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  1. Using a computerized sign-out system to improve physician–nurse communication. | PSNet

    psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
    September 28, 2016 - Study Using a computerized sign-out system to improve physician–nurse communication. Citation Text: Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. Copy Citation Format: …

  2. Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. | PSNet

    psnet.ahrq.gov/issue/hospital-image-repair-strategies-organizational-apology-and-medical-errors-analysis-coxhealth
    July 17, 2024 - Commentary Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. Citation Text: Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Ove…

  3. Intensive care unit alarms—how many do we need? | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need
    March 01, 2011 - Study Intensive care unit alarms—how many do we need? Citation Text: Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. Copy Citation Format: DOI Google Scholar PubMed BibT…

  4. Learning from failure: the need for independent safety investigation in healthcare. | PSNet

    psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare
    September 24, 2018 - Commentary Learning from failure: the need for independent safety investigation in healthcare. Citation Text: Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939. Copy…

  5. Diagnostic errors related to acute abdominal pain in the emergency department. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-related-acute-abdominal-pain-emergency-department
    December 16, 2020 - Study Diagnostic errors related to acute abdominal pain in the emergency department. Citation Text: Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754.…

  6. Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

    psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high
    February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

  7. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

    psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
    September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

  8. Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older
    February 14, 2017 - Study Classic Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults: the D-PRESCRIBE randomized clinical trial. Citation Text: Martin P, Tamblyn R, Benedetti A, et al. Effect of a Pharmacist-Led Educational…

  9. Tenfold therapeutic dosing errors in young children reported to US poison control centers. | PSNet

    psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
    July 10, 2024 - Study Tenfold therapeutic dosing errors in young children reported to US poison control centers. Citation Text: Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…

  10. Effects of CPOE on provider cognitive workload: a randomized crossover trial. | PSNet

    psnet.ahrq.gov/issue/effects-cpoe-provider-cognitive-workload-randomized-crossover-trial
    March 14, 2022 - Study Effects of CPOE on provider cognitive workload: a randomized crossover trial. Citation Text: Avansino J, Leu MG. Effects of CPOE on provider cognitive workload: a randomized crossover trial. Pediatrics. 2012;130(3):e547-52. doi:10.1542/peds.2011-3408. Copy Citation Format: …

  11. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. | PSNet

    psnet.ahrq.gov/issue/project-boost-effectiveness-multihospital-effort-reduce-rehospitalization
    September 10, 2014 - Study Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. Citation Text: Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054. Co…

  12. Effect of the 80-hour work week on resident case coverage. | PSNet

    psnet.ahrq.gov/issue/effect-80-hour-work-week-resident-case-coverage
    July 21, 2010 - Study Effect of the 80-hour work week on resident case coverage. Citation Text: Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. Copy Citation Format…

  13. Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. | PSNet

    psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
    December 21, 2014 - Study Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. Citation Text: Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…

  14. The scope of drug-related problems in the home care setting. | PSNet

    psnet.ahrq.gov/issue/scope-drug-related-problems-home-care-setting
    February 16, 2011 - Review The scope of drug-related problems in the home care setting. Citation Text: Meyer-Massetti C, Meier CR, Guglielmo J. The scope of drug-related problems in the home care setting. Int J Clin Pharm. 2018;40(2):325-334. doi:10.1007/s11096-017-0581-9. Copy Citation Format: …

  15. Safety culture and care: a program to prevent surgical errors. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
    March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

  16. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. | PSNet

    psnet.ahrq.gov/issue/improving-follow-high-risk-psychiatry-outpatients-resident-year-end-transfer
    January 27, 2016 - Study Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Citation Text: Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. Copy Cita…

  17. Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/oncology-patients-willingness-report-their-medication-safety-concerns-home-qualitative-study
    August 21, 2024 - Study Oncology patients' willingness to report their medication safety concerns from home: a qualitative study. Citation Text: Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety concerns from home: a qualitative study. Support Care Cancer…

  18. Creating a culture of caregiver support. | PSNet

    psnet.ahrq.gov/issue/creating-culture-caregiver-support
    May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…

  19. Implementation of a "second victim" program in a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital
    December 18, 2013 - Study Implementation of a "second victim" program in a pediatric hospital. Citation Text: Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital. Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650. Copy Citation Forma…

  20. Patient perspectives of patient–provider communication after adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-patient-provider-communication-after-adverse-events
    March 28, 2011 - Study Patient perspectives of patient–provider communication after adverse events. Citation Text: Duclos CW, Eichler M, Taylor L, et al. Patient perspectives of patient-provider communication after adverse events. Int J Qual Health Care. 2005;17(6):479-86. Copy Citation Format: …
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