DOI…

  16. CPOE: strategies for success. | PSNet

    psnet.ahrq.gov/issue/cpoe-strategies-success
    October 09, 2019 - Commentary CPOE: strategies for success. Citation Text: Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  17. What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet

    psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
    November 16, 2022 - Commentary What is an ethically informed approach to managing patient safety risk during discharge planning? Citation Text: West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…

  18. Potentially inappropriate medications and adverse drug effects in elders in the ED. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
    December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in the ED. Citation Text: Nixdorff N, Hustey FM, Brady AK, et al. Potentially inappropriate medications and adverse drug effects in elders in the ED. Am J Emerg Med. 2008;26(6):697-700. doi:10.1016/j.ajem.20…

  19. Cardiac surgical ICU care: eliminating "preventable" complications. | PSNet

    psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
    August 04, 2021 - Review Cardiac surgical ICU care: eliminating "preventable" complications. Citation Text: Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. Copy Citation Format: D…

  20. Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. | PSNet

    psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
    December 18, 2019 - Newspaper/Magazine Article Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Citation Text: Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Lintern S. The Independent. January 15, 2020. Copy Citation …
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