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8401. Physician Quality Officer: a new model for engaging physicians in quality improvement. | PSNet
      psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
      May 03, 2017 - Commentary Physician Quality Officer: a new model for engaging physicians in quality improvement. Citation Text: Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/10628…

8402. Pediatric safety incidents from an intensive care reporting system. | PSNet
      psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
      May 27, 2011 - Study Pediatric safety incidents from an intensive care reporting system. Citation Text: Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW. Copy Citation Save Save to your library P…

8403. 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…

8404. A considerative checklist to ensure safe daily patient review. | PSNet
      psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
      June 08, 2011 - Commentary A considerative checklist to ensure safe daily patient review. Citation Text: Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023. Copy Citation Format: DOI Google Scholar PubMe…

8405. Nursing peer review: developing a framework for patient safety. | PSNet
      psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
      January 15, 2020 - Commentary Nursing peer review: developing a framework for patient safety. Citation Text: Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28. Copy Citation Format: DOI Google Schola…

8406. Can you prevent adverse drug events after hospital discharge? | PSNet
      psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
      September 09, 2009 - Commentary Can you prevent adverse drug events after hospital discharge? Citation Text: Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

8407. Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
      June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…

8408. Improving patient safety through transparency. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
      September 04, 2024 - Commentary Improving patient safety through transparency. Citation Text: Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

8409. Fatal mistakes: why do ten-fold medication errors in children keep happening? | PSNet
      psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
      April 21, 2021 - Newspaper/Magazine Article Fatal mistakes: why do ten-fold medication errors in children keep happening? Citation Text: Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal.  April 22 2021. Copy Citation …

8410. Workforce and Patient Safety. | PSNet
      psnet.ahrq.gov/issue/workforce-and-patient-safety
      February 21, 2024 - Book/Report Workforce and Patient Safety. Citation Text: Workforce and Patient Safety. Dorset, UK: Health Services Safety Investigations Body; 2024. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

8411. Emergency department medication lists are not accurate. | PSNet
      psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate
      March 02, 2010 - Study Emergency department medication lists are not accurate. Citation Text: Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060. Copy Citation Format: DOI Google…

8412. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. | PSNet
      psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
      November 03, 2015 - Commentary Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. Citation Text: Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…

8413. Human and organizational biases affecting the management of safety. | PSNet
      psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
      May 29, 2014 - Commentary Human and organizational biases affecting the management of safety. Citation Text: Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010. Copy Citation Format: …

8414. Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. | PSNet
      psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
      December 16, 2020 - Special or Theme Issue Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Citation Text: Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…

8415. 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…

8416. Medical errors arising from outsourcing laboratory and radiology services. | PSNet
      psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
      October 19, 2022 - Study Medical errors arising from outsourcing laboratory and radiology services. Citation Text: Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services. Am J Med. 2007;120(9):819.e9-11. Copy Citation Format: Google Schola…

8417. Physician communication when prescribing new medications. | PSNet
      psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
      December 16, 2009 - Study Physician communication when prescribing new medications. Citation Text: Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862. Copy Citation Format: Google Scholar PubMed BibTeX E…

8418. Strengthening the medical error "meme pool." | PSNet
      psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
      August 08, 2012 - Commentary Strengthening the medical error "meme pool." Citation Text: Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

8419. SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. | PSNet
      psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience
      December 20, 2017 - Book/Report SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. Citation Text: SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience. Sittig DF, Singh H, eds. Waretown, NJ: Apple Academic Press; 2015. ISBN: 9781771881173. Copy Citation …

8420. The other opioid crisis: hospital shortages lead to patient pain, medical errors. | PSNet
      psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
      April 08, 2020 - Newspaper/Magazine Article The other opioid crisis: hospital shortages lead to patient pain, medical errors. Citation Text: The other opioid crisis: hospital shortages lead to patient pain, medical errors. Bartolone P. Kaiser Health News. March 16, 2018. Copy Citation S…