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2561. The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet
      psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
      March 02, 2011 - Commentary Classic The end of the beginning: patient safety five years after 'To Err Is Human.' Citation Text: Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. C…

2562. Preventing medication errors in pediatric anesthesia: a systematic scoping review. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review
      January 26, 2022 - Review Preventing medication errors in pediatric anesthesia: a systematic scoping review. Citation Text: Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.00000000…

2563. The spectrum of harm associated with modern medicine. | PSNet
      psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
      July 26, 2023 - Commentary The spectrum of harm associated with modern medicine. Citation Text: Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-667. doi:10.1007/s11606-021-06997-x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

2564. Performance-based payment incentives increase burden and blame for hospital nurses. | PSNet
      psnet.ahrq.gov/issue/performance-based-payment-incentives-increase-burden-and-blame-hospital-nurses
      February 10, 2015 - Study Performance-based payment incentives increase burden and blame for hospital nurses. Citation Text: Kurtzman ET, O'Leary D, Sheingold BH, et al. Performance-based payment incentives increase burden and blame for hospital nurses. Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377…

2565. Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet
      psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
      November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

2566. Implementation of an antibiotic stewardship program in long-term care facilities across the US. | PSNet
      psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
      July 20, 2022 - Study Implementation of an antibiotic stewardship program in long-term care facilities across the US. Citation Text: doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2567. Misdiagnosis in the emergency department: time for a system solution. | PSNet
      psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
      March 25, 2020 - Commentary Misdiagnosis in the emergency department: time for a system solution. Citation Text: Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. Copy Citation Format: DOI Goo…

2568. Using artificial intelligence to improve primary care for patients and clinicians. | PSNet
      psnet.ahrq.gov/issue/using-artificial-intelligence-improve-primary-care-patients-and-clinicians
      March 02, 2022 - Commentary Using artificial intelligence to improve primary care for patients and clinicians. Citation Text: Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965. …

2569. Hospital deaths in patients with sepsis from 2 independent cohorts. | PSNet
      psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
      November 21, 2021 - Study Hospital deaths in patients with sepsis from 2 independent cohorts. Citation Text: Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

2570. Ambulatory patient safety. What we know and need to know. | PSNet
      psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-know-and-need-know
      May 27, 2015 - Study Ambulatory patient safety. What we know and need to know. Citation Text: Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007. Copy Citation Format: …

2571. What's in a name? Provider perception of injured John Doe patients. | PSNet
      psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
      September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

2572. Communication discrepancies between physicians and hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients
      October 12, 2022 - Study Classic Communication discrepancies between physicians and hospitalized patients. Citation Text: Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archintern…

2573. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet
      psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
      August 12, 2020 - Study Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. Citation Text: Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…

2574. A growth mindset approach to preparing trainees for medical error. | PSNet
      psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
      August 19, 2020 - Commentary A growth mindset approach to preparing trainees for medical error. Citation Text: Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. Copy Citation Forma…

2575. Targeting the fear of safety reporting on a unit level. | PSNet
      psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
      December 13, 2023 - Commentary Targeting the fear of safety reporting on a unit level. Citation Text: Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

2576. Critical care nurses' role in rapid response teams: a qualitative systematic review. | PSNet
      psnet.ahrq.gov/issue/critical-care-nurses-role-rapid-response-teams-qualitative-systematic-review
      May 18, 2022 - Review Critical care nurses' role in rapid response teams: a qualitative systematic review. Citation Text: Holtsmark C, Larsen MH, Steindal SA, et al. Critical care nurses' role in rapid response teams: a qualitative systematic review. J Clin Nurs. 2024;33(10):3831-3843. doi:10.1111/jocn…

2577. Topical Reports
      hcup-us.ahrq.gov/reports/topicalrpts.jsp
      October 01, 2024 - Topical Reports An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

2578. The prevalence of wrong level surgery among spine surgeons. | PSNet
      psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
      March 09, 2022 - Study The prevalence of wrong level surgery among spine surgeons. Citation Text: Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1. Copy Citation Format: …

2579. Identifying resilience: a system safety review of trauma and orthopaedic theatres. | PSNet
      psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
      October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…

2580. Analysis of risk factors for adverse drug events in critically ill patients. | PSNet
      psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
      October 26, 2010 - Study Analysis of risk factors for adverse drug events in critically ill patients. Citation Text: Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.…