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  1. The influence of resident involvement on surgical outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-resident-involvement-surgical-outcomes
    October 11, 2017 - Study The influence of resident involvement on surgical outcomes. Citation Text: Raval M, Wang X, Cohen ME, et al. The influence of resident involvement on surgical outcomes. J Am Coll Surg. 2011;212(5):889-98. doi:10.1016/j.jamcollsurg.2010.12.029. Copy Citation Format: …

  2. FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
    October 19, 2022 - Press Release/Announcement FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. Citation Text: FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

  3. Assessment of a simulated case-based measurement of physician diagnostic performance. | PSNet

    psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
    May 20, 2019 - Study Assessment of a simulated case-based measurement of physician diagnostic performance. Citation Text: Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006. doi:10.1001/jamanetw…

  4. An experimental study in nurse-physician relationships. | PSNet

    psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
    July 14, 2010 - Study Classic An experimental study in nurse-physician relationships. Citation Text: Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80. Copy Citation Format: Go…

  5. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet

    psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
    February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Citation Text: Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.…

  6. Rapid learning of adverse medical event disclosure and apology. | PSNet

    psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
    November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. Citation Text: Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. Copy Citation Format: …

  7. Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. | PSNet

    psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk
    August 06, 2014 - Study Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. Citation Text: Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…

  8. Structural empowerment and patient safety culture among registered nurses working in adult critical care units. | PSNet

    psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult
    January 23, 2008 - Study Structural empowerment and patient safety culture among registered nurses working in adult critical care units. Citation Text: Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…

  9. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
    July 28, 2021 - Review Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Citation Text: Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…

  10. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
    October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

  11. From battles to burnout: investigating the role of interphysician conflict in physician burnout. | PSNet

    psnet.ahrq.gov/issue/battles-burnout-investigating-role-interphysician-conflict-physician-burnout
    August 23, 2023 - Study From battles to burnout: investigating the role of interphysician conflict in physician burnout. Citation Text: Amick AE, Schrepel C, Bann M, et al. From battles to burnout: investigating the role of interphysician conflict in physician burnout. Acad Med. 2023;98(9):1076-1082. doi:…

  12. IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. | PSNet

    psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety
    January 31, 2024 - Journal Article IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. Citation Text: Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. Copy Citation Format: …

  13. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. | PSNet

    psnet.ahrq.gov/issue/obstetric-iatrogenesis-united-states-spectrum-unintentional-harm-disrespect-violence-and
    November 11, 2020 - Commentary Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, and abuse. Citation Text: Liese KL, Davis-Floyd R, Stewart K, et al. Obstetric iatrogenesis in the United States: the spectrum of unintentional harm, disrespect, violence, an…

  14. Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. | PSNet

    psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
    May 07, 2014 - Book/Report Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Citation Text: Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Ag…

  15. Resident perceptions of the impact of work hour limitations. | PSNet

    psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
    August 04, 2021 - Study Resident perceptions of the impact of work hour limitations. Citation Text: Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  16. Patient safety in inpatient psychiatry: a remaining frontier for health policy. | PSNet

    psnet.ahrq.gov/issue/patient-safety-inpatient-psychiatry-remaining-frontier-health-policy
    October 19, 2022 - Commentary Patient safety in inpatient psychiatry: a remaining frontier for health policy. Citation Text: Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.…

  17. A randomized trial of nighttime physician staffing in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-nighttime-physician-staffing-intensive-care-unit
    September 23, 2020 - Study A randomized trial of nighttime physician staffing in an intensive care unit. Citation Text: Kerlin MP, Small DS, Cooney E, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med. 2013;368(23):2201-9. doi:10.1056/NEJMoa1302854. Copy Ci…

  18. From HRO to HERO: making health equity a core system capability. | PSNet

    psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
    September 30, 2020 - Commentary From HRO to HERO: making health equity a core system capability. Citation Text: Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020. Copy Citation Format: …

  19. Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

    psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare
    July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

  20. Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. | PSNet

    psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence
    October 19, 2022 - Commentary Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. Citation Text: Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…
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