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  1. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. | PSNet

    psnet.ahrq.gov/issue/toward-new-paradigm-hospital-based-pediatric-education-development-onsite-simulator-program
    May 18, 2022 - Commentary Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Citation Text: Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator progra…

  2. Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. | PSNet

    psnet.ahrq.gov/issue/improving-transitions-care-patients-warfarin-safe-transitions-anticoagulation-report
    April 22, 2011 - Study Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report. Citation Text: Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe transitions anticoagulation report. J Hosp Med. 2015;10(9…

  3. Radiology research in quality and safety: current trends and future needs. | PSNet

    psnet.ahrq.gov/issue/radiology-research-quality-and-safety-current-trends-and-future-needs
    November 16, 2022 - Review Radiology research in quality and safety: current trends and future needs. Citation Text: Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021. Copy …

  4. When doing wrong feels so right: normalization of deviance. | PSNet

    psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance
    September 03, 2011 - Review When doing wrong feels so right: normalization of deviance. Citation Text: Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. Copy Citation Format: DOI Google Scholar Pub…

  5. Incidence of prescription errors in patients discharged from the emergency department. | PSNet

    psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
    March 30, 2022 - Study Incidence of prescription errors in patients discharged from the emergency department. Citation Text: Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2…

  6. Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. | PSNet

    psnet.ahrq.gov/issue/detection-classification-and-correction-defective-chemotherapy-orders-through-nursing-and
    May 27, 2011 - Study Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. Citation Text: Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…

  7. Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/impact-resident-participation-surgical-operations-postoperative-outcomes-national-surgical
    November 16, 2022 - Study Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program. Citation Text: Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on Postoperative Outcomes. Ann Surg. 20…

  8. Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. | PSNet

    psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
    September 28, 2016 - Study Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. Citation Text: Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…

  9. Safety of inpatient care in surgical settings: cohort study. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…

  10. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

    psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification
    June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

  11. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. | PSNet

    psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
    November 01, 2023 - Study Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Citation Text: Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…

  12. Hospital and procedure incidence of pediatric retained surgical items. | PSNet

    psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
    December 02, 2020 - Study Hospital and procedure incidence of pediatric retained surgical items. Citation Text: Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. Copy Citation Format:…

  13. “Those found responsible have been sacked”: some observations on the usefulness of error. | PSNet

    psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
    September 28, 2010 - Commentary “Those found responsible have been sacked”: some observations on the usefulness of error. Citation Text: Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…

  14. Defining patient safety events in inpatient psychiatry. | PSNet

    psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
    January 30, 2019 - Study Defining patient safety events in inpatient psychiatry. Citation Text: Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520. Copy Citation Format: DOI Google Sc…

  15. Am I safe here? Improving patients' perceptions of safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
    June 25, 2010 - Study Am I safe here? Improving patients' perceptions of safety in hospitals. Citation Text: Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. Copy Citation Format: Google Schol…

  16. The practice of medicine: understanding diagnostic error. | PSNet

    psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
    July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. Citation Text: Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  17. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
    November 16, 2022 - Study Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Citation Text: Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …

  18. Pain as the neglected patient safety concern: five years on. | PSNet

    psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
    July 31, 2019 - Commentary Pain as the neglected patient safety concern: five years on. Citation Text: Twycross A, Forgeron P, Chorne J, et al. Pain as the neglected patient safety concern: Five years on. J Child Health Care. 2016;20(4):537-541. doi:10.1177/1367493516643422. Copy Citation Format: …

  19. Identifying and reducing distractions and interruptions in a pharmacy department. | PSNet

    psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
    August 22, 2015 - Study Identifying and reducing distractions and interruptions in a pharmacy department. Citation Text: Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…

  20. The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. | PSNet

    psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
    January 06, 2017 - Review The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. Citation Text: Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …
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