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6081. Patient safety instruction in US health professions education. | PSNet
      psnet.ahrq.gov/issue/patient-safety-instruction-us-health-professions-education
      September 01, 2015 - Review Patient safety instruction in US health professions education. Citation Text: Kiersma ME, Plake KS, Darbishire PL. Patient safety instruction in US health professions education. Am J Pharm Educ. 2011;75(8):162. doi:10.5688/ajpe758162. Copy Citation Format: DOI Goog…

6082. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
      June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

6083. What did the doctor say? Health literacy and recall of medical instructions. | PSNet
      psnet.ahrq.gov/issue/what-did-doctor-say-health-literacy-and-recall-medical-instructions
      December 21, 2014 - Study What did the doctor say? Health literacy and recall of medical instructions. Citation Text: McCarthy D, Waite KR, Curtis LM, et al. What did the doctor say? Health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi:10.1097/MLR.0b013e318241e8e1. Copy C…

6084. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. | PSNet
      psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
      March 02, 2011 - Commentary John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Citation Text: Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;…

6085. Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. | PSNet
      psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors
      October 09, 2013 - Press Release/Announcement Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. Citation Text: Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. …

6086. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet
      psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
      October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

6087. Systematic error and cognitive bias in obstetric ultrasound. | PSNet
      psnet.ahrq.gov/issue/systematic-error-and-cognitive-bias-obstetric-ultrasound
      December 13, 2023 - Commentary Systematic error and cognitive bias in obstetric ultrasound. Citation Text: Sotiriadis A, Odibo AO. Systematic error and cognitive bias in obstetric ultrasound. Ultrasound Obstet Gynecol. 2019;53(4):431-435. doi:10.1002/uog.20232. Copy Citation Format: DOI Google…

6088. Perceptions of preventable medical errors in Alberta, Canada. | PSNet
      psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
      January 21, 2019 - Study Perceptions of preventable medical errors in Alberta, Canada. Citation Text: Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067. Copy Citation F…

6089. Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. | PSNet
      psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
      August 14, 2019 - Commentary Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. Citation Text: Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.…

6090. Nature, causes and consequences of unintended events in surgical units. | PSNet
      psnet.ahrq.gov/issue/nature-causes-and-consequences-unintended-events-surgical-units
      September 07, 2016 - Study Nature, causes and consequences of unintended events in surgical units. Citation Text: van Wagtendonk I, Smits M, Merten H, et al. Nature, causes and consequences of unintended events in surgical units. Br J Surg. 2010;97(11):1730-40. doi:10.1002/bjs.7201. Copy Citation Form…

6091. Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. | PSNet
      psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
      November 10, 2015 - Study Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. Citation Text: Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. Copy Citation Format: DOI Googl…

6092. Shifting the learning curve. | PSNet
      psnet.ahrq.gov/issue/shifting-learning-curve
      March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6093. Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. | PSNet
      psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
      May 31, 2017 - Study Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. Citation Text: Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5. Copy Citation …

6094. Incomplete care—on the trail of flaws in the system. | PSNet
      psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
      February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. Citation Text: Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313. Copy Citation Format: DOI Google Scholar PubMed B…

6095. Use of health information technology to reduce diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/use-health-information-technology-reduce-diagnostic-errors
      April 30, 2014 - Review Use of health information technology to reduce diagnostic errors. Citation Text: El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. Copy Citation Format: …

6096. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. | PSNet
      psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
      July 14, 2009 - Review Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. Citation Text: Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring techn…

6097. Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet
      psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
      August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…

6098. Using a change model to reduce the risk of surgical site infection. | PSNet
      psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
      June 06, 2018 - Commentary Using a change model to reduce the risk of surgical site infection. Citation Text: Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

6099. Revisiting old slides—how worthwhile is it? | PSNet
      psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
      October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

6100. Reducing diagnostic errors worldwide through diagnostic management teams. | PSNet
      psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
      May 23, 2018 - Review Reducing diagnostic errors worldwide through diagnostic management teams. Citation Text: Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. Copy Citation …