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  1. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? | PSNet

    psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
    August 04, 2021 - Study Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Citation Text: Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…

  2. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. | PSNet

    psnet.ahrq.gov/issue/wristbands-aids-reduce-misidentification-ethnographically-guided-task-analysis
    November 25, 2009 - Study Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Citation Text: Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.109…

  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. People are more error-prone after committing an error. | PSNet

    psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
    June 29, 2011 - Study People are more error-prone after committing an error. Citation Text: Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun. 2024;15(1):6422. doi:10.1038/s41467-024-50547-y. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  5. Duty-hours monitoring revisited: self-report may not be adequate. | PSNet

    psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate
    April 24, 2018 - Study Duty-hours monitoring revisited: self-report may not be adequate. Citation Text: Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003. Copy Citation Format: …

  6. Building a community engagement approach for patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
    April 01, 2010 - Commentary Building a community engagement approach for patient safety improvement. Citation Text: Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. Copy Citation Format:…

  7. Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet

    psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
    January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…

  8. Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. | PSNet

    psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air
    November 25, 2009 - Study Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. Citation Text: Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary healt…

  9. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet

    psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
    November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

  10. Value assessment of deprescribing interventions: suggestions for improvement. | PSNet

    psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
    August 04, 2021 - Commentary Value assessment of deprescribing interventions: suggestions for improvement. Citation Text: Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. Copy C…

  11. Drone delivery of medications: review of the landscape and legal considerations. | PSNet

    psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
    May 18, 2022 - Commentary Emerging Classic Drone delivery of medications: review of the landscape and legal considerations. Citation Text: Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…

  12. Identification of adverse events in ground transport emergency medical services. | PSNet

    psnet.ahrq.gov/issue/identification-adverse-events-ground-transport-emergency-medical-services
    August 26, 2020 - Study Identification of adverse events in ground transport emergency medical services. Citation Text: Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/106286061141551…

  13. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
    September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…

  14. Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet

    psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
    November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…

  15. High-alert medications in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
    December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…

  16. Mind the sentinel - applying patient-safety paradigms to clinician well-being. | PSNet

    psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being
    October 19, 2022 - Commentary Mind the sentinel - applying patient-safety paradigms to clinician well-being. Citation Text: Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. Copy Citation Forma…

  17. Consumer-directed technologies to improve medication management and safety. | PSNet

    psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
    December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…

  18. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
    February 14, 2024 - Review Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Citation Text: Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…

  19. The flaw of medicine: addressing racial and gender disparities in critical care. | PSNet

    psnet.ahrq.gov/issue/flaw-medicine-addressing-racial-and-gender-disparities-critical-care
    June 16, 2010 - Commentary The flaw of medicine: addressing racial and gender disparities in critical care. Citation Text: Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.…

  20. Parent participation in morbidity and mortality review: parent and physician perspectives. | PSNet

    psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
    May 18, 2022 - Study Parent participation in morbidity and mortality review: parent and physician perspectives. Citation Text: de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…
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