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  1. Adverse events following an emergency department visit. | PSNet

    psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
    April 22, 2011 - Study Adverse events following an emergency department visit. Citation Text: Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22. Copy Citation Format: Google Scholar PubMed BibTeX End…

  2. Developing and testing a tool to measure nurse/physician communication in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
    June 01, 2011 - Study Developing and testing a tool to measure nurse/physician communication in the intensive care unit. Citation Text: Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b0…

  3. "First, know thyself": cognition and error in medicine. | PSNet

    psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
    March 09, 2022 - Review "First, know thyself": cognition and error in medicine. Citation Text: Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. Copy Citation Format: DOI Google Schola…

  4. Guided prescription of psychotropic medications for geriatric inpatients. | PSNet

    psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
    February 04, 2018 - Study Guided prescription of psychotropic medications for geriatric inpatients. Citation Text: Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7. Copy Citation Format: Goog…

  5. Perioperative patient safety: a multisite qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
    September 20, 2023 - Study Perioperative patient safety: a multisite qualitative analysis. Citation Text: Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  6. Failure to notify reportable test results: significance in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
    April 29, 2020 - Study Failure to notify reportable test results: significance in medical malpractice. Citation Text: Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…

  7. Differences in day and night shift clinical performance in anesthesiology. | PSNet

    psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
    September 29, 2017 - Study Differences in day and night shift clinical performance in anesthesiology. Citation Text: Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. Copy Citation Format: Google S…

  8. The nurse's medication day. | PSNet

    psnet.ahrq.gov/issue/nurses-medication-day
    September 24, 2016 - Study The nurse's medication day. Citation Text: Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-51. doi:10.1177/1049732311411927. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  9. Wisdom in medicine: what helps physicians after a medical error? | PSNet

    psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error
    April 09, 2013 - Study Wisdom in medicine: what helps physicians after a medical error? Citation Text: Plews-Ogan M, May NB, Owens J, et al. Wisdom in Medicine. Academic Medicine. 2015;91(2). doi:10.1097/acm.0000000000000886. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

  10. Countering cognitive biases in minimising low value care. | PSNet

    psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
    May 11, 2019 - Review Countering cognitive biases in minimising low value care. Citation Text: Scott IA, Soon J, Elshaug AG, et al. Countering cognitive biases in minimising low value care. Med J Aust. 2017;206(9):407-411. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  11. Impact of electronic health record systems on information integrity: quality and safety implications. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications
    April 03, 2024 - Review Impact of electronic health record systems on information integrity: quality and safety implications. Citation Text: Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. Copy Cita…

  12. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  13. The association of shift-level nurse staffing with adverse patient events. | PSNet

    psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
    October 06, 2016 - Study The association of shift-level nurse staffing with adverse patient events. Citation Text: Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf. Copy Ci…

  14. Hospital Readmissions Reduction Program: implications for pharmacy. | PSNet

    psnet.ahrq.gov/issue/hospital-readmissions-reduction-program-implications-pharmacy
    September 23, 2020 - Commentary Hospital Readmissions Reduction Program: implications for pharmacy. Citation Text: Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177. Copy Citation …

  15. Establishing a rapid response team (RRT) in an academic hospital: one year's experience. | PSNet

    psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
    September 28, 2010 - Study Establishing a rapid response team (RRT) in an academic hospital: one year's experience. Citation Text: King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. Copy Citat…

  16. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. | PSNet

    psnet.ahrq.gov/issue/impact-workplace-mistreatment-patient-safety-risk-and-nurse-assessed-patient-outcomes
    September 24, 2010 - Study Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. Citation Text: Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. J Nurs Adm. 2014;44(5):284-90. doi:10.1097/NNA.0000000000000068. …

  17. Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. | PSNet

    psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009
    June 14, 2017 - Newspaper/Magazine Article Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. Citation Text: Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1…

  18. Use of board certification and recertification of pediatricians in health plan credentialing policies. | PSNet

    psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
    February 02, 2011 - Study Use of board certification and recertification of pediatricians in health plan credentialing policies. Citation Text: Freed GL, Singer D, Lakhani I, et al. Use of board certification and recertification of pediatricians in health plan credentialing policies. JAMA. 2006;295(8):913…

  19. When medical care leads to harm—difficulty finding words: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/when-medical-care-leads-harm-difficulty-finding-words-teachable-moment
    September 23, 2017 - Commentary When medical care leads to harm—difficulty finding words: a teachable moment. Citation Text: Chamberlain E, DiVeronica M, Segura R. When medical care leads to harm- difficulty finding words: a teachable moment. JAMA Intern Med. 2015;175(8):1271-1272. doi:10.1001/jamainternmed.…

  20. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

    psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
    May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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