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  1. Communication and teamwork in patient care: how much can we learn from aviation? | PSNet

    psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation
    August 12, 2019 - Review Communication and teamwork in patient care: how much can we learn from aviation? Citation Text: Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet Gynecol Neonatal Nurs. 2006;35(4):538-46. Copy Citation Format: Googl…

  2. Seeing systems in health care organizations. | PSNet

    psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
    January 25, 2023 - Commentary Seeing systems in health care organizations. Citation Text: Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  3. Educational agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
    February 27, 2019 - Review Educational agenda for diagnostic error reduction. Citation Text: Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. Copy Citation Format: DOI Google Scholar…

  4. A framework for classifying factors that contribute to error in the emergency department. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
    February 14, 2024 - Commentary A framework for classifying factors that contribute to error in the emergency department. Citation Text: Cosby K. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med. 2003;42(6):815-23. Copy Citation Format: G…

  5. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  6. Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. | PSNet

    psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
    October 06, 2021 - Book/Report Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Citation Text: Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. A…

  7. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet

    psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

  8. A nurse-driven system for improving patient quality outcomes. | PSNet

    psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
    October 12, 2011 - Commentary A nurse-driven system for improving patient quality outcomes. Citation Text: Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175. Copy Citation Format: Google Scholar PubMe…

  9. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet

    psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
    December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

  10. Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. | PSNet

    psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders
    August 17, 2022 - Book/Report Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Citation Text: Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…

  11. Educational opportunities with postevent debriefing. | PSNet

    psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
    May 28, 2015 - Commentary Educational opportunities with postevent debriefing. Citation Text: Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  12. Safety paradoxes and safety culture. | PSNet

    psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture
    February 06, 2008 - Commentary Safety paradoxes and safety culture. Citation Text: Reason J. Safety paradoxes and safety culture. Inj Control Safety Promot. 2003;7(1):3-14. doi:10.1076/1566-0974(200003)7:1;1-v;ft003. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  13. Medical Residents and Burnout | PSNet

    psnet.ahrq.gov/issue/medical-residents-and-burnout
    June 01, 2022 - Special or Theme Issue Medical Residents and Burnout Citation Text: Medical Residents and Burnout Coverdale J, West CP, Roberts LW, eds. Acad Med. 2021;96(5):611-769;e14-e21. Copy Citation Save Save to your library Print Download PDF Share…

  14. Diagnostic errors in primary care: lessons learned. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
    September 12, 2011 - Study Diagnostic errors in primary care: lessons learned. Citation Text: Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174. Copy Citation Format: DOI Google Scho…

  15. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. | PSNet

    psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
    May 29, 2014 - Commentary Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. Citation Text: Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. American Journal of Health-Sys…

  16. Adverse drug events in hospitalized cardiac patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
    July 26, 2023 - Study Adverse drug events in hospitalized cardiac patients. Citation Text: Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  17. Patient Safety and Quality Improvement Act of 2005: what you need to know. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
    December 17, 2014 - Commentary Patient Safety and Quality Improvement Act of 2005: what you need to know. Citation Text: Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2. Copy Citation Format: Google Scholar PubMed …

  18. Independent double checks: worth the effort if used judiciously and properly. | PSNet

    psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
    January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

  19. Diagnostic excellence through the lens of patient-centeredness. | PSNet

    psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
    June 24, 2020 - Commentary Diagnostic excellence through the lens of patient-centeredness. Citation Text: Berwick DM. Diagnostic Excellence Through the Lens of Patient-Centeredness. JAMA. 2021;326(21):2127-2128. doi:10.1001/jama.2021.19513. Copy Citation Format: DOI Google Scholar BibTeX E…

  20. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet

    psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
    September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…
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