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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…

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…

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…

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…

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: …

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…

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-…

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.…

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.…

Framework for direct observation of performance and safety in healthcare. | PSNet

psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare

November 15, 2023 - Commentary Framework for direct observation of performance and safety in healthcare. Citation Text: Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. …

Increasing physician reporting of diagnostic learning opportunities. | PSNet

psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities

March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

Using an advanced practice nursing model for a rapid response team. | PSNet

psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team

August 18, 2021 - Commentary Using an advanced practice nursing model for a rapid response team. Citation Text: Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. Copy Citation Format: Google…

Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. | PSNet

psnet.ahrq.gov/issue/disclosure-adverse-events-and-errors-surgical-care-challenges-and-strategies-improvement

December 01, 2021 - Review Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. Citation Text: Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:1…

Medication errors involving wrong administration technique. | PSNet

psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique

January 05, 2017 - Study Medication errors involving wrong administration technique. Citation Text: Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. Copy Citation …

Diagnostic error as a result of drug-laboratory test interactions. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions

November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

Automation failures and patient safety. | PSNet

psnet.ahrq.gov/issue/automation-failures-and-patient-safety

November 21, 2012 - Review Automation failures and patient safety. Citation Text: Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. | PSNet

psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm

November 27, 2012 - Commentary Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Citation Text: Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…

Important change to heparin container labels to clearly state the total drug strength. | PSNet

psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength

December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…

The culture of safety: results of an organization-wide survey in 15 California hospitals. | PSNet

psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals

November 18, 2009 - Study Classic The culture of safety: results of an organization-wide survey in 15 California hospitals. Citation Text: Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…

Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. | PSNet

psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong

April 25, 2018 - Review Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. Citation Text: Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…

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