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The use of anatomical side markers in general radiology: a systematic review of the current literature. | PSNet

psnet.ahrq.gov/issue/use-anatomical-side-markers-general-radiology-systematic-review-current-literature

October 21, 2020 - Review The use of anatomical side markers in general radiology: a systematic review of the current literature. Citation Text: Chung L, Kumar S, Oldfield J, et al. The use of anatomical side markers in general radiology: a systematic review of the current literature. J Patient Saf. 2022;1…

Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet

psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians

August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing physicians. Citation Text: Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…

The many faces of error disclosure: a common set of elements and a definition. | PSNet

psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition

December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. | PSNet

psnet.ahrq.gov/issue/comparison-clinical-diagnosis-and-subsequent-autopsy-findings-medical-malpractice

February 21, 2015 - Study Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Citation Text: Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. …

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

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December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure

March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

Community Health Systems’ ongoing journey to zero preventable harm. | PSNet

psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zero-preventable-harm

July 29, 2020 - Commentary Community Health Systems’ ongoing journey to zero preventable harm. Citation Text: Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. Copy Citation Format: D…

Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. | PSNet

psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety

June 09, 2021 - Study Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. Citation Text: Friedman AL, Lee KC, Lee GD. Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety. American Journal of Transpla…

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. | PSNet

psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit

March 24, 2011 - Study A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Citation Text: Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:1…

Applying requisite imagination to safeguard electronic health record transitions. | PSNet

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August 25, 2021 - Commentary Applying requisite imagination to safeguard electronic health record transitions. Citation Text: Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab…

Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet

psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools

March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…

Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet

psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient

October 07, 2020 - Commentary Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. Citation Text: Kirk K. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. …

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding

November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety

March 25, 2009 - Study Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. Citation Text: Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…

Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. | PSNet

psnet.ahrq.gov/issue/safety-teletriage-nurses-and-physicians-united-states-and-israel-narrative-review-and

April 29, 2020 - Study Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. Citation Text: Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum…

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. | PSNet

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November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems

January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

With money at risk, hospitals push staff to wash hands. | PSNet

psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands

May 18, 2022 - Newspaper/Magazine Article With money at risk, hospitals push staff to wash hands. Citation Text: Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Health…

Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance

July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

Are personal health records (PHRs) facilitating patient safety? A scoping review. | PSNet

psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review

February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…

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