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  1. Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. | PSNet

    psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
    July 17, 2024 - Commentary Emerging Classic Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. Citation Text: Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…

  2. Board quality scorecards: measuring improvement. | PSNet

    psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
    June 16, 2011 - Study Board quality scorecards: measuring improvement. Citation Text: Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324. Copy Citation Format: DOI Google Scholar…

  3. ASHP Guidelines on Preventing Diversion of Controlled Substances. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-diversion-controlled-substances
    June 15, 2022 - Organizational Policy/Guidelines ASHP Guidelines on Preventing Diversion of Controlled Substances. Citation Text: Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.…

  4. A randomized trial of nighttime physician staffing in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-nighttime-physician-staffing-intensive-care-unit
    September 23, 2020 - Study A randomized trial of nighttime physician staffing in an intensive care unit. Citation Text: Kerlin MP, Small DS, Cooney E, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med. 2013;368(23):2201-9. doi:10.1056/NEJMoa1302854. Copy Ci…

  5. Relationship between quality of care and negligence litigation in nursing homes. | PSNet

    psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes
    September 07, 2011 - Study Relationship between quality of care and negligence litigation in nursing homes. Citation Text: Studdert DM, Spittal MJ, Mello MM, et al. Relationship between quality of care and negligence litigation in nursing homes. N Engl J Med. 2011;364(13):1243-1250. doi:10.1056/nejmsa100933…

  6. Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. | PSNet

    psnet.ahrq.gov/issue/managing-discontinuity-academic-medical-centers-strategies-safe-and-effective-resident-sign
    November 26, 2014 - Review Managing discontinuity in academic medical centers: strategies for a safe and effective resident sign-out. Citation Text: Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies for a safe and effective resident sign-out. J Hosp…

  7. Missed opportunities in the primary care management of early acute ischemic heart disease. | PSNet

    psnet.ahrq.gov/issue/missed-opportunities-primary-care-management-early-acute-ischemic-heart-disease
    January 08, 2016 - Study Missed opportunities in the primary care management of early acute ischemic heart disease. Citation Text: Sequist TD, Marshall R, Lampert S, et al. Missed opportunities in the primary care management of early acute ischemic heart disease. Arch Intern Med. 2006;166(20):2237-43. …

  8. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. | PSNet

    psnet.ahrq.gov/issue/beam-me-scotty-impact-personal-wireless-communication-devices-emergency-department
    July 17, 2013 - Study Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Citation Text: Richards JD, Harris T. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Emerg Med J. 2011;28(1):29-32. doi:10.1136/emj…

  9. Impact of duty-hour restriction on resident inpatient teaching. | PSNet

    psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teaching
    February 24, 2011 - Study Impact of duty-hour restriction on resident inpatient teaching. Citation Text: Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448. Copy Citation Format: DOI Google Sc…

  10. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. | PSNet

    psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery
    October 09, 2013 - Study Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Citation Text: Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…

  11. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. | PSNet

    psnet.ahrq.gov/issue/criminalisation-unintentional-error-healthcare-uk-perspective-new-zealand
    June 14, 2023 - Commentary Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. Citation Text: Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1…

  12. Implementation of bar-code medication administration to reduce patient harm. | PSNet

    psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm
    September 23, 2020 - Study Implementation of bar-code medication administration to reduce patient harm. Citation Text: Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…

  13. Addressing the elephant in the room: a shame resilience seminar for medical students. | PSNet

    psnet.ahrq.gov/issue/addressing-elephant-room-shame-resilience-seminar-medical-students
    June 07, 2023 - Commentary Addressing the elephant in the room: a shame resilience seminar for medical students. Citation Text: Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000…

  14. A team disclosure of error educational activity: objective outcomes. | PSNet

    psnet.ahrq.gov/issue/team-disclosure-error-educational-activity-objective-outcomes
    January 31, 2018 - Study A team disclosure of error educational activity: objective outcomes. Citation Text: Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. Copy Citation Forma…

  15. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. | PSNet

    psnet.ahrq.gov/issue/paperless-wall-mounted-surgical-safety-checklist-migrated-leadership-can-improve-compliance
    January 12, 2022 - Study A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. Citation Text: Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and te…

  16. Standardization and visualization of the surgical time-out. | PSNet

    psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
    November 06, 2024 - Study Standardization and visualization of the surgical time-out. Citation Text: Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. Copy Citation Format: DOI Goog…

  17. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
    October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

  18. Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. | PSNet

    psnet.ahrq.gov/issue/meta-analyses-effects-standardized-handoff-protocols-patient-provider-and-organizational
    June 01, 2022 - Review Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. Citation Text: Keebler JR, Lazzara EH, Patzer BS, et al. Meta-Analyses of the Effects of Standardized Handoff Protocols on Patient, Provider, and Organizational Outcom…

  19. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

    psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
    August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

  20. Implementation and evaluation of a laboratory safety process improvement toolkit. | PSNet

    psnet.ahrq.gov/issue/implementation-and-evaluation-laboratory-safety-process-improvement-toolkit
    July 12, 2010 - Study Implementation and evaluation of a laboratory safety process improvement toolkit. Citation Text: Kwan BM, Fernald D, Ferrarone P, et al. Implementation and Evaluation of a Laboratory Safety Process Improvement Toolkit. J Am Board Fam Med. 2019;32(2):136-145. doi:10.3122/jabfm.2019.…
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