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8921. Incomplete care—on the trail of flaws in the system. | PSNet
      psnet.ahrq.gov/issue/incomplete-care-trail-flaws-system
      February 17, 2011 - Commentary Incomplete care—on the trail of flaws in the system. Citation Text: Gandhi TK, Zuccotti G, Lee TH. Incomplete care--on the trail of flaws in the system. N Engl J Med. 2011;365(6):486-8. doi:10.1056/NEJMp1106313. Copy Citation Format: DOI Google Scholar PubMed B…

8922. Use of health information technology to reduce diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/use-health-information-technology-reduce-diagnostic-errors
      April 30, 2014 - Review Use of health information technology to reduce diagnostic errors. Citation Text: El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. Copy Citation Format: …

8923. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. | PSNet
      psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
      July 14, 2009 - Review Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. Citation Text: Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring techn…

8924. Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet
      psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
      August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…

8925. Using a change model to reduce the risk of surgical site infection. | PSNet
      psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
      June 06, 2018 - Commentary Using a change model to reduce the risk of surgical site infection. Citation Text: Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

8926. Revisiting old slides—how worthwhile is it? | PSNet
      psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
      October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

8927. Reducing diagnostic errors worldwide through diagnostic management teams. | PSNet
      psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
      May 23, 2018 - Review Reducing diagnostic errors worldwide through diagnostic management teams. Citation Text: Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. Copy Citation …

8928. Patient experience must move beyond bad apples. | PSNet
      psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
      September 02, 2009 - Commentary Patient experience must move beyond bad apples. Citation Text: Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. Copy Citation Format: DOI Google Scholar PubMed Bib…

8929. Potential medical adverse events associated with death: a forensic pathology perspective. | PSNet
      psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
      July 31, 2019 - Study Potential medical adverse events associated with death: a forensic pathology perspective. Citation Text: Sakai K, Takatsu A, Shigeta A, et al. Potential medical adverse events associated with death: a forensic pathology perspective. International Journal for Quality in Health Car…

8930. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet
      psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
      October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

8931. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. | PSNet
      psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
      February 15, 2011 - Commentary Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Citation Text: Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…

8932. Zero tolerance for deadly hospital-acquired infections. | PSNet
      psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
      March 11, 2020 - Newspaper/Magazine Article Zero tolerance for deadly hospital-acquired infections. Citation Text: Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

8933. The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. | PSNet
      psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
      February 10, 2016 - Book/Report The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Citation Text: The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…

8934. Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? | PSNet
      psnet.ahrq.gov/issue/partial-do-not-resuscitate-orders-hazard-patient-safety-and-clinical-outcomes
      April 24, 2018 - Review Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? Citation Text: Sanders A, Schepp M, Baird M. Partial do-not-resuscitate orders: A hazard to patient safety and clinical outcomes? Crit Care Med. 2011;39(1):14-8. doi:10.1097/CCM.0b013e3181feb8f6…

8935. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? | PSNet
      psnet.ahrq.gov/issue/prompting-physicians-address-daily-checklist-antibiotics-do-we-need-co-pilot-icu
      September 23, 2020 - Review Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Citation Text: Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52.…

8936. Information behavior in the context of improving patient safety. | PSNet
      psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
      March 24, 2019 - Commentary Information behavior in the context of improving patient safety. Citation Text: MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.…

8937. Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet
      psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
      March 26, 2014 - Commentary Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. Citation Text: Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia. A & A Practice. 2017;10(10). doi:10.1213/…

8938. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? | PSNet
      psnet.ahrq.gov/issue/quantification-anesthesia-providers-hand-hygiene-busy-metropolitan-operating-room-what-would
      September 20, 2023 - Study Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Citation Text: Biddle C, Shah J. Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think? Am J …

8939. Beyond medication reconciliation: the correct medication list. | PSNet
      psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
      February 15, 2017 - Commentary Beyond medication reconciliation: the correct medication list. Citation Text: Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. Copy Citation Format: DOI…

8940. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? | PSNet
      psnet.ahrq.gov/issue/just-ekgs-should-eegs-undergo-confirmatory-interpretation-clinical-neurophysiologist
      November 09, 2022 - Commentary "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Citation Text: Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1…