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  1. The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. | PSNet

    psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
    June 22, 2022 - Study The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. Citation Text: Oshel RE, Levitt P. The Detection, Analysis, and Significance of Physician Clustering in Medical Malpractice Lawsuit Payouts. J Patient Saf. 2016;16(4):274-278. …

  2. Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. | PSNet

    psnet.ahrq.gov/issue/sustaining-teamwork-behaviors-through-reinforcement-teamstepps-principles
    September 02, 2015 - Study Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles. Citation Text: Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.…

  3. Preventable deaths in patients admitted from emergency department. | PSNet

    psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
    September 27, 2017 - Study Preventable deaths in patients admitted from emergency department. Citation Text: Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J. 2006;23(6):452-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

  4. Diagnostic errors--The next frontier for patient safety. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
    October 14, 2020 - Commentary Diagnostic errors--The next frontier for patient safety. Citation Text: Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. Copy Citation Format: DOI Google Scholar PubMed …

  5. The ins and outs of change of shift handoffs between nurses: a communication challenge. | PSNet

    psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge
    October 19, 2022 - Study The ins and outs of change of shift handoffs between nurses: a communication challenge. Citation Text: Carroll JS, Williams M, Gallivan TM. The ins and outs of change of shift handoffs between nurses: a communication challenge. BMJ Qual Saf. 2012;21(7):586-93. doi:10.1136/bmjqs-2…

  6. Systems thinking for managing COVID-19 in health care systems: seven key messages. | PSNet

    psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages
    October 21, 2015 - Commentary Systems thinking for managing COVID-19 in health care systems: seven key messages. Citation Text: Phillips JM, Stalter AM. Systems thinking for managing COVID-19 in health care systems: seven key messages. J Contin Educ Nurs. 2020;51(9):402-411. doi:10.3928/00220124-20200812-0…

  7. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet

    psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological
    October 19, 2022 - Study Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. Citation Text: Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…

  8. Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. | PSNet

    psnet.ahrq.gov/issue/medication-errors-use-allopurinol-and-colchicine-retrospective-study-national-anonymous
    December 21, 2014 - Study Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system. Citation Text: Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a retrosp…

  9. A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. | PSNet

    psnet.ahrq.gov/issue/study-frequency-and-rationale-overriding-allergy-warnings-computerized-prescriber-order-entry
    February 15, 2011 - Study A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. Citation Text: Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding Allergy Warnings in a Computerized Prescrib…

  10. The intersection of traumatic childbirth and obstetric racism: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/intersection-traumatic-childbirth-and-obstetric-racism-qualitative-study
    June 14, 2023 - Study The intersection of traumatic childbirth and obstetric racism: a qualitative study. Citation Text: Dmowska A, Fielding‐Singh P, Halpern J, et al. The intersection of traumatic childbirth and obstetric racism: a qualitative study. Birth. 2024;51(1):209-217. doi:10.1111/birt.12774. …

  11. Development of patient safety measures to identify inappropriate diagnosis of common infections. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
    April 10, 2024 - Study Development of patient safety measures to identify inappropriate diagnosis of common infections. Citation Text: White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-14…

  12. Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-barriers-and-facilitators-perspectives-resident-physicians-and
    October 23, 2024 - Study Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. Citation Text: Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pha…

  13. Medication safety program reduces adverse drug events in a community hospital. | PSNet

    psnet.ahrq.gov/issue/medication-safety-program-reduces-adverse-drug-events-community-hospital
    April 24, 2018 - Study Medication safety program reduces adverse drug events in a community hospital. Citation Text: Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a community hospital. Qual Saf Health Care. 2005;14(3):169-74. Copy Citation Format:…

  14. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. | PSNet

    psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
    September 07, 2022 - Study Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospective study. Citation Text: Tuncer S, Aksu N, Dilek H, et al. Fractures of the fingers missed or misdiagnosed on poorly positioned or poorly taken radiographs: a retrospect…

  15. Drone delivery of medications: review of the landscape and legal considerations. | PSNet

    psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
    May 18, 2022 - Commentary Emerging Classic Drone delivery of medications: review of the landscape and legal considerations. Citation Text: Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…

  16. The coronavirus and the risks to the elderly in long-term care. | PSNet

    psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
    July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

  17. Use of a computerized forcing function improves performance in ordering restraints. | PSNet

    psnet.ahrq.gov/issue/use-computerized-forcing-function-improves-performance-ordering-restraints
    September 30, 2020 - Study Use of a computerized forcing function improves performance in ordering restraints. Citation Text: Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergm…

  18. Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. | PSNet

    psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
    July 13, 2010 - Commentary Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements. Citation Text: DeRienzo CM, Frush K, Barfield ME, et al. Handoffs in the era of duty hours reform…

  19. Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact-patient-safety
    August 02, 2010 - Study Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. Citation Text: Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf. 2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4. Cop…

  20. Development and implementation of an oral sign-out skills curriculum. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
    February 15, 2011 - Commentary Development and implementation of an oral sign-out skills curriculum. Citation Text: Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen Intern Med. 2007;22(10):1470-4. Copy Citation Format: Google Scholar Pu…
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