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6341. Quality and safety education for nurses: a nursing leadership skills exercise. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-education-nurses-nursing-leadership-skills-exercise
      July 29, 2020 - Commentary Quality and safety education for nurses: a nursing leadership skills exercise. Citation Text: Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. Copy Citation Form…

6342. Managing an acute adverse event in a radiology department. | PSNet
      psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
      June 14, 2011 - Commentary Managing an acute adverse event in a radiology department. Citation Text: Kruskal JB, Siewert B, Anderson SW, et al. Managing an acute adverse event in a radiology department. Radiographics. 2008;28(5):1237-50. doi:10.1148/rg.285085064. Copy Citation Format: DO…

6343. Good Catch Campaign: improving the perioperative culture of safety. | PSNet
      psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety
      April 24, 2018 - Study Good Catch Campaign: improving the perioperative culture of safety. Citation Text: Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148. Copy Citation Format: …

6344. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. | PSNet
      psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
      November 17, 2010 - Commentary A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. Citation Text: O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…

6345. The Perruche case and the issue of compensation for the consequences of medical error. | PSNet
      psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
      July 31, 2024 - Commentary The Perruche case and the issue of compensation for the consequences of medical error. Citation Text: Costich JF. The Perruche case and the issue of compensation for the consequences of medical error. Health Policy (New York). 2006;78(1):8-16. Copy Citation Format: …

6346. Low on the Totem Pole | PSNet
      psnet.ahrq.gov/web-mm/low-totem-pole
      October 01, 2003 - SPOTLIGHT CASE Low on the Totem Pole Citation Text: Wachter R. Low on the Totem Pole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

6347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50928/psn-pdf
      February 21, 2020 - Updates in the Role of Health IT in Patient Safety February 21, 2020 Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety Background Health information technology (HIT) has the potential…

6348. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

6349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73434/psn-pdf
      June 30, 2021 - The Consequences of Miscommunication Regarding a Possible Artifact June 30, 2021 Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact Disclosure of Relevant Financial Relationships…

6350. Resuscitation Errors: A Shocking Problem | PSNet
      psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
      October 19, 2022 - SPOTLIGHT CASE Resuscitation Errors: A Shocking Problem Citation Text: Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: …

6351. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. | PSNet
      psnet.ahrq.gov/issue/guidelines-prevention-diagnosis-and-treatment-ventilator-associated-pneumonia-vap-trauma
      October 19, 2022 - Organizational Policy/Guidelines Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. Citation Text: Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…

6352. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. | PSNet
      psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
      March 28, 2012 - Review A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. Citation Text: Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…

6353. Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet
      psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
      March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…

6354. How do simulated error experiences impact attitudes related to error prevention? | PSNet
      psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
      October 19, 2022 - Study How do simulated error experiences impact attitudes related to error prevention? Citation Text: Breitkreuz KR, Dougal RL, Wright MC. How Do Simulated Error Experiences Impact Attitudes Related to Error Prevention? Simul Healthc. 2016;11(5):323-333. Copy Citation Format: …

6355. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet
      psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
      July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…

6356. Can we make airway management (even) safer?—lessons from national audit. | PSNet
      psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
      March 01, 2023 - Review Can we make airway management (even) safer?—lessons from national audit. Citation Text: Woodall N, Frerk C, Cook TM. Can we make airway management (even) safer?--lessons from national audit. Anaesthesia. 2011;66 Suppl 2:27-33. doi:10.1111/j.1365-2044.2011.06931.x. Copy Citatio…

6357. Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. | PSNet
      psnet.ahrq.gov/issue/has-pendulum-swung-too-far-impact-missed-abdominal-injuries-era-nonoperative-management
      August 04, 2021 - Study Has the pendulum swung too far?; The impact of missed abdominal injuries in the era of nonoperative management. Citation Text: Fairfax LM, Christmas B, Deaugustinis M, et al. Has the pendulum swung too far? The impact of missed abdominal injuries in the era of nonoperative manage…

6358. A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. | PSNet
      psnet.ahrq.gov/issue/patient-safety-curriculum-graduate-medical-education-results-needs-assessment-educators-and
      May 01, 2014 - Study A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. Citation Text: Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results from a needs assessment of…

6359. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
      December 02, 2015 - Commentary Medication reconciliation to facilitate transitions of care after hospitalization. Citation Text: Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. Copy C…

6360. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet
      psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
      August 29, 2018 - Study Patient safety in dentistry—state of play as revealed by a national database of errors. Citation Text: Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669. C…