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  1. Medical errors education: a prospective study of a new educational tool. | PSNet

    psnet.ahrq.gov/issue/medical-errors-education-prospective-study-new-educational-tool
    March 20, 2024 - Study Medical errors education: a prospective study of a new educational tool. Citation Text: Paxton JH, Rubinfeld IS. Medical errors education: A prospective study of a new educational tool. Am J Med Qual. 2010;25(2):135-42. doi:10.1177/1062860609353345. Copy Citation Format: …

  2. Enhancing communication in surgery through team training interventions: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/enhancing-communication-surgery-through-team-training-interventions-systematic-literature
    August 11, 2021 - Review Enhancing communication in surgery through team training interventions: a systematic literature review. Citation Text: Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training interventions: a systematic literature review. AORN J. 2010;92(6):6…

  3. A roadmap to advance patient safety in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
    June 09, 2021 - Commentary A roadmap to advance patient safety in ambulatory care. Citation Text: Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-2482. doi:10.1001/jama.2020.18551. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  4. Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
    July 14, 2010 - Study Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. Citation Text: Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …

  5. Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient? | PSNet

    psnet.ahrq.gov/issue/literature-review-do-rapid-response-systems-reduce-incidence-major-adverse-events
    April 22, 2015 - Review Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient? Citation Text: Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriora…

  6. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

    psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
    February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

  7. Hospital ratings: a guide for the perplexed. | PSNet

    psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
    June 01, 2011 - Commentary Hospital ratings: a guide for the perplexed. Citation Text: Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  8. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? | PSNet

    psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
    May 26, 2021 - Commentary Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Citation Text: Doucette E, Fazio S, LaSalle V, et al. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? Dynamics. 2010;21(3):16-9. …

  9. What have we learned about interventions to reduce medical errors? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
    June 26, 2019 - Review What have we learned about interventions to reduce medical errors? Citation Text: Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…

  10. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. | PSNet

    psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
    December 12, 2012 - Study Nurses' behaviors and visual scanning patterns may reduce patient identification errors. Citation Text: Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…

  11. Medical errors recovered by critical care nurses. | PSNet

    psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
    June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

  12. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? | PSNet

    psnet.ahrq.gov/issue/there-benefit-multidisciplinary-rounds-open-trauma-intensive-care-unit-regarding-ventilator
    January 06, 2010 - Study Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? Citation Text: Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding v…

  13. Improving the quality and safety of patient care in cardiac anesthesia. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
    September 26, 2012 - Review Improving the quality and safety of patient care in cardiac anesthesia. Citation Text: Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018. Copy Cit…

  14. Simulation, mastery learning and healthcare. | PSNet

    psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
    November 09, 2011 - Commentary Simulation, mastery learning and healthcare. Citation Text: Dunn W, Dong Y, Zendejas B, et al. Simulation, Mastery Learning and Healthcare. Am J Med Sci. 2017;353(2):158-165. doi:10.1016/j.amjms.2016.12.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  15. VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet

    psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
    July 05, 2006 - Government Resource VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. Citation Text: VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileg…

  16. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. | PSNet

    psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
    May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Citation Text: Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…

  17. Detection of medication-related problems in hospital practice: a review. | PSNet

    psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practice-review
    June 16, 2021 - Review Detection of medication-related problems in hospital practice: a review. Citation Text: Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol. 2013;76(1):7-20. doi:10.1111/bcp.12049. Copy Citation Format: DOI Google S…

  18. Core competencies for patient safety research: a cornerstone for global capacity strengthening. | PSNet

    psnet.ahrq.gov/issue/core-competencies-patient-safety-research-cornerstone-global-capacity-strengthening
    September 15, 2021 - Commentary Core competencies for patient safety research: a cornerstone for global capacity strengthening. Citation Text: Andermann A, Ginsburg L, Norton P, et al. Core competencies for patient safety research: a cornerstone for global capacity strengthening. BMJ Qual Saf. 2011;20(1):9…

  19. Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. | PSNet

    psnet.ahrq.gov/issue/strategic-work-arounds-accommodate-new-technology-case-smart-pumps-hospital-care
    July 14, 2010 - Study Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. Citation Text: McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63. …

  20. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-how-rapid-response-teams-affect-nurse-team-and-system
    May 20, 2019 - Study Nurses' perceptions of how rapid response teams affect the nurse, team, and system. Citation Text: Williams DJ, Newman A, Jones CB, et al. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. J Nurs Care Qual. 2011;26(3):265-72. doi:10.1097/NCQ.0b01…
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