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  1. The successful anesthesia patient safety officer. | PSNet

    psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
    December 22, 2018 - Commentary The successful anesthesia patient safety officer. Citation Text: Cohen JB, Patel SY. The successful anesthesia patient safety officer. Anesth Analg. 2021;133(3):816-820. doi:10.1213/ane.0000000000005637. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 …

  2. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

    psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
    June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

  3. Safe work-hour standards for parents of children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/safe-work-hour-standards-parents-children-medical-complexity
    April 24, 2018 - Commentary Safe work-hour standards for parents of children with medical complexity. Citation Text: Schall TE, Foster CC, Feudtner C. Safe Work-Hour Standards for Parents of Children With Medical Complexity. JAMA Pediatr. 2019;174(1):7-8. doi:10.1001/jamapediatrics.2019.4003. Copy Cit…

  4. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. | PSNet

    psnet.ahrq.gov/issue/how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-response-teams
    June 19, 2013 - Study How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Citation Text: Leach LS, Mayo A, O'Rourke M. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Qual Saf Health Care. 2010;19(5):e1…

  5. Prevalence of polypharmacy exposure among hospitalized children in the United States. | PSNet

    psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
    August 20, 2016 - Study Prevalence of polypharmacy exposure among hospitalized children in the United States. Citation Text: Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…

  6. Lacerations and embedded needles caused by epinephrine autoinjector use in children. | PSNet

    psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
    September 23, 2020 - Study Lacerations and embedded needles caused by epinephrine autoinjector use in children. Citation Text: Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…

  7. Embracing multiple aims in healthcare improvement and innovation. | PSNet

    psnet.ahrq.gov/issue/embracing-multiple-aims-healthcare-improvement-and-innovation
    June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

  8. What’s past is prologue: organizational learning from a serious patient injury. | PSNet

    psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
    October 26, 2011 - Study What’s past is prologue: organizational learning from a serious patient injury. Citation Text: Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. Copy Citation …

  9. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

    psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
    December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

  10. Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

    psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
    September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

  11. Mistreatment in health care among women in Appalachia. | PSNet

    psnet.ahrq.gov/issue/mistreatment-health-care-among-women-appalachia
    October 04, 2023 - Study Mistreatment in health care among women in Appalachia. Citation Text: Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. Copy Citation Format: DOI …

  12. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
    March 28, 2011 - Review Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Citation Text: Taub N, Baker R, Khunti K, et al. Patient safety systems in the primary health care of diabetes—a story of missed opportunities? Diabet Med. 2010;27(11):1322-6. Copy C…

  13. The rise of the medical scribe industry: implications for the advancement of electronic health records. | PSNet

    psnet.ahrq.gov/issue/rise-medical-scribe-industry-implications-advancement-electronic-health-records
    January 12, 2022 - Commentary The rise of the medical scribe industry: implications for the advancement of electronic health records. Citation Text: Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…

  14. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. | PSNet

    psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
    June 13, 2011 - Study Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. Citation Text: van Tilburg CM, Leistikow IP, Rademaker CMA, et al. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology w…

  15. Critical Issues in Food Allergy: A National Academies Consensus Report. | PSNet

    psnet.ahrq.gov/issue/critical-issues-food-allergy-national-academies-consensus-report
    November 16, 2022 - Commentary Critical Issues in Food Allergy: A National Academies Consensus Report. Citation Text: Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. Copy Citation Format: …

  16. Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

    psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
    December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

  17. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reliability-teledermatology-systematic-review-and-meta-analysis
    September 23, 2020 - Review Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. Citation Text: Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-0…

  18. An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. | PSNet

    psnet.ahrq.gov/issue/internal-quality-improvement-collaborative-significantly-reduces-hospital-wide-medication
    March 20, 2014 - Study An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. Citation Text: McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error rela…

  19. Surgical site infection prevention: a review. | PSNet

    psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
    February 15, 2023 - Review Surgical site infection prevention: a review. Citation Text: Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA. 2023;329(3):244-252. doi:10.1001/jama.2022.24075. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  20. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
    November 16, 2022 - Study Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. Citation Text: Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…
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