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  1. Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. | PSNet

    psnet.ahrq.gov/issue/factors-associated-adverse-events-resulting-medical-errors-emergency-department-two-work
    July 02, 2019 - Study Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. Citation Text: Freund Y, Goulet H, Bokobza J, et al. Factors associated with adverse events resulting from medical errors in the emergency department: two w…

  2. Estimating hospital-related deaths due to medical error: a perspective from patient advocates. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
    November 08, 2023 - Commentary Estimating hospital-related deaths due to medical error: a perspective from patient advocates. Citation Text: Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. d…

  3. Older veterans and emergency department discharge information. | PSNet

    psnet.ahrq.gov/issue/older-veterans-and-emergency-department-discharge-information
    March 02, 2011 - Study Older veterans and emergency department discharge information. Citation Text: Hastings S, Stechuchak K, Oddone E, et al. Older veterans and emergency department discharge information. BMJ Qual Saf. 2012;21(10):835-42. Copy Citation Format: Google Scholar PubMed BibT…

  4. An iconic language for the graphical representation of medical concepts. | PSNet

    psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts
    March 05, 2025 - Study An iconic language for the graphical representation of medical concepts. Citation Text: Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16. Copy Citation …

  5. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? | PSNet

    psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
    August 04, 2021 - Study Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Citation Text: Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…

  6. Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. | PSNet

    psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-department-patient-flow
    May 13, 2009 - Study Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. Citation Text: Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…

  7. Meta-analysis of medication administration errors in African hospitals. | PSNet

    psnet.ahrq.gov/issue/meta-analysis-medication-administration-errors-african-hospitals
    July 10, 2008 - Review Meta-analysis of medication administration errors in African hospitals. Citation Text: Alemu W, Cimiotti JP. Meta-analysis of medication administration errors in African hospitals. J Healthc Qual. 2023;45(4):233-241. doi:10.1097/jhq.0000000000000396. Copy Citation Format: …

  8. Staying silent about safety issues: conceptualizing and measuring safety silence motives. | PSNet

    psnet.ahrq.gov/issue/staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives
    August 28, 2019 - Study Staying silent about safety issues: conceptualizing and measuring safety silence motives. Citation Text: Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…

  9. A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. | PSNet

    psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
    November 15, 2023 - Review A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. Citation Text: Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(…

  10. How residents think and make medical decisions: implications for education and patient safety. | PSNet

    psnet.ahrq.gov/issue/how-residents-think-and-make-medical-decisions-implications-education-and-patient-safety
    June 07, 2023 - Study How residents think and make medical decisions: implications for education and patient safety. Citation Text: Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discuss…

  11. U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet

    psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
    September 25, 2008 - Commentary Emerging Classic U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. Citation Text: Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …

  12. Physicians' practice of dispensing medicines: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
    November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…

  13. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
    May 03, 2017 - Study Differentiating between detrimental and beneficial interruptions: a mixed-methods study. Citation Text: Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136…

  14. Patient safety in dentistry: development of a candidate 'never event' list for primary care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
    April 12, 2017 - Study Patient safety in dentistry: development of a candidate 'never event' list for primary care. Citation Text: Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. …

  15. Why it is so hard to talk about overuse in pediatrics and why it matters. | PSNet

    psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters
    March 04, 2020 - Commentary Why it is so hard to talk about overuse in pediatrics and why it matters. Citation Text: Ralston SL, Schroeder AR. Why It Is So Hard to Talk About Overuse in Pediatrics and Why It Matters. JAMA Pediatr. 2017;171(10):931-932. doi:10.1001/jamapediatrics.2017.2239. Copy Citatio…

  16. Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. | PSNet

    psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
    March 11, 2009 - Study Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. Citation Text: Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …

  17. 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…

  18. Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet

    psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
    November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…

  19. Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-medication-review-nursing-home-residents-what-are-most-significant-drug
    August 04, 2021 - Study Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. Citation Text: Ruths S, Straand J, Nygaard HA. Multidisciplinary medication review in nursing home residents: what…

  20. Nursing home safety: does financial performance matter? | PSNet

    psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
    November 05, 2008 - Study Nursing home safety: does financial performance matter? Citation Text: Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…
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