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  1. A roadmap to advance patient safety in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
    June 09, 2021 - Commentary A roadmap to advance patient safety in ambulatory care. Citation Text: Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-2482. doi:10.1001/jama.2020.18551. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  2. The role of cognitive bias in breast radiology diagnostic and judgment errors. | PSNet

    psnet.ahrq.gov/issue/role-cognitive-bias-breast-radiology-diagnostic-and-judgment-errors
    April 24, 2018 - Commentary The role of cognitive bias in breast radiology diagnostic and judgment errors. Citation Text: Loving VA, Valencia EM, Patel B, et al. The role of cognitive bias in breast radiology diagnostic and judgment errors. J Breast Imag. 2020. doi:10.1093/jbi/wbaa023. Copy Citation …

  3. The economic burden of patient safety targets in acute care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/economic-burden-patient-safety-targets-acute-care-systematic-review
    April 05, 2013 - Review The economic burden of patient safety targets in acute care: a systematic review. Citation Text: Mittmann N, Matlow A. The economic burden of patient safety targets in acute care: a systematic review. Drug Healthc Patient Saf. 2012. doi:10.2147/dhps.s33288. Copy Citation F…

  4. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. | PSNet

    psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
    May 18, 2022 - Study Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. Citation Text: Friedman CP, Gatti GG, Franz TM, et al. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. J Gen Int…

  5. ROI for a fall prevention intervention: invest a little, save a lot. | PSNet

    psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
    September 13, 2017 - Study ROI for a fall prevention intervention: invest a little, save a lot. Citation Text: Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248-252. doi:10.1097/naq.0000000000000647. Copy Citation Format: DOI Google Schol…

  6. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/development-and-sustainability-inpatient-outpatient-discharge-handoff-tool-quality
    August 04, 2015 - Study Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Citation Text: Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt C…

  7. Interventions to reduce medication errors in adult intensive care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-errors-adult-intensive-care-systematic-review
    January 22, 2016 - Review Interventions to reduce medication errors in adult intensive care: a systematic review. Citation Text: Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2…

  8. "First, know thyself": cognition and error in medicine. | PSNet

    psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
    March 09, 2022 - Review "First, know thyself": cognition and error in medicine. Citation Text: Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. Copy Citation Format: DOI Google Schola…

  9. Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. | PSNet

    psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
    March 20, 2013 - Study Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. Citation Text: Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…

  10. Intolerance of error and culture of blame drive medical excess. | PSNet

    psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
    March 24, 2017 - Commentary Intolerance of error and culture of blame drive medical excess. Citation Text: Hoffman JR, Kanzaria HK. Intolerance of error and culture of blame drive medical excess. BMJ. 2014;349(oct14 3). doi:10.1136/bmj.g5702. Copy Citation Format: DOI Google Scholar BibTeX …

  11. The cost of pneumonia after acute stroke. | PSNet

    psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
    August 04, 2021 - Study The cost of pneumonia after acute stroke. Citation Text: Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

  12. Patient safety: do nursing and medical curricula address this theme? | PSNet

    psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address-theme
    September 14, 2011 - Commentary Patient safety: do nursing and medical curricula address this theme? Citation Text: Wakefield A, Attree M, Braidman I, et al. Patient safety: do nursing and medical curricula address this theme? Nurse Educ Today. 2005;25(4):333-40. Copy Citation Format: Google …

  13. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? | PSNet

    psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
    October 13, 2018 - Review Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Citation Text: Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:1…

  14. An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study. | PSNet

    psnet.ahrq.gov/issue/innovative-application-bayesian-disease-mapping-methods-patient-safety-research-canadian
    October 19, 2022 - Study An innovative application of Bayesian disease mapping methods to patient safety research: a Canadian adverse medical event study. Citation Text: MacNab YC, Kmetic A, Gustafson P, et al. An innovative application of Bayesian disease mapping methods to patient safety research: a Ca…

  15. Improving patient safety in developing countries—moving towards an integrated approach. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
    December 02, 2020 - Review Improving patient safety in developing countries—moving towards an integrated approach. Citation Text: Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2…

  16. Triggers for emergency team activation: a multicenter assessment. | PSNet

    psnet.ahrq.gov/issue/triggers-emergency-team-activation-multicenter-assessment
    March 05, 2010 - Study Triggers for emergency team activation: a multicenter assessment. Citation Text: Chen J, Bellomo R, Hillman K, et al. Triggers for emergency team activation: a multicenter assessment. J Crit Care. 2010;25(2):359.e1-7. doi:10.1016/j.jcrc.2009.12.011. Copy Citation Format: …

  17. Iatrogenic psychological harm. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-psychological-harm
    February 28, 2024 - Review Iatrogenic psychological harm. Citation Text: Rees C. Iatrogenic psychological harm. Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011-300362. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  18. Teaching nurses to make clinical judgments that ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
    August 17, 2022 - Commentary Teaching nurses to make clinical judgments that ensure patient safety. Citation Text: Billings DM. Teaching Nurses to Make Clinical Judgments That Ensure Patient Safety. J Contin Educ Nurs. 2019;50(7):300-302. doi:10.3928/00220124-20190612-04. Copy Citation Format: …

  19. Medication errors involving wrong administration technique. | PSNet

    psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique
    January 05, 2017 - Study Medication errors involving wrong administration technique. Citation Text: Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3. Copy Citation …

  20. Unintended errors with EHR-based result management: a case series. | PSNet

    psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
    April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…
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