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  1. A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet

    psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty
    July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…

  2. Emergency department adverse events detected using the emergency department trigger tool. | PSNet

    psnet.ahrq.gov/issue/emergency-department-adverse-events-detected-using-emergency-department-trigger-tool
    September 30, 2020 - Study Emergency department adverse events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Emergency department adverse events detected using the emergency department trigger tool. Ann Emerg Med. 2022;80(6):528-538. doi:10.1016/j.…

  3. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

    psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis
    March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

  4. Management of test results in family medicine offices. | PSNet

    psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
    July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

  5. Neonatal near-miss audits: a systematic review and a call to action. | PSNet

    psnet.ahrq.gov/issue/neonatal-near-miss-audits-systematic-review-and-call-action
    August 04, 2021 - Review Neonatal near-miss audits: a systematic review and a call to action. Citation Text: Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. Copy Citation Format…

  6. The use of simulation in emergency medicine: a research agenda. | PSNet

    psnet.ahrq.gov/issue/use-simulation-emergency-medicine-research-agenda
    December 30, 2008 - Commentary The use of simulation in emergency medicine: a research agenda. Citation Text: Bond WF, Lammers RL, Spillane LL, et al. The use of simulation in emergency medicine: a research agenda. Acad Emerg Med. 2007;14(4):353-63. Copy Citation Format: Google Scholar PubMed …

  7. National patterns of codeine prescriptions for children in the emergency department. | PSNet

    psnet.ahrq.gov/issue/national-patterns-codeine-prescriptions-children-emergency-department
    November 16, 2022 - Study National patterns of codeine prescriptions for children in the emergency department. Citation Text: Kaiser S, Asteria-Peñaloza R, Vittinghoff E, et al. National patterns of codeine prescriptions for children in the emergency department. Pediatrics. 2014;133(5):e1139-47. doi:10.1542…

  8. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. | PSNet

    psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
    September 01, 2021 - Commentary Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. Citation Text: MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long…

  9. On the ball: leadership for patient safety and learning in critical care. | PSNet

    psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
    October 16, 2013 - Study On the ball: leadership for patient safety and learning in critical care. Citation Text: Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653. Copy Citatio…

  10. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet

    psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
    April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. Citation Text: Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…

  11. Rating the raters: the inconsistent quality of health care performance measurement. | PSNet

    psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
    March 27, 2018 - Commentary Rating the raters: the inconsistent quality of health care performance measurement. Citation Text: Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…

  12. The tension between needing to improve care and knowing how to do it. | PSNet

    psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
    June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

  13. Adverse events during hospitalization: results of a patient survey. | PSNet

    psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
    December 29, 2014 - Study Adverse events during hospitalization: results of a patient survey. Citation Text: Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90. Copy Citation Format: Goog…

  14. Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
    April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

  15. Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. | PSNet

    psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-phenobarbital-tablets-qualitest-recall
    December 16, 2020 - Press Release/Announcement Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Citation Text: Hydrocodone bitartrate and acetaminophen tablets, phenobarbital tablets by Qualitest: recall—incorrect package labeling. Me…

  16. Educating medical trainees on medication reconciliation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
    October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

  17. Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

    psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
    June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

  18. When COVID-19 hit, many elderly were left to die. | PSNet

    psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
    June 24, 2020 - Newspaper/Magazine Article When COVID-19 hit, many elderly were left to die. Citation Text: Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

  19. How is safety climate measured? A review and evaluation. | PSNet

    psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation
    January 26, 2022 - Review How is safety climate measured? A review and evaluation. Citation Text: Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci. 2021;143:105413. doi:10.1016/j.ssci.2021.105413. Copy Citation Format: DOI Google Scholar Bib…

  20. Pediatric surgical errors: a systematic scoping review. | PSNet

    psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
    August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…
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