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  1. Allowing failure for educational purposes in postgraduate clinical training: a narrative review. | PSNet

    psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
    February 08, 2023 - Review Allowing failure for educational purposes in postgraduate clinical training: a narrative review. Citation Text: Klasen JM, Lingard LA. Allowing failure for educational purposes in postgraduate clinical training: A narrative review. Med Teach. 2019;41(11):1263-1269. doi:10.1080/014…

  2. Bedside shift-to-shift handoffs: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/bedside-shift-shift-handoffs-systematic-review-literature
    January 23, 2017 - Review Bedside shift-to-shift handoffs: a systematic review of the literature. Citation Text: Mardis T, Mardis M, Davis JJ, et al. Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. J Nurs Care Qual. 2016;31(1):54-60. doi:10.1097/NCQ.0000000000000142. Copy Citation…

  3. Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. | PSNet

    psnet.ahrq.gov/issue/creating-culture-safety-around-bar-code-medication-administration-evidence-based-evaluation
    July 14, 2010 - Commentary Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. Citation Text: Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.…

  4. A structured judgement method to enhance mortality case note review: development and evaluation. | PSNet

    psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
    May 27, 2011 - Study A structured judgement method to enhance mortality case note review: development and evaluation. Citation Text: Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). do…

  5. The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/effectiveness-integrated-health-information-technologies-across-phases-medication-management
    October 19, 2022 - Review The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. Citation Text: McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies a…

  6. The future of safety and quality in radiation oncology. | PSNet

    psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology
    May 17, 2023 - Commentary The future of safety and quality in radiation oncology. Citation Text: Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008. Copy Citation Format: …

  7. Handoff practices in emergency medicine: are we making progress? | PSNet

    psnet.ahrq.gov/issue/handoff-practices-emergency-medicine-are-we-making-progress
    September 23, 2020 - Study Handoff practices in emergency medicine: are we making progress? Citation Text: Hern G, Gallahue FE, Burns BD, et al. Handoff Practices in Emergency Medicine: Are We Making Progress? Acad Emerg Med. 2016;23(2):197-201. doi:10.1111/acem.12867. Copy Citation Format: DOI…

  8. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety
    December 06, 2013 - Commentary Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. Citation Text: Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…

  9. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet

    psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
    June 02, 2021 - Study Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Citation Text: Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…

  10. Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. | PSNet

    psnet.ahrq.gov/issue/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-pre-referral
    November 02, 2018 - Study Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors. Citation Text: Dossett LA, Kauffmann RM, Lee JS, et al. Specialist Physicians' Attitudes and Practice Patterns Regarding Disclosure of Pre-referral Medical Errors. Ann Surg. …

  11. Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

    psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
    August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

  12. Thirty-day outcomes support implementation of a surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist
    April 10, 2024 - Study Thirty-day outcomes support implementation of a surgical safety checklist. Citation Text: Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. Thirty-day outcomes support implementation of a surgical safety checklist. J Am Coll Surg. 2012;215(6):766-76. doi:10.1016/j.jamcollsurg.2012…

  13. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. | PSNet

    psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
    August 26, 2011 - Study Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Citation Text: Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…

  14. Hospital autopsy: endangered or extinct? | PSNet

    psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
    November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  15. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

    psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
    October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

  16. On the ball: leadership for patient safety and learning in critical care. | PSNet

    psnet.ahrq.gov/issue/ball-leadership-patient-safety-and-learning-critical-care
    October 16, 2013 - Study On the ball: leadership for patient safety and learning in critical care. Citation Text: Tregunno D, Jeffs L, Hall LMG, et al. On the ball: leadership for patient safety and learning in critical care. J Nurs Adm. 2009;39(7-8):334-9. doi:10.1097/NNA.0b013e3181ae9653. Copy Citatio…

  17. Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. | PSNet

    psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized-implementation-trial
    March 04, 2015 - Study Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program. Citation Text: Kane RL, Huckfeldt P, Tappen R, et al. Effects of an Intervention to Reduce Hospitalizations From Nursing Homes: A Randomized Implemen…

  18. Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. | PSNet

    psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
    September 01, 2016 - Study Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. Citation Text: Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to improve prophylactic antibacterial use …

  19. What do family physicians consider an error? A comparison of definitions and physician perception. | PSNet

    psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception
    February 15, 2011 - Study What do family physicians consider an error? A comparison of definitions and physician perception. Citation Text: Elder NC, Pallerla H, Regan S. What do family physicians consider an error? A comparison of definitions and physician perception. BMC Fam Pract. 2006;7:73. Copy Cit…

  20. Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. | PSNet

    psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
    November 13, 2024 - Study Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. Citation Text: Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-2004 from closed …
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