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  1. HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. | PSNet

    psnet.ahrq.gov/issue/hhs-seeks-input-medical-office-survey-patient-safety-culture-database-information-collection
    March 13, 2024 - Press Release/Announcement HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Citation Text: HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fe…

  2. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. | PSNet

    psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
    March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Citation Text: Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…

  3. The radiology impact of healthcare errors during shift work. | PSNet

    psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
    February 24, 2021 - Review The radiology impact of healthcare errors during shift work. Citation Text: Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography. 2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007. Copy Citation Format: DOI Google Scholar…

  4. A scholarly pathway in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
    December 18, 2017 - Commentary A scholarly pathway in quality improvement and patient safety. Citation Text: Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. Copy Citation Format: DOI Google Sch…

  5. Reasons for not reporting patient safety incidents in general practice: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
    February 24, 2010 - Study Reasons for not reporting patient safety incidents in general practice: a qualitative study. Citation Text: Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-2…

  6. Results of survey on pediatric medication safety—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
    November 16, 2015 - Newspaper/Magazine Article Results of survey on pediatric medication safety—part 1 and part 2. Citation Text: Results of survey on pediatric medication safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. Copy Citation …

  7. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators. | PSNet

    psnet.ahrq.gov/issue/impact-date-stamping-patient-safety-measurement-patients-undergoing-cabg-experience-ahrq
    December 21, 2014 - Study Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators. Citation Text: Glance LG, Li Y, Osler T, et al. Impact of date stamping on patient safety measurement in patients undergoing CABG: experience wit…

  8. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. | PSNet

    psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons
    August 09, 2017 - Study National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Citation Text: Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Gen Hosp …

  9. Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. | PSNet

    psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
    December 21, 2014 - Study Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. Citation Text: Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…

  10. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. | PSNet

    psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
    October 05, 2011 - Study Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. Citation Text: Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:1…

  11. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  12. Cost-effective enhancement of claims data to improve comparisons of patient safety. | PSNet

    psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety
    December 21, 2014 - Study Cost-effective enhancement of claims data to improve comparisons of patient safety. Citation Text: Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…

  13. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. | PSNet

    psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
    June 28, 2017 - Study Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Citation Text: Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. Am J Infect Control. 2013;41(11):965-…

  14. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

    psnet.ahrq.gov/issue/lost-translation-challenges-and-opportunities-physician-physician-communication-during
    April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

  15. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
    June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…

  16. Safe use of electronic health records and health information technology systems: trust but verify. | PSNet

    psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify
    August 02, 2015 - Study Safe use of electronic health records and health information technology systems: trust but verify. Citation Text: Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):17…

  17. Microsystems in health care: Part 2. Creating a rich information environment. | PSNet

    psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
    July 19, 2023 - Study Classic Microsystems in health care: Part 2. Creating a rich information environment. Citation Text: Nelson EC, Batalden PB, Homa K, et al. Microsystems in health care: Part 2. Creating a rich information environment. Jt Comm J Qual Patient Saf. 2003;29(…

  18. The computerized rounding report: implementation of a model system to support transitions of care. | PSNet

    psnet.ahrq.gov/issue/computerized-rounding-report-implementation-model-system-support-transitions-care
    October 19, 2022 - Study The computerized rounding report: implementation of a model system to support transitions of care. Citation Text: Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…

  19. Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. | PSNet

    psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking
    October 19, 2022 - Study Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients. Citation Text: Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…

  20. Responding to unprofessional behavior by trainees - a "just culture" framework. | PSNet

    psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
    June 24, 2020 - Commentary Responding to unprofessional behavior by trainees - a "just culture" framework. Citation Text: Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…
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