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  1. Are you listening...Are you really listening? | PSNet

    psnet.ahrq.gov/issue/are-you-listeningare-you-really-listening
    December 04, 2016 - Commentary Are you listening...Are you really listening? Citation Text: Denham CR, Dingman J, Foley M, et al. Are You Listening…Are You Really Listening? J Patient Saf. 2008;4(3):148-161. doi:10.1097/pts.0b013e318184db52. Copy Citation Format: DOI Google Scholar BibTeX En…

  2. Improving care transitions: optimizing medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
    June 17, 2014 - Commentary Improving care transitions: optimizing medication reconciliation. Citation Text: Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…

  3. The enterprise take on patient safety. | PSNet

    psnet.ahrq.gov/issue/enterprise-take-patient-safety
    December 21, 2009 - Newspaper/Magazine Article The enterprise take on patient safety. Citation Text: Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  4. Surgical safety checklists: do they improve outcomes? | PSNet

    psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
    July 13, 2010 - Review Surgical safety checklists: do they improve outcomes? Citation Text: Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175. Copy Citation Format: DOI Google Scholar PubMed …

  5. When should a leader apologize—and when not? | PSNet

    psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
    October 07, 2020 - Commentary When should a leader apologize—and when not? Citation Text: Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  6. A physician's personal experiences as a cancer of the neck patient: errors in my care. | PSNet

    psnet.ahrq.gov/issue/physicians-personal-experiences-cancer-neck-patient-errors-my-care
    August 25, 2021 - Commentary A physician's personal experiences as a cancer of the neck patient: errors in my care. Citation Text: Brook I. A Physician’s Personal Experiences as a Cancer of the Neck Patient: Errors in My Care. Am J Med Qual. 2011;26(1):73-74. doi:10.1177/1062860610381917. Copy Citatio…

  7. Saying "I'm sorry": error disclosure for ophthalmologists. | PSNet

    psnet.ahrq.gov/issue/saying-im-sorry-error-disclosure-ophthalmologists
    November 20, 2019 - Commentary Saying "I'm sorry": error disclosure for ophthalmologists. Citation Text: Lee BS, Gallagher TH. Saying "I'm sorry": error disclosure for ophthalmologists. Am J Ophthalmol. 2014;158(6):1108-1110.e2. doi:10.1016/j.ajo.2014.09.010. Copy Citation Format: DOI Google S…

  8. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet

    psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
    January 01, 2015 - Commentary The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. Citation Text: Eichhorn JH. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection,…

  9. Interdisciplinary communication: an uncharted source of medical error? | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
    September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? Citation Text: Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. Copy Citation Format: Google Scholar Pu…

  10. Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. | PSNet

    psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
    July 30, 2014 - Newspaper/Magazine Article Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. Citation Text: Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. ISMP Medication Safety Alert! Acute …

  11. Antiretroviral medication errors among hospitalized patients with HIV infection. | PSNet

    psnet.ahrq.gov/issue/antiretroviral-medication-errors-among-hospitalized-patients-hiv-infection
    April 12, 2023 - Study Antiretroviral medication errors among hospitalized patients with HIV infection. Citation Text: Rastegar DA, Knight AM, Monolakis JS. Antiretroviral medication errors among hospitalized patients with HIV infection. Clin Infect Dis. 2006;43(7):933-8. Copy Citation Format: …

  12. Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. | PSNet

    psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
    January 12, 2022 - Study Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. Citation Text: Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integra…

  13. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? | PSNet

    psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
    January 22, 2014 - Study Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Citation Text: Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical Assessment Service? Eur J Pediatr. 2012;171(10…

  14. Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. | PSNet

    psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
    May 01, 2024 - Newspaper/Magazine Article Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. Citation Text: Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you …

  15. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet

    psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
    March 03, 2021 - Newspaper/Magazine Article Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. Citation Text: Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…

  16. Standardizing hospital discharge planning at the Mayo Clinic. | PSNet

    psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
    October 19, 2022 - Study Standardizing hospital discharge planning at the Mayo Clinic. Citation Text: Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  17. Reporting adverse events to patients: a step-by-step approach. | PSNet

    psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
    November 16, 2022 - Newspaper/Magazine Article Reporting adverse events to patients: a step-by-step approach. Citation Text: Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. Copy Citation Format: Google Schola…

  18. Poor physician-patient communication and medical error. | PSNet

    psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
    August 23, 2023 - Commentary Poor physician-patient communication and medical error. Citation Text: Poor physician-patient communication and medical error. Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.   Copy Citation Save Save to yo…

  19. Using information to optimize medical outcomes. | PSNet

    psnet.ahrq.gov/issue/using-information-optimize-medical-outcomes
    August 04, 2021 - Commentary Using information to optimize medical outcomes. Citation Text: Duncan JR. Using Information to Optimize Medical Outcomes. JAMA. 2009;301(22). doi:10.1001/jama.2009.827. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  20. Misinformation in the medical literature: what role do error and fraud play? | PSNet

    psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
    November 02, 2011 - Commentary Misinformation in the medical literature: what role do error and fraud play? Citation Text: Steen G. Misinformation in the medical literature: what role do error and fraud play? J Med Ethics. 2011;37(8):498-503. doi:10.1136/jme.2010.041830. Copy Citation Format: …
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