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An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. | PSNet

psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-against-medical-oncologists-national-database

July 02, 2019 - Study An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. Citation Text: Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical oncologists from a national database:…

PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. | PSNet

psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations

October 29, 2017 - Commentary PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. Citation Text: Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. | PSNet

psnet.ahrq.gov/issue/communication-and-collaboration-its-about-pharmacists-well-physicians-and-nurses

November 25, 2009 - Study Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Citation Text: Holden LM, Watts DD, Walker PH. Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses. Qual Saf Health Care. 2010;19(3):16…

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet

psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface

April 29, 2018 - Commentary Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. Citation Text: Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncras…

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet

psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients

September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. Citation Text: Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. | PSNet

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February 15, 2017 - Study High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. Citation Text: Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…

A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. | PSNet

psnet.ahrq.gov/issue/novel-process-introducing-new-intraoperative-program-multidisciplinary-paradigm-mitigating

January 02, 2017 - Study A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. Citation Text: Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidiscipli…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

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December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. | PSNet

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October 21, 2020 - Study Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. Citation Text: Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…

Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet

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March 01, 2023 - Study Race differences in reported "near miss" patient safety events in health care system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat S. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. J …

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety

January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet

psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care

February 18, 2009 - Study Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. Citation Text: Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …

Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-practices-2010-through-2015-among-dentists-united-states-what-do-claims

December 20, 2017 - Study Emerging Classic Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? Citation Text: Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the Uni…

Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective

April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

Safety cases for digital health innovations: can they work? | PSNet

psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work

April 13, 2022 - Commentary Safety cases for digital health innovations: can they work? Citation Text: Sujan M, Habli I. Safety cases for digital health innovations: can they work? BMJ Qual Saf. 2021;30(12):1047-1050. doi:10.1136/bmjqs-2021-012983. Copy Citation Format: DOI Google Scholar B…

Are temporary staff associated with more severe emergency department medication errors? | PSNet

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June 29, 2011 - Study Are temporary staff associated with more severe emergency department medication errors? Citation Text: Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945…

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. | PSNet

psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety

December 21, 2017 - Study Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Citation Text: Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…

Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/attending-physician-remote-access-electronic-health-record-and-implications-resident

September 22, 2010 - Study Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. Citation Text: Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident …

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. | PSNet

psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description-4846

March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. | PSNet

psnet.ahrq.gov/issue/centers-disease-control-and-prevention-guideline-prevention-surgical-site-infection-2017

June 27, 2018 - Review Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. Citation Text: Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JA…

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