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2941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866217/psn-pdf
      July 10, 2024 - In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives July 10, 2024 Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety Initiatives. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…

2942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49503/psn-pdf
      February 01, 2006 - Workaround Error February 1, 2006 Pape T. Workaround Error. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/workaround-error The Case A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care hospital with pneumonia and congestive heart failure (CHF). After his acute hospita…

2943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49530/psn-pdf
      February 01, 2007 - Rapid Mis-St(r)ep February 1, 2007 Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/rapid-mis-strep The Case A 5-year-old girl was brought to an urgent care center by her father with a 2-day history of fever to 103°F, sore throat, and diffuse abdominal pain. There was no history…

2944. Rapid response teams seen through the eyes of the nurse. | PSNet
      psnet.ahrq.gov/issue/rapid-response-teams-seen-through-eyes-nurse
      June 03, 2010 - Study Rapid response teams seen through the eyes of the nurse. Citation Text: Shapiro SE, Donaldson NE, Scott MB. Rapid response teams seen through the eyes of the nurse. Am J Nurs. 2010;110(6):28-34; quiz 35-36. doi:10.1097/01.NAJ.0000377686.64479.84. Copy Citation Format: …

2945. After his wife died, he joined nurses to push for new staffing rules in hospitals. | PSNet
      psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals
      July 10, 2024 - Newspaper/Magazine Article After his wife died, he joined nurses to push for new staffing rules in hospitals. Citation Text: After his wife died, he joined nurses to push for new staffing rules in hospitals. Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024. Copy…

2946. Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. | PSNet
      psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-used-hospitals
      October 16, 2012 - Government Resource Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Citation Text: Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January…

2947. What to do with healthcare incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
      November 12, 2014 - Review What to do with healthcare incident reporting systems. Citation Text: Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. Copy Citation Format: DOI Google Scholar BibTeX E…

2948. A middle ground on public accountability. | PSNet
      psnet.ahrq.gov/issue/middle-ground-public-accountability
      March 02, 2011 - Commentary Classic A middle ground on public accountability. Citation Text: Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med. 2004;350(23):2409-2412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

2949. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. | PSNet
      psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
      June 16, 2019 - Study Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Citation Text: Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…

2950. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. | PSNet
      psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study
      November 16, 2022 - Study Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Citation Text: Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46…

2951. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. | PSNet
      psnet.ahrq.gov/issue/intravenous-chemotherapy-preparation-errors-patient-safety-risks-identified-pan-canadian
      March 18, 2011 - Study Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. Citation Text: White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory stu…

2952. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. | PSNet
      psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
      April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…

2953. Patient safety in obstetrics and obstetric anesthesia. | PSNet
      psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia
      August 04, 2021 - Review Patient safety in obstetrics and obstetric anesthesia. Citation Text: Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-110. doi:10.1097/AIA.0000000000000017. Copy Citation Format: DOI Google Scholar PubMed B…

2954. Nurses' work schedule characteristics, nurse staffing, and patient mortality. | PSNet
      psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
      June 16, 2010 - Study Nurses' work schedule characteristics, nurse staffing, and patient mortality. Citation Text: Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d. Copy…

2955. Observation for assessment of clinician performance: a narrative review. | PSNet
      psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
      September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…

2956. Public reporting of patient safety metrics: ready or not? | PSNet
      psnet.ahrq.gov/issue/public-reporting-patient-safety-metrics-ready-or-not
      July 14, 2010 - Commentary Public reporting of patient safety metrics: ready or not? Citation Text: Podolsky DK, Nagarkar PA, Reed G, et al. Public reporting of patient safety metrics: ready or not? Plast Reconstr Surg. 2014;134(6):981e-5e. doi:10.1097/PRS.0000000000000713. Copy Citation Format: …

2957. Health literacy in primary care practice. | PSNet
      psnet.ahrq.gov/issue/health-literacy-primary-care-practice
      September 06, 2017 - Commentary Health literacy in primary care practice. Citation Text: Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

2958. Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/hope-modified-association-between-distress-and-incidence-self-perceived-medical-errors-among
      June 07, 2018 - Study Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. Citation Text: Hayashino Y, Utsugi-Ozaki M, Feldman MD, et al. Hope modified the association between distress and incidence of self-…

2959. 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.…

2960. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. | PSNet
      psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse
      June 28, 2010 - Review Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Citation Text: Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.…