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  1. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet

    psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
    March 28, 2012 - Commentary Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Citation Text: Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…

  2. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
    June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…

  3. Safe use of electronic health records and health information technology systems: trust but verify. | PSNet

    psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify
    August 02, 2015 - Study Safe use of electronic health records and health information technology systems: trust but verify. Citation Text: Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):17…

  4. Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. | PSNet

    psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency
    August 02, 2015 - Commentary Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. Citation Text: Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patien…

  5. Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. | PSNet

    psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons
    July 25, 2018 - Review Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Citation Text: Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…

  6. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/reporting-medical-errors-improve-patient-safety-survey-physicians-teaching-hospitals
    February 24, 2011 - Study Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Citation Text: Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-…

  7. Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. | PSNet

    psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
    October 21, 2015 - Study Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…

  8. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. | PSNet

    psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
    August 04, 2021 - Study Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. Citation Text: Jeffs L, Espin S, Rorabeck L, et al. Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures. J Nurs Care Qual. …

  9. The problem with preventable deaths. | PSNet

    psnet.ahrq.gov/issue/problem-preventable-deaths
    July 24, 2024 - Commentary The problem with preventable deaths. Citation Text: Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  10. An observational study of changes to long-term medication after admission to an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
    January 06, 2018 - Study An observational study of changes to long-term medication after admission to an intensive care unit. Citation Text: Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1…

  11. Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? | PSNet

    psnet.ahrq.gov/issue/post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk
    August 04, 2021 - Study Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? Citation Text: Thompson C, Naumann DN, Fellows JL, et al. Post-traumatic stress disorder amongst surgical trainees: An unrecognised risk? Surgeon. 2017;15(3):123-130. doi:10.1016/j.surge.2015.09.002. …

  12. From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. | PSNet

    psnet.ahrq.gov/issue/principles-practice-embedding-clinical-reasoning-longitudinal-curriculum-theme-medical-school
    September 09, 2020 - Commentary From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. Citation Text: Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a…

  13. Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-primary-care-implementing-patient-safety-curriculum
    January 15, 2020 - Commentary Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. Citation Text: Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):…

  14. Impact of an electronic health record transition on chemotherapy error reporting | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting
    June 17, 2020 - Study Impact of an electronic health record transition on chemotherapy error reporting Citation Text: Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/10781552198…

  15. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. | PSNet

    psnet.ahrq.gov/issue/prehospital-naloxone-and-emergency-department-adverse-events-dose-dependent-relationship
    March 02, 2022 - Study Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. Citation Text: Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:1…

  16. Intersystem medical error discovery: a document analysis of ethical guidelines. | PSNet

    psnet.ahrq.gov/issue/intersystem-medical-error-discovery-document-analysis-ethical-guidelines
    December 14, 2022 - Review Intersystem medical error discovery: a document analysis of ethical guidelines. Citation Text: Duffy B, Miller J, Vitous CA, et al. Intersystem medical error discovery: a document analysis of ethical guidelines. J Patient Saf. 2021;17(8):e1765-e1773. doi:10.1097/pts.00000000000006…

  17. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. | PSNet

    psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
    May 25, 2022 - Commentary RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. Citation Text: Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Ph…

  18. The "July phenomenon": is trauma the exception? | PSNet

    psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
    January 15, 2014 - Study The "July phenomenon": is trauma the exception? Citation Text: Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. Copy Citation Format: DOI Google …

  19. Understanding safety culture in long-term care: a case study. | PSNet

    psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
    April 19, 2011 - Study Understanding safety culture in long-term care: a case study. Citation Text: Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. Copy Citation Format: …

  20. Liability impact of the hospitalist model of care. | PSNet

    psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
    July 09, 2018 - Study Liability impact of the hospitalist model of care. Citation Text: Schaffer A, Puopolo AL, Raman S, et al. Liability impact of the hospitalist model of care. J Hosp Med. 2014;9(12):750-5. doi:10.1002/jhm.2244. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…
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