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  1. 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.…

  2. 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…

  3. 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…

  4. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

    psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
    March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

  5. Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
    January 11, 2017 - Study Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. Citation Text: Ilan R, Squires M, Panopoulos C, et al. Increasing patient safety event reporting in 2 intensive care units: a prospective interventional study. J Crit Care. 20…

  6. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. | PSNet

    psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate
    May 25, 2016 - Study The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Citation Text: Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.…

  7. Causes for medical errors in obstetrics and gynaecology. | PSNet

    psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
    May 01, 2019 - Review Causes for medical errors in obstetrics and gynaecology. Citation Text: Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. Copy Citation Format: DOI Go…

  8. Do first opinions affect second opinions? | PSNet

    psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
    October 07, 2020 - Study Do first opinions affect second opinions? Citation Text: Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

  9. The use of a checklist in a pediatric oncology clinic. | PSNet

    psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
    April 24, 2019 - Study The use of a checklist in a pediatric oncology clinic. Citation Text: McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. Copy Citation Format: DOI Google Sch…

  10. Potentially avoidable hospitalizations among historically marginalized nursing home residents. | PSNet

    psnet.ahrq.gov/issue/potentially-avoidable-hospitalizations-among-historically-marginalized-nursing-home-residents
    September 09, 2011 - Study Potentially avoidable hospitalizations among historically marginalized nursing home residents. Citation Text: Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312.…

  11. Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

    psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
    August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

  12. Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting. | PSNet

    psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
    February 17, 2011 - Commentary Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting. Citation Text: Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during p…

  13. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. | PSNet

    psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
    May 15, 2024 - Study An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Citation Text: Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…

  14. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. | PSNet

    psnet.ahrq.gov/issue/toward-new-paradigm-hospital-based-pediatric-education-development-onsite-simulator-program
    May 18, 2022 - Commentary Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Citation Text: Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator progra…

  15. Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/improving-cancer-patient-care-combined-medication-error-reviews-and-morbidity-and-mortality
    February 01, 2012 - Study Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. Citation Text: Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy…

  16. Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. | PSNet

    psnet.ahrq.gov/issue/letter-health-care-providers-safe-use-surgical-staplers-and-staples
    October 20, 2021 - Press Release/Announcement Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. Citation Text: Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples. US Food and Drug Administration. October 7, 2021. Copy Citation Save S…

  17. Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

    psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health
    January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

  18. Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. | PSNet

    psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
    September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…

  19. In situ simulated cardiac arrest exercises to detect system vulnerabilities. | PSNet

    psnet.ahrq.gov/issue/situ-simulated-cardiac-arrest-exercises-detect-system-vulnerabilities
    June 27, 2012 - Study In situ simulated cardiac arrest exercises to detect system vulnerabilities. Citation Text: Barbeito A, Bonifacio AS, Holtschneider M, et al. In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simul Healthc. 2015;10(3):154-62. doi:10.1097/SIH.0000000000000…

  20. When doing wrong feels so right: normalization of deviance. | PSNet

    psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
    September 03, 2011 - Review When doing wrong feels so right: normalization of deviance. Citation Text: Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. Copy Citation Format: DOI Google Scholar Pub…
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