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6101. Patient experience must move beyond bad apples. | PSNet
      psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
      September 02, 2009 - Commentary Patient experience must move beyond bad apples. Citation Text: Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. Copy Citation Format: DOI Google Scholar PubMed Bib…

6102. Potential medical adverse events associated with death: a forensic pathology perspective. | PSNet
      psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
      July 31, 2019 - Study Potential medical adverse events associated with death: a forensic pathology perspective. Citation Text: Sakai K, Takatsu A, Shigeta A, et al. Potential medical adverse events associated with death: a forensic pathology perspective. International Journal for Quality in Health Car…

6103. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet
      psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
      October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

6104. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. | PSNet
      psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
      February 15, 2011 - Commentary Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Citation Text: Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…

6105. Zero tolerance for deadly hospital-acquired infections. | PSNet
      psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
      March 11, 2020 - Newspaper/Magazine Article Zero tolerance for deadly hospital-acquired infections. Citation Text: Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

6106. The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. | PSNet
      psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
      February 10, 2016 - Book/Report The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Citation Text: The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…

6107. Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? | PSNet
      psnet.ahrq.gov/issue/partial-do-not-resuscitate-orders-hazard-patient-safety-and-clinical-outcomes
      April 24, 2018 - Review Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? Citation Text: Sanders A, Schepp M, Baird M. Partial do-not-resuscitate orders: A hazard to patient safety and clinical outcomes? Crit Care Med. 2011;39(1):14-8. doi:10.1097/CCM.0b013e3181feb8f6…

6108. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? | PSNet
      psnet.ahrq.gov/issue/prompting-physicians-address-daily-checklist-antibiotics-do-we-need-co-pilot-icu
      September 23, 2020 - Review Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Citation Text: Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52.…

6109. Information behavior in the context of improving patient safety. | PSNet
      psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
      March 24, 2019 - Commentary Information behavior in the context of improving patient safety. Citation Text: MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…

6110. Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet
      psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
      March 26, 2014 - Commentary Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. Citation Text: Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/…

6111. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? | PSNet
      psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
      September 20, 2023 - Study Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Citation Text: Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J …

6112. Beyond medication reconciliation: the correct medication list. | PSNet
      psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
      February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

6113. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? | PSNet
      psnet.ahrq.gov/issue/just-ekgs-should-eegs-undergo-confirmatory-interpretation-clinical-neurophysiologist
      November 09, 2022 - Commentary "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Citation Text: Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1…

6114. Reducing specimen identification errors. | PSNet
      psnet.ahrq.gov/issue/reducing-specimen-identification-errors
      October 12, 2016 - Commentary Reducing specimen identification errors. Citation Text: Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

6115. The medication kit conundrum: considerations to enhance safety and efficiency. | PSNet
      psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
      June 07, 2017 - Commentary The medication kit conundrum: considerations to enhance safety and efficiency. Citation Text: Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…

6116. Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet
      psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
      September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…

6117. Using care bundles to reduce in-hospital mortality: quantitative survey. | PSNet
      psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey
      April 25, 2018 - Study Using care bundles to reduce in-hospital mortality: quantitative survey. Citation Text: Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234. Copy Citation Format: …

6118. A living will misinterpreted as a DNR order: confusion compromises patient care. | PSNet
      psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care
      September 11, 2019 - Commentary A living will misinterpreted as a DNR order: confusion compromises patient care. Citation Text: Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014. Co…

6119. Partial codes—when "less" may not be "more." | PSNet
      psnet.ahrq.gov/issue/partial-codes-when-less-may-not-be-more
      August 28, 2024 - Commentary Partial codes—when "less" may not be "more." Citation Text: Rousseau P. Partial Codes-When "Less" May Not Be "More". JAMA Intern Med. 2016;176(8):1057-8. doi:10.1001/jamainternmed.2016.2522. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

6120. A national survey of obstetric anaesthetic handovers. | PSNet
      psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers
      July 18, 2018 - Study A national survey of obstetric anaesthetic handovers. Citation Text: Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. Copy Citation Format: DOI Google Scholar BibTe…