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  1. ASHP guidelines: minimum standard for ambulatory care pharmacy practice. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-minimum-standard-ambulatory-care-pharmacy-practice
    September 23, 2020 - Commentary ASHP guidelines: minimum standard for ambulatory care pharmacy practice. Citation Text: Buxton JA, Babbitt RM, Clegg CA, et al. ASHP guidelines: Minimum standard for ambulatory care pharmacy practice. Am J Health-Syst Pharm. 2015;72(14):1221-1236. doi:10.2146/sp150005. Copy …

  2. Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
    September 13, 2023 - Study Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. Citation Text: Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their cont…

  3. Decoding laboratory test names: a major challenge to appropriate patient care. | PSNet

    psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
    April 24, 2018 - Study Decoding laboratory test names: a major challenge to appropriate patient care. Citation Text: Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…

  4. Management of anesthesia equipment failure: a simulation-based resident skill assessment. | PSNet

    psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment
    December 20, 2017 - Study Management of anesthesia equipment failure: a simulation-based resident skill assessment. Citation Text: Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.…

  5. 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…

  6. Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
    March 20, 2019 - Study Emerging Classic Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. Citation Text: Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…

  7. Computerized physician order entry in the critical care environment: a review of current literature. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
    September 19, 2012 - Review Computerized physician order entry in the critical care environment: a review of current literature. Citation Text: Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…

  8. Proactive risk assessment of surgical site infections in ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
    April 13, 2022 - Study Proactive risk assessment of surgical site infections in ambulatory surgery centers. Citation Text: Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…

  9. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. | PSNet

    psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
    August 16, 2023 - Commentary A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. Citation Text: Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …

  10. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
    October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

  11. Root cause analysis of ambulatory adverse drug events that present to the emergency department. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department
    April 25, 2016 - Study Root cause analysis of ambulatory adverse drug events that present to the emergency department. Citation Text: Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…

  12. 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 …

  13. Practice advisory for the prevention and management of operating room fires.  | PSNet

    psnet.ahrq.gov/issue/practice-advisory-prevention-and-management-operating-room-fires
    December 14, 2010 - Commentary Practice advisory for the prevention and management of operating room fires.  Citation Text: Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10…

  14. A system-wide hospital child maltreatment patient safety program. | PSNet

    psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
    September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

  15. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department. | PSNet

    psnet.ahrq.gov/issue/achieving-institute-medicines-6-aims-quality-midst-opioid-crisis-considerations-emergency
    June 24, 2015 - Commentary Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department. Citation Text: Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: consider…

  16. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
    April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

  17. Long working hours, safety, and health: toward a national research agenda. | PSNet

    psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda
    November 16, 2022 - Review Long working hours, safety, and health: toward a national research agenda. Citation Text: Caruso CC, Bushnell T, Eggerth D, et al. Long working hours, safety, and health: toward a National Research Agenda. Am J Ind Med. 2006;49(11):930-42. Copy Citation Format: Googl…

  18. Taking patients' narratives about clinicians from anecdote to science. | PSNet

    psnet.ahrq.gov/issue/taking-patients-narratives-about-clinicians-anecdote-science
    March 20, 2019 - Commentary Taking patients' narratives about clinicians from anecdote to science. Citation Text: Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361. Copy Citation…

  19. Validity of selected patient safety indicators: opportunities and concerns. | PSNet

    psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns
    June 04, 2014 - Study Validity of selected patient safety indicators: opportunities and concerns. Citation Text: Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…

  20. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. | PSNet

    psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
    January 22, 2017 - Study Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Citation Text: Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):8…
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