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  1. Mandating limits on workload, duty, and speed in radiology. | PSNet

    psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology
    August 11, 2021 - Review Mandating limits on workload, duty, and speed in radiology. Citation Text: Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. Copy Citation Format: DOI Google Scholar B…

  2. Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu
    August 15, 2016 - Study Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. Citation Text: Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of selec…

  3. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
    September 16, 2020 - Commentary Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Citation Text: Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…

  4. Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
    October 19, 2022 - Commentary Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations. Citation Text: Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …

  5. Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. | PSNet

    psnet.ahrq.gov/issue/novel-use-electronic-whiteboard-operating-room-increases-surgical-team-compliance-pre
    March 20, 2013 - Study Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices. Citation Text: Mainthia R, Lockney T, Zotov A, et al. Novel use of electronic whiteboard in the operating room increases surgical team compliance with p…

  6. Structural racism and the COVID-19 experience in the United States. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
    June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

  7. What words convey: the potential for patient narratives to inform quality improvement. | PSNet

    psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
    August 19, 2015 - Study What words convey: the potential for patient narratives to inform quality improvement. Citation Text: Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…

  8. Failure events in transition of care for surgical patients. | PSNet

    psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
    October 19, 2022 - Study Failure events in transition of care for surgical patients. Citation Text: Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. Copy Citation Format: …

  9. Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet

    psnet.ahrq.gov/issue/systematic-review-intraoperative-anesthesia-handoffs-and-handoff-tools
    March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…

  10. The many faces of error disclosure: a common set of elements and a definition. | PSNet

    psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
    December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

  11. Misunderstanding of prescription drug warning labels among patients with low literacy. | PSNet

    psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
    February 28, 2011 - Study Misunderstanding of prescription drug warning labels among patients with low literacy. Citation Text: Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. Copy Ci…

  12. A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet

    psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement
    July 01, 2017 - Review A Department of Medicine infrastructure for patient safety and clinical quality improvement. Citation Text: Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. …

  13. Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/outcomes-concurrent-operations-results-american-college-surgeons-national-surgical-quality
    February 14, 2017 - Study Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. Citation Text: Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Qual…

  14. Miscoding, misclassification and misdiagnosis of diabetes in primary care. | PSNet

    psnet.ahrq.gov/issue/miscoding-misclassification-and-misdiagnosis-diabetes-primary-care
    September 23, 2020 - Study Miscoding, misclassification and misdiagnosis of diabetes in primary care. Citation Text: de Lusignan S, Sadek N, Mulnier H, et al. Miscoding, misclassification and misdiagnosis of diabetes in primary care. Diabet Med. 2012;29(2):181-9. doi:10.1111/j.1464-5491.2011.03419.x. Cop…

  15. Applying HFMEA to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
    September 27, 2017 - Study Applying HFMEA to prevent chemotherapy errors. Citation Text: Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  16. A systematic review of team training in health care: ten questions. | PSNet

    psnet.ahrq.gov/issue/systematic-review-team-training-health-care-ten-questions
    September 11, 2016 - Review A systematic review of team training in health care: ten questions. Citation Text: Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. Copy Cita…

  17. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. | PSNet

    psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
    January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…

  18. Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. | PSNet

    psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
    August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…

  19. Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

    psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3
    March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

  20. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study
    October 19, 2022 - Study Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Citation Text: Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…
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