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  1. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. | PSNet

    psnet.ahrq.gov/issue/israel-center-medical-simulation-paradigm-cultural-change-medical-education
    May 04, 2014 - Commentary The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Citation Text: Ziv A, Erez D, Munz Y, et al. The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091-7. Copy Cit…

  2. The hard talk: dealing with the disruptive physician. | PSNet

    psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
    April 24, 2018 - Review The hard talk: dealing with the disruptive physician. Citation Text: Rossano JW, Berger S, Penny DJ. The hard talk: dealing with the disruptive physician. Prog Pediatr Cardiol. 2020;59:101315. doi:10.1016/j.ppedcard.2020.101315. Copy Citation Format: DOI Google Schol…

  3. Work interruptions and their contribution to medication administration errors: an evidence review. | PSNet

    psnet.ahrq.gov/issue/work-interruptions-and-their-contribution-medication-administration-errors-evidence-review
    July 22, 2020 - Review Work interruptions and their contribution to medication administration errors: an evidence review. Citation Text: Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs…

  4. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. | PSNet

    psnet.ahrq.gov/issue/safety-attitudes-questionnaire-tool-benchmarking-safety-culture-nicu
    March 02, 2012 - Study The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Citation Text: Profit J, Etchegaray J, Petersen L, et al. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Arch Dis Child Fetal Neonatal Ed. 2012;97(…

  5. No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. | PSNet

    psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
    December 21, 2017 - Newspaper/Magazine Article No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. Citation Text: Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…

  6. Nurses' work schedule characteristics, nurse staffing, and patient mortality. | PSNet

    psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
    June 16, 2010 - Study Nurses' work schedule characteristics, nurse staffing, and patient mortality. Citation Text: Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d. Copy…

  7. Interruption handling strategies during paediatric medication administration. | PSNet

    psnet.ahrq.gov/issue/interruption-handling-strategies-during-paediatric-medication-administration
    July 27, 2018 - Study Interruption handling strategies during paediatric medication administration. Citation Text: Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. Copy Citation Format…

  8. Observation for assessment of clinician performance: a narrative review. | PSNet

    psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
    September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…

  9. Framework for direct observation of performance and safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
    November 15, 2023 - Commentary Framework for direct observation of performance and safety in healthcare. Citation Text: Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. …

  10. Cultivating a culture of medication safety in prelicensure nursing students. | PSNet

    psnet.ahrq.gov/issue/cultivating-culture-medication-safety-prelicensure-nursing-students
    July 25, 2018 - Commentary Cultivating a culture of medication safety in prelicensure nursing students. Citation Text: Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. C…

  11. Creating a safer operating room: groups, team dynamics and crew resource management principles. | PSNet

    psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
    June 11, 2008 - Review Emerging Classic Creating a safer operating room: groups, team dynamics and crew resource management principles. Citation Text: Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…

  12. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. | PSNet

    psnet.ahrq.gov/issue/medication-safety-emergency-medical-services-approaching-evidence-based-method-verification
    September 28, 2022 - Study Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Citation Text: Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther …

  13. Is excessive resource utilization an adverse event? | PSNet

    psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
    February 02, 2022 - Commentary Is excessive resource utilization an adverse event? Citation Text: Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  14. Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet

    psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
    January 18, 2013 - Study Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. Citation Text: Stawicki P, Cook CH, Anderson HL, et al. Natural history of retained surgical items supports the need for team training, early recognition, and pr…

  15. The evolution of a safety culture. | PSNet

    psnet.ahrq.gov/issue/evolution-safety-culture
    March 17, 2021 - Commentary The evolution of a safety culture. Citation Text: Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  16. Technical mistakes during the acquisition of the electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

  17. Automatic errors: a case series on the errors inherent in electronic prescribing. | PSNet

    psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing
    March 14, 2022 - Commentary Automatic errors: a case series on the errors inherent in electronic prescribing. Citation Text: Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-…

  18. Speaking up and sharing information improves trainee neonatal resuscitations. | PSNet

    psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
    April 08, 2011 - Study Speaking up and sharing information improves trainee neonatal resuscitations. Citation Text: Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. Copy C…

  19. Administering and monitoring high-alert medications in acute care. | PSNet

    psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
    February 01, 2017 - Commentary Administering and monitoring high-alert medications in acute care. Citation Text: Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. Copy Citation Format: DOI Google Scholar…

  20. Improving medication safety in the ICU: the pharmacist's role. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
    April 20, 2022 - Commentary Improving medication safety in the ICU: the pharmacist's role. Citation Text: Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337. Copy Citation Format: DOI Google…
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