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  1. An innovative approach to the surgical time out: a patient-focused model. | PSNet

    psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
    July 10, 2008 - Commentary An innovative approach to the surgical time out: a patient-focused model. Citation Text: Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. Copy Citatio…

  2. Maintaining safety in the dialysis facility. | PSNet

    psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility
    May 25, 2011 - Commentary Maintaining safety in the dialysis facility. Citation Text: Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  3. Can electronic clinical documentation help prevent diagnostic errors? | PSNet

    psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help-prevent-diagnostic-errors
    December 02, 2020 - Commentary Can electronic clinical documentation help prevent diagnostic errors? Citation Text: Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734. Copy Citation Format: …

  4. Evaluation of parenteral nutrition errors in an era of drug shortages. | PSNet

    psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
    October 02, 2013 - Study Evaluation of parenteral nutrition errors in an era of drug shortages. Citation Text: Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820. Copy Citation For…

  5. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet

    psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
    June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

  6. The moderate success of quality of care improvement efforts: three observations on the situation. | PSNet

    psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
    May 06, 2015 - Commentary The moderate success of quality of care improvement efforts: three observations on the situation. Citation Text: Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…

  7. Injury and death associated with incidents reported to the Patient Safety Net. | PSNet

    psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
    September 08, 2010 - Study Injury and death associated with incidents reported to the Patient Safety Net. Citation Text: Reid M, Estacio R, Albert R. Injury and death associated with incidents reported to the patient safety net. Am J Med Qual. 2009;24(6):520-4. doi:10.1177/1062860609345788. Copy Citation…

  8. Quantification of surgical resident stress "on call". | PSNet

    psnet.ahrq.gov/issue/quantification-surgical-resident-stress-call
    August 26, 2011 - Study Quantification of surgical resident stress "on call". Citation Text: Tendulkar AP, Victorino GP, Chong TJ, et al. Quantification of surgical resident stress "on call". J Am Coll Surg. 2005;201(4):560-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  9. Motivational influences on anaesthetists' use of practice guidelines. | PSNet

    psnet.ahrq.gov/issue/motivational-influences-anaesthetists-use-practice-guidelines
    April 18, 2011 - Study Motivational influences on anaesthetists' use of practice guidelines. Citation Text: Phipps DL, Beatty PCW, Parker D, et al. Motivational influences on anaesthetists' use of practice guidelines. Br J Anaesth. 2009;102(6):768-74. doi:10.1093/bja/aep082. Copy Citation Format:…

  10. HIPAA and patient care: the role for professional judgment. | PSNet

    psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
    June 22, 2022 - Commentary HIPAA and patient care: the role for professional judgment. Citation Text: Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  11. Improving patient safety: patient-focused, high-reliability team training. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
    January 07, 2011 - Commentary Improving patient safety: patient-focused, high-reliability team training. Citation Text: McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. …

  12. Medical students' experiences with medical errors: an analysis of medical student essays. | PSNet

    psnet.ahrq.gov/issue/medical-students-experiences-medical-errors-analysis-medical-student-essays
    June 22, 2022 - Study Medical students' experiences with medical errors: an analysis of medical student essays. Citation Text: Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x. …

  13. An objective study of the impact of the electronic medical record on outcomes in trauma patients. | PSNet

    psnet.ahrq.gov/issue/objective-study-impact-electronic-medical-record-outcomes-trauma-patients
    October 13, 2018 - Study An objective study of the impact of the electronic medical record on outcomes in trauma patients. Citation Text: Schenarts PJ, Goettler CE, White MA, et al. An objective study of the impact of the electronic medical record on outcomes in trauma patients. Am Surg. 2012;78(11):1249…

  14. Pushing the profession: how the news media turned patient safety into a priority. | PSNet

    psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safety-priority
    September 02, 2018 - Review Classic Pushing the profession: how the news media turned patient safety into a priority. Citation Text: Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf Health Care. 2002;11(1):57-63. Copy Citat…

  15. Venous thromboembolism after trauma: a never event? | PSNet

    psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
    January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …

  16. Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
    November 16, 2022 - Commentary Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. Citation Text: Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…

  17. Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. | PSNet

    psnet.ahrq.gov/issue/inadvertent-misadministration-meningococcal-conjugate-vaccine-united-states-june-august-2005
    February 27, 2019 - Government Resource Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. Citation Text: Prevention C for DC and. Inadvertent misadministration of meningococcal conjugate vaccine--United States, June-August 2005. MMWR Morb Mortal Wkly Rep. 20…

  18. Influence of language barriers on outcomes of hospital care for general medicine inpatients. | PSNet

    psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
    May 16, 2012 - Study Influence of language barriers on outcomes of hospital care for general medicine inpatients. Citation Text: Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…

  19. Preventable errors in organ transplantation: an emerging patient safety issue? | PSNet

    psnet.ahrq.gov/issue/preventable-errors-organ-transplantation-emerging-patient-safety-issue
    September 09, 2015 - Commentary Preventable errors in organ transplantation: an emerging patient safety issue? Citation Text: Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x.…

  20. Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. | PSNet

    psnet.ahrq.gov/issue/knowledge-based-errors-anesthesia-paired-controlled-trial-learning-and-retention
    December 06, 2023 - Study Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. Citation Text: Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention. Can J Anaesth. 2009;56(1):3…
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