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  1. Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-prevention-tool-medication-errors-operating-room-retrospective
    July 05, 2023 - Study Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study. Citation Text: Amici LD, van Pelt M, Mylott L, et al. Clinical decision support as a prevention tool for medication errors in the operating room: a ret…

  2. An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet

    psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
    February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

  3. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. | PSNet

    psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative-mortality
    August 14, 2019 - Study Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. Citation Text: Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:1…

  4. Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. | PSNet

    psnet.ahrq.gov/issue/speaking-same-language-international-variations-safety-information-accompanying-top-selling
    September 25, 2008 - Study Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs. Citation Text: Kesselheim AS, Franklin JM, Avorn J, et al. Speaking the same language? International variations in the safety information accompanying top-se…

  5. Anesthesia Risk Alert program: a proactive safety initiative. | PSNet

    psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative
    September 02, 2015 - Study Anesthesia Risk Alert program: a proactive safety initiative. Citation Text: Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. Copy Citation Format: …

  6. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. | PSNet

    psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
    April 12, 2011 - Study Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Citation Text: Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…

  7. "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. | PSNet

    psnet.ahrq.gov/issue/were-all-truly-pulling-exact-same-direction-qualitative-study-attending-and-resident
    December 09, 2020 - Study "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. Citation Text: Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qu…

  8. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

    psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
    July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

  9. The impact of video games on training surgeons in the 21st century.   | PSNet

    psnet.ahrq.gov/issue/impact-video-games-training-surgeons-21st-century
    October 19, 2022 - Study The impact of video games on training surgeons in the 21st century.   Citation Text: Rosser JC, Lynch PJ, Cuddihy L, et al. The impact of video games on training surgeons in the 21st century. Arch Surg. 2007;142(2):181-6; discusssion 186. Copy Citation Format: Googl…

  10. Addressing systemic racism in nursing homes: a time for action. | PSNet

    psnet.ahrq.gov/issue/addressing-systemic-racism-nursing-homes-time-action
    November 18, 2020 - Commentary Emerging Classic Addressing systemic racism in nursing homes: a time for action. Citation Text: Sloane PD, Yearby R, Konetzka RT, et al. Addressing systemic racism in nursing homes: a time for action. J Am Med Dir Assoc. 2021;22(4):886-892. doi:10.101…

  11. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet

    psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
    November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

  12. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
    May 18, 2022 - Study Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Citation Text: Bourmaud A, Pacaut C, Melis A, et al. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. Ann Oncol. 2014;25(2):500-504. doi:10.1093/annonc/mdt553. Copy Citati…

  13. Patient safety goals for the proposed Federal Health Information Technology Safety Center. | PSNet

    psnet.ahrq.gov/issue/patient-safety-goals-proposed-federal-health-information-technology-safety-center
    November 30, 2011 - Commentary Classic Patient safety goals for the proposed Federal Health Information Technology Safety Center. Citation Text: Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform…

  14. COVID-19: the dark side and the sunny side for patient safety. | PSNet

    psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
    August 05, 2020 - Commentary COVID-19: the dark side and the sunny side for patient safety. Citation Text: Wu AW, Sax H, Letaief M, et al. COVID-19: the dark side and the sunny side for patient safety. J Patient Saf Risk Manag. 2020;25(4):137-141. doi:10.1177/2516043520957116. Copy Citation Format: …

  15. Adverse event reporting priorities: an integrative review. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
    March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

  16. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet

    psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
    March 09, 2022 - Study Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. Citation Text: Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…

  17. What can safety cases offer for patient safety? A multisite case study. | PSNet

    psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study
    February 07, 2024 - Study What can safety cases offer for patient safety? A multisite case study. Citation Text: Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. Copy Citation …

  18. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

    psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
    May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

  19. Patient safety in nursing homes from an ecological perspective: an integrated review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-nursing-homes-ecological-perspective-integrated-review
    December 07, 2022 - Review Patient safety in nursing homes from an ecological perspective: an integrated review. Citation Text: Min D, Park S, Kim S, et al. Patient safety in nursing homes from an ecological perspective: an integrated review. J Patient Saf. 2024;20(2):77-84. doi:10.1097/pts.0000000000001189…

  20. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. | PSNet

    psnet.ahrq.gov/issue/analysis-medication-therapy-discontinuation-orders-new-electronic-prescriptions-and
    July 23, 2018 - Study Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. Citation Text: Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and op…
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