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  1. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. | PSNet

    psnet.ahrq.gov/issue/medication-errors-hiv-infected-hospitalized-patients-pharmacists-impact
    November 16, 2022 - Study Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Citation Text: Eginger KH, Yarborough LL, Inge LDV, et al. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Ann Pharmacother. 2013;47(7-8):953-60. doi:10.1345/aph.1R773.…

  2. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. | PSNet

    psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters
    October 03, 2013 - Study A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Citation Text: Rivera J. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Appl Ergon. 2014;45(3):747-56. doi:10.1016/…

  3. The exaggerated benefits of failure. | PSNet

    psnet.ahrq.gov/issue/exaggerated-benefits-failure
    November 09, 2022 - Study The exaggerated benefits of failure. Citation Text: Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

  4. Risk factors for i.v. compounding errors when using an automated workflow management system. | PSNet

    psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
    September 23, 2020 - Study Risk factors for i.v. compounding errors when using an automated workflow management system. Citation Text: Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…

  5. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
    October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

  6. Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. | PSNet

    psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
    August 02, 2015 - Study Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. Citation Text: Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…

  7. Duty-hours monitoring revisited: self-report may not be adequate. | PSNet

    psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate
    April 24, 2018 - Study Duty-hours monitoring revisited: self-report may not be adequate. Citation Text: Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003. Copy Citation Format: …

  8. Patient safety in the critical care environment. | PSNet

    psnet.ahrq.gov/issue/patient-safety-critical-care-environment
    November 16, 2022 - Commentary Patient safety in the critical care environment. Citation Text: Rossi PJ, Edmiston CE. Patient safety in the critical care environment. Surg Clin North Am. 2012;92(6):1369-86. doi:10.1016/j.suc.2012.08.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  9. Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. | PSNet

    psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
    October 19, 2022 - Study Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. Citation Text: Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…

  10. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. | PSNet

    psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center
    June 03, 2020 - Study Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Citation Text: Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267. Copy Citation …

  11. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-older-people-acute-admissions-implementation-frailsafe-checklist-12
    February 20, 2016 - Study Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. Citation Text: Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frails…

  12. Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. | PSNet

    psnet.ahrq.gov/issue/junior-doctors-and-patient-safety-evaluating-knowledge-attitudes-and-perception-safety
    February 18, 2019 - Study Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. Citation Text: Durani P, Dias J, Singh HP, et al. Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. BMJ Qual Saf. 2013;22(1):65-…

  13. Value assessment of deprescribing interventions: suggestions for improvement. | PSNet

    psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
    August 04, 2021 - Commentary Value assessment of deprescribing interventions: suggestions for improvement. Citation Text: Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. Copy C…

  14. Bias and racism teaching rounds at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
    August 12, 2020 - Commentary Bias and racism teaching rounds at an academic medical center. Citation Text: Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. Copy Citation Format: DOI Goog…

  15. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

    psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
    March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

  16. The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. | PSNet

    psnet.ahrq.gov/issue/impact-anti-infective-drug-shortages-hospitals-united-states-trends-and-causes
    October 19, 2022 - Review The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. Citation Text: Griffith MM, Gross AE, Sutton SH, et al. The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. Clin Infect Dis. 2012;54(5):6…

  17. The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. | PSNet

    psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
    October 19, 2022 - Study The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. Citation Text: Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…

  18. Gender biases in estimation of others' pain. | PSNet

    psnet.ahrq.gov/issue/gender-biases-estimation-others-pain
    March 25, 2020 - Study Classic Gender biases in estimation of others' pain. Citation Text: Zhang L, Losin EAR, Ashar YK, et al. Gender biases in estimation of others' pain. J Pain. 2021;22(9):1048-1059. doi:10.1016/j.jpain.2021.03.001. Copy Citation Format: DOI Goo…

  19. Why stigma matters in addressing alcohol harm. | PSNet

    psnet.ahrq.gov/issue/why-stigma-matters-addressing-alcohol-harm
    August 04, 2021 - Commentary Why stigma matters in addressing alcohol harm. Citation Text: Morris J, Schomerus G. Why stigma matters in addressing alcohol harm. Drug Alcohol Rev. 2023;42(5):1264-1268. doi:10.1111/dar.13660. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  20. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? | PSNet

    psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
    August 03, 2022 - Review Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Citation Text: Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…
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