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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. Improving safety in the operating room: a systematic literature review of retained surgical sponges. | PSNet

    psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges
    March 05, 2025 - Review Improving safety in the operating room: a systematic literature review of retained surgical sponges. Citation Text: Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…

  3. Medical students raising concerns. | PSNet

    psnet.ahrq.gov/issue/medical-students-raising-concerns
    September 23, 2020 - Study Medical students raising concerns. Citation Text: Druce MR, Hickey A, Warrens AN, et al. Medical Students Raising Concerns. J Patient Saf. 2021;17(5):e367-e372. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  4. Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care. | PSNet

    psnet.ahrq.gov/issue/effect-patient-centred-bedside-rounds-hospitalised-patients-decision-control-activation-and
    March 25, 2015 - Study Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and satisfaction with care. Citation Text: O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised patients' decision control, activation and …

  5. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-patients-effect-pharmacist-post-admission-ward-rounds
    February 02, 2011 - Study Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Citation Text: Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 20…

  6. The role of anesthesia in surgical mortality. | PSNet

    psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
    July 19, 2023 - Study Classic The role of anesthesia in surgical mortality. Citation Text: DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  7. Therapeutic errors involving adults in the community setting: nature, causes and outcomes. | PSNet

    psnet.ahrq.gov/issue/therapeutic-errors-involving-adults-community-setting-nature-causes-and-outcomes
    May 24, 2009 - Study Therapeutic errors involving adults in the community setting: nature, causes and outcomes. Citation Text: Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors involving adults in the community setting: nature, causes and outcomes. Aust N Z J Public Health. 2009;33(4):388-94…

  8. Effect of social influences on pharmacists' intention to report adverse drug events. | PSNet

    psnet.ahrq.gov/issue/effect-social-influences-pharmacists-intention-report-adverse-drug-events
    November 13, 2019 - Study Effect of social influences on pharmacists' intention to report adverse drug events. Citation Text: Gavaza P, Brown CM, Lawson KA, et al. Effect of social influences on pharmacists' intention to report adverse drug events. J Am Pharm Assoc (2003). 2012;52(5):622-629. Copy Citat…

  9. Using a medical emergency team to manage anaphylactic shock. | PSNet

    psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock
    June 26, 2024 - Commentary Using a medical emergency team to manage anaphylactic shock. Citation Text: Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. Copy Citation Format: Google Scholar PubMed …

  10. Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. | PSNet

    psnet.ahrq.gov/issue/medication-safety-operating-room-survey-preparation-methods-and-drug-concentration
    December 22, 2018 - Study Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. Citation Text: Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentra…

  11. Comparison of physician and computer diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/comparison-physician-and-computer-diagnostic-accuracy
    November 03, 2015 - Study Comparison of physician and computer diagnostic accuracy. Citation Text: Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy. JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001. Copy Citation Format: …

  12. Computerized physician order entry in the critical care environment: a review of current literature. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
    September 19, 2012 - Review Computerized physician order entry in the critical care environment: a review of current literature. Citation Text: Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3)…

  13. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

    psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre
    July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

  14. Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet

    psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
    April 03, 2024 - Commentary Using medicolegal data to support safe medical care: a contributing factor coding framework. Citation Text: McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…

  15. Language discordance and patient care-Babel. | PSNet

    psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
    October 30, 2024 - Commentary Language discordance and patient care-Babel. Citation Text: Huson TA. Language discordance and patient care-Babel. JAMA Intern Med. 2024;184(11):1287-1288. doi:10.1001/jamainternmed.2024.4273. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote…

  16. Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

    psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
    May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

  17. Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet

    psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2
    January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…

  18. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. | PSNet

    psnet.ahrq.gov/issue/training-induces-cognitive-bias-case-simulation-based-emergency-airway-curriculum
    May 18, 2022 - Study Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Citation Text: Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.…

  19. Missed breast cancer: effects of subconscious bias and lesion characteristics. | PSNet

    psnet.ahrq.gov/issue/missed-breast-cancer-effects-subconscious-bias-and-lesion-characteristics
    February 02, 2022 - Commentary Missed breast cancer: effects of subconscious bias and lesion characteristics. Citation Text: Lamb LR, Mohallem Fonseca M, Verma R, et al. Missed breast cancer: effects of subconscious bias and lesion characteristics. RadioGraphics. 2020;40(4):941-960. doi:10.1148/rg.202019009…

  20. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

    psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…
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