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  1. Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. | PSNet

    psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
    May 13, 2015 - Commentary Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Citation Text: Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. Copy Citation Save …

  2. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. | PSNet

    psnet.ahrq.gov/issue/medicolegal-aspect-error-pathology-search-jury-verdicts-and-settlements
    February 04, 2016 - Review The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Citation Text: Kornstein MJ, Byrne SP. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Arch Pathol Lab Med. 2007;131(4):615-618. Copy Citation …

  3. "It's not our ass": medical resident sense-making regarding lawsuits. | PSNet

    psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
    December 02, 2015 - Study "It's not our ass": medical resident sense-making regarding lawsuits. Citation Text: Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  4. Major congenital malformations after first-trimester exposure to ACE inhibitors. | PSNet

    psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
    July 10, 2008 - Study Major congenital malformations after first-trimester exposure to ACE inhibitors. Citation Text: Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. Major Congenital Malformations after First-Trimester Exposure to ACE Inhibitors. New England Journal of Medicine. 2006;354(23). doi:10.…

  5. Nurses' perceptions of multidisciplinary team work in acute health-care. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
    January 06, 2017 - Image/Poster Nurses' perceptions of multidisciplinary team work in acute health-care. Citation Text: Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. Copy Citation Format: Google Scholar Pub…

  6. Avoiding medical emergencies. | PSNet

    psnet.ahrq.gov/issue/avoiding-medical-emergencies
    April 07, 2021 - Commentary Avoiding medical emergencies. Citation Text: Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
    September 24, 2010 - Commentary Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Citation Text: Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Journal of emergency nursing: JEN : official publicatio…

  8. Top 10 patient safety issues: what more can we do? | PSNet

    psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
    May 08, 2013 - Commentary Top 10 patient safety issues: what more can we do? Citation Text: Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012. Copy Citation Format: DOI Google Scholar PubMed…

  9. Decreasing 30-day readmission rates. | PSNet

    psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
    July 19, 2018 - Commentary Decreasing 30-day readmission rates. Citation Text: Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  10. Implementation of patient safety rounds in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
    October 19, 2022 - Commentary Implementation of patient safety rounds in a children's hospital. Citation Text: Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41. Copy Citation F…

  11. Physicians, information technology, and health care systems: a journey, not a destination. | PSNet

    psnet.ahrq.gov/issue/physicians-information-technology-and-health-care-systems-journey-not-destination
    May 04, 2010 - Commentary Physicians, information technology, and health care systems: a journey, not a destination. Citation Text: McDonald CJ, Overhage M, Mamlin BW, et al. Physicians, information technology, and health care systems: a journey, not a destination. J Am Med Inform Assoc. 2004;11(2):1…

  12. Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... | PSNet

    psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
    October 23, 2018 - Commentary Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... Citation Text: Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 20…

  13. A serious threat to patient safety: the unintended misuse of FentaNYL patches. | PSNet

    psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
    September 24, 2010 - Commentary A serious threat to patient safety: the unintended misuse of FentaNYL patches. Citation Text: Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007. Copy Citation Form…

  14. Rethinking peer review: what aviation can teach radiology about performance improvement. | PSNet

    psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
    July 01, 2017 - Commentary Rethinking peer review: what aviation can teach radiology about performance improvement. Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. …

  15. Teaching and medical errors: primary care preceptors' views. | PSNet

    psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
    August 05, 2009 - Study Teaching and medical errors: primary care preceptors' views. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med Educ. 2005;39(10):982-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  16. Speaking up to reduce noise in the OR. | PSNet

    psnet.ahrq.gov/issue/speaking-reduce-noise-or
    July 26, 2023 - Commentary Speaking up to reduce noise in the OR. Citation Text: Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  17. The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. | PSNet

    psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
    March 23, 2012 - Book/Report The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Citation Text: The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010. Copy Citation Sa…

  18. Hospital bosses ignored months of doctors' warnings about Lucy Letby. | PSNet

    psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
    September 01, 2010 - Newspaper/Magazine Article Hospital bosses ignored months of doctors' warnings about Lucy Letby. Citation Text: Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023. Copy Citation Save Save…

  19. Governing the surgical count through communication interactions: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
    November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…

  20. The tension between promoting mobility and preventing falls in the hospital. | PSNet

    psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
    April 24, 2018 - Commentary The tension between promoting mobility and preventing falls in the hospital. Citation Text: Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …
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