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  1. Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. | PSNet

    psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
    August 15, 2007 - Book/Report Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Citation Text: Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. Davis K, Schoen S, Schoenbaum SC, et al. New Yo…

  2. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet

    psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

  3. The ethical imperative to think about thinking. | PSNet

    psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
    June 27, 2018 - Commentary The ethical imperative to think about thinking. Citation Text: Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061. Copy Citation …

  4. Nurse health, work environment, presenteeism and patient safety. | PSNet

    psnet.ahrq.gov/issue/nurse-health-work-environment-presenteeism-and-patient-safety
    December 14, 2016 - Study Nurse health, work environment, presenteeism and patient safety. Citation Text: Rainbow JG, Drake DA, Steege LM. Nurse health, work environment, presenteeism and patient safety. West J Nurs Res. 2020;42(5):332-339. doi:10.1177/0193945919863409. Copy Citation Format: D…

  5. The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet

    psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
    September 24, 2010 - Study The interrelationship of isolation precautions and adverse events in an acute care facility. Citation Text: Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.aj…

  6. Intrathecal chemotherapy: potential for medication error. | PSNet

    psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
    February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. Citation Text: Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  7. Race as a social construct in psychiatry research and practice. | PSNet

    psnet.ahrq.gov/issue/race-social-construct-psychiatry-research-and-practice
    July 20, 2022 - Commentary Race as a social construct in psychiatry research and practice. Citation Text: Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877. Copy Citation Format: …

  8. The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. | PSNet

    psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic-errors-pediatric
    April 08, 2018 - Study The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Citation Text: Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric…

  9. FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. | PSNet

    psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
    July 01, 2020 - Newspaper/Magazine Article FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. Citation Text: FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. ISMP Medication Safety Alert! Acute care edition.&…

  10. Can your nurses stop a surgeon? | PSNet

    psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
    September 02, 2020 - Newspaper/Magazine Article Can your nurses stop a surgeon? Citation Text: Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  11. Closing the disclosure gap: medical errors in pediatrics. | PSNet

    psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
    March 30, 2022 - Review Closing the disclosure gap: medical errors in pediatrics. Citation Text: Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4). doi:10.1542/peds.2019-0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  12. Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
    July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

  13. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. | PSNet

    psnet.ahrq.gov/issue/explicitly-addressing-implicit-bias-inpatient-rounds-student-and-faculty-reflections
    November 11, 2020 - Commentary Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Citation Text: Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585. Copy C…

  14. A piece of my mind. Despite my best intentions. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
    September 13, 2016 - Commentary A piece of my mind. Despite my best intentions. Citation Text: Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  15. Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
    October 12, 2022 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Washington DC: Un…

  16. Diagnostic reasoning and cognitive biases of nurse practitioners. | PSNet

    psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
    October 19, 2022 - Review Diagnostic reasoning and cognitive biases of nurse practitioners. Citation Text: Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03. Copy Citation Format: DOI Google Scholar P…

  17. Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. | PSNet

    psnet.ahrq.gov/issue/oncology-nurses-perceptions-about-involving-patients-prevention-chemotherapy-administration
    July 01, 2010 - Study Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. Citation Text: Schwappach DLB, Hochreutener M-A, Wernli M. Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. …

  18. Why don't nurses consistently take patient respiratory rates? | PSNet

    psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
    October 10, 2012 - Study Why don't nurses consistently take patient respiratory rates? Citation Text: Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  19. Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. | PSNet

    psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
    July 08, 2015 - Press Release/Announcement Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. Citation Text: Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. National Alert Net…

  20. Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. | PSNet

    psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient
    June 22, 2022 - Press Release/Announcement Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Citation Text: Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Agency for Healthcare Research and…
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