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  1. Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. | PSNet

    psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
    December 02, 2020 - Organizational Policy/Guidelines Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Citation Text: Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…

  2. A simulation-based approach to training in heuristic clinical decision-making. | PSNet

    psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
    January 31, 2024 - Study A simulation-based approach to training in heuristic clinical decision-making. Citation Text: Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084. Copy Citation…

  3. A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. | PSNet

    psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
    November 07, 2018 - Study A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. Citation Text: O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3. Copy Citation …

  4. The impact of patient and public involvement on UK NHS health care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-patient-and-public-involvement-uk-nhs-health-care-systematic-review
    January 15, 2025 - Study The impact of patient and public involvement on UK NHS health care: a systematic review. Citation Text: Mockford C, Staniszewska S, Griffiths F, et al. The impact of patient and public involvement on UK NHS health care: a systematic review. Int J Qual Health Care. 2012;24(1):28-38.…

  5. Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. | PSNet

    psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
    March 18, 2011 - Study Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. Citation Text: Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:…

  6. Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. | PSNet

    psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
    August 24, 2022 - Review Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. Citation Text: Brattebø G, Flaatten HK. Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame. Curr Opin Anaesthesiol. 2023;36(2):…

  7. Effect of a hospital command centre on patient safety: an interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
    July 20, 2022 - Study Effect of a hospital command centre on patient safety: an interrupted time series study. Citation Text: Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…

  8. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. | PSNet

    psnet.ahrq.gov/issue/communicating-medication-changes-community-pharmacy-post-discharge-good-bad-and-improvements
    June 11, 2014 - Study Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Citation Text: Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Int J…

  9. Effects of work hour reduction on residents' lives: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
    March 02, 2011 - Review Effects of work hour reduction on residents' lives: a systematic review. Citation Text: Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. Copy Citation Format: DOI Goo…

  10. An examination of factors that predict the perioperative culture of safety. | PSNet

    psnet.ahrq.gov/issue/examination-factors-predict-perioperative-culture-safety
    May 12, 2021 - Study An examination of factors that predict the perioperative culture of safety. Citation Text: Wright MI, Polivka B, Abusalem S. An examination of factors that predict the perioperative culture of safety. AORN J. 2021;113(5):465-475. doi:10.1002/aorn.13373. Copy Citation Format: …

  11. Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. | PSNet

    psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
    August 24, 2022 - Toolkit Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Citation Text: Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. …

  12. Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet

    psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
    October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…

  13. Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
    August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

  14. Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. | PSNet

    psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
    March 29, 2006 - Book/Report Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Citation Text: Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. Bonnie RJ, Ford M…

  15. The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet

    psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
    May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…

  16. Systematic review: effects of resident work hours on patient safety. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
    February 03, 2011 - Review Systematic review: effects of resident work hours on patient safety. Citation Text: Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857. Copy Citation Format: Google Sc…

  17. The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. | PSNet

    psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic-errors-pediatric
    April 08, 2018 - Study The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Citation Text: Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric…

  18. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. | PSNet

    psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
    February 17, 2011 - Study Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Citation Text: Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 20…

  19. Email for communicating results of diagnostic medical investigations to patients. | PSNet

    psnet.ahrq.gov/issue/email-communicating-results-diagnostic-medical-investigations-patients
    December 14, 2016 - Review Email for communicating results of diagnostic medical investigations to patients. Citation Text: Meyer B, Atherton H, Sawmynaden P, et al. Email for communicating results of diagnostic medical investigations to patients. Cochrane Database of Systematic Reviews. 2012. doi:10.1002…

  20. Engineering a foundation for partnership to improve medication safety during care transitions. | PSNet

    psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
    July 20, 2022 - Commentary Engineering a foundation for partnership to improve medication safety during care transitions. Citation Text: Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. …
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