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  1. Information chaos in primary care: implications for physician performance and patient safety. | PSNet

    psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
    July 02, 2019 - Commentary Information chaos in primary care: implications for physician performance and patient safety. Citation Text: Beasley JW, Wetterneck TB, Temte J, et al. Information chaos in primary care: implications for physician performance and patient safety. J Am Board Fam Med. 2011;24(6…

  2. Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. | PSNet

    psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
    March 19, 2014 - Study Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. Citation Text: Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…

  3. Differential impact of a crew resource management program according to professional specialty. | PSNet

    psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
    July 31, 2013 - Study Differential impact of a crew resource management program according to professional specialty. Citation Text: Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…

  4. Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
    September 01, 2018 - Study Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. Citation Text: Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…

  5. Limiting nurse overtime, and promoting other good working conditions, influences patient safety. | PSNet

    psnet.ahrq.gov/issue/limiting-nurse-overtime-and-promoting-other-good-working-conditions-influences-patient-safety
    June 23, 2009 - Commentary Limiting nurse overtime, and promoting other good working conditions, influences patient safety. Citation Text: Sharp BAC, Clancy CM. Limiting nurse overtime, and promoting other good working conditions, influences patient safety. J Nurs Care Qual. 2008;23(2):97-100. doi:10.…

  6. Quality and safety in surgery: challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-surgery-challenges-and-opportunities
    September 02, 2020 - Commentary Quality and safety in surgery: challenges and opportunities. Citation Text: Nasca BJ, Bilimoria KY, Yang AD. Quality and safety in surgery: challenges and opportunities. Jt Comm J Qual Patient Saf. 2021;47(9):604-607. doi:10.1016/j.jcjq.2021.05.003. Copy Citation Format:…

  7. What have we learned about interventions to reduce medical errors? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
    June 26, 2019 - Review What have we learned about interventions to reduce medical errors? Citation Text: Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…

  8. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. | PSNet

    psnet.ahrq.gov/issue/comprehensive-collaborative-patient-safety-residency-curriculum-address-acgme-core
    October 06, 2011 - Commentary A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Citation Text: Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Med Educ.…

  9. Why do hundreds of US women die annually in childbirth? | PSNet

    psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  10. Missed diagnoses by urologists resulting in malpractice payment. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
    November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

  11. Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet

    psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management
    October 06, 2011 - Commentary Improving patient care by linking evidence-based medicine and evidence-based management. Citation Text: Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673. C…

  12. What about doctors? The impact of medical errors. | PSNet

    psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
    January 14, 2015 - Commentary What about doctors? The impact of medical errors. Citation Text: Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  13. Economic measurement of medical errors using a hospital claims database. | PSNet

    psnet.ahrq.gov/issue/economic-measurement-medical-errors-using-hospital-claims-database
    March 03, 2011 - Study Economic measurement of medical errors using a hospital claims database. Citation Text: David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010. Copy Citati…

  14. VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet

    psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
    July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…

  15. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
    February 01, 2003 - Commentary Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Citation Text: Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…

  16. Medication orders with future start dates: how far away is too far? | PSNet

    psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
    March 15, 2022 - Newspaper/Magazine Article Medication orders with future start dates: how far away is too far? Citation Text: Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. Copy Citation Sa…

  17. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

  18. Waiting for urgent procedures on the weekend among emergently hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/waiting-urgent-procedures-weekend-among-emergently-hospitalized-patients
    September 04, 2019 - Study Waiting for urgent procedures on the weekend among emergently hospitalized patients. Citation Text: Bell CM, Redelmeier DA. Waiting for urgent procedures on the weekend among emergently hospitalized patients. Am J Med. 2004;117(3):175-81. Copy Citation Format: Googl…

  19. The value of library and information services in patient care: results of a multisite study. | PSNet

    psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
    April 24, 2018 - Study The value of library and information services in patient care: results of a multisite study. Citation Text: Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;1…

  20. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet

    psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
    August 10, 2022 - Study An effectiveness analysis of healthcare systems using a systems theoretic approach. Citation Text: Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195. Copy Citation …
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