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  1. 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…

  2. From patients to politicians: a cognitive engineering view of patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
    January 29, 2020 - Commentary From patients to politicians: a cognitive engineering view of patient safety. Citation Text: Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. Copy Citation Format: Google Scholar P…

  3. Why pediatricians fail to diagnose hypertension: a multicenter survey. | PSNet

    psnet.ahrq.gov/issue/why-pediatricians-fail-diagnose-hypertension-multicenter-survey
    August 26, 2020 - Study Why pediatricians fail to diagnose hypertension: a multicenter survey. Citation Text: Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066. Copy Cita…

  4. Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. | PSNet

    psnet.ahrq.gov/issue/it-time-pull-plug-12-hour-shifts-part-3-harm-reduction-strategies-if-keeping-12-hour-shifts
    February 01, 2012 - Commentary Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. Citation Text: Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies if keeping 12-hour shifts. J Nurs Adm. 201…

  5. Copying and pasting of examinations within the electronic medical record. | PSNet

    psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
    June 12, 2013 - Study Copying and pasting of examinations within the electronic medical record. Citation Text: Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8. Copy Citation Format: Google …

  6. Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet

    psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
    July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …

  7. Structural racism and adverse maternal health outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-adverse-maternal-health-outcomes-systematic-review
    February 15, 2023 - Review Structural racism and adverse maternal health outcomes: a systematic review. Citation Text: Hailu EM, Maddali SR, Snowden JM, et al. Structural racism and adverse maternal health outcomes: a systematic review. Health Place. 2022;78:102923. doi:10.1016/j.healthplace.2022.102923. …

  8. Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. | PSNet

    psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery
    October 05, 2022 - Study Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery. Citation Text: Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…

  9. Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-rates-high-cost-and-high-use-drugs-intensive-care-unit
    April 11, 2012 - Study Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. Citation Text: Kane-Gill SL, Rea RS, Verrico MM, et al. Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit. Am J Health Syst Pharm. 2006;63(19):1876-81. Copy …

  10. Debiasing health-related judgments and decision making: a systematic review. | PSNet

    psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
    January 04, 2010 - Review Debiasing health-related judgments and decision making: a systematic review. Citation Text: Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672. Copy Citation Forma…

  11. Eight human factors and ergonomics principles for healthcare artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/eight-human-factors-and-ergonomics-principles-healthcare-artificial-intelligence
    May 13, 2020 - Commentary Eight human factors and ergonomics principles for healthcare artificial intelligence. Citation Text: Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-…

  12. Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet

    psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
    January 02, 2017 - Study Reconciling medications at admission: safe practice recommendations and implementation strategies. Citation Text: Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2…

  13. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. | PSNet

    psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
    July 10, 2024 - Commentary The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. Citation Text: Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…

  14. Implementation of an electronic system for medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
    December 02, 2020 - Study Implementation of an electronic system for medication reconciliation. Citation Text: Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506. Copy Citati…

  15. Modes of failure in venous thromboembolism prophylaxis. | PSNet

    psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
    October 19, 2022 - Study Modes of failure in venous thromboembolism prophylaxis. Citation Text: Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. Copy Citation Format: DOI Google Scholar…

  16. Walking the tightrope: communicating overdiagnosis in modern healthcare. | PSNet

    psnet.ahrq.gov/issue/walking-tightrope-communicating-overdiagnosis-modern-healthcare
    September 23, 2020 - Commentary Walking the tightrope: communicating overdiagnosis in modern healthcare. Citation Text: McCaffery KJ, Jansen J, Scherer LD, et al. Walking the tightrope: communicating overdiagnosis in modern healthcare. BMJ. 2016;352:i348. doi:10.1136/bmj.i348. Copy Citation Format: …

  17. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
    February 15, 2023 - Study Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Citation Text: Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…

  18. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
    April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…

  19. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. Citation Text: Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…

  20. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
    November 17, 2021 - Study Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. Citation Text: Mills PD, Soncrant C, Gunnar W. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses an…
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