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  1. Performance of a web-based clinical diagnosis support system for internists. | PSNet

    psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
    August 02, 2023 - Study Performance of a web-based clinical diagnosis support system for internists. Citation Text: Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8. Copy Citation …

  2. Exploring performance obstacles of intensive care nurses. | PSNet

    psnet.ahrq.gov/issue/exploring-performance-obstacles-intensive-care-nurses
    March 11, 2020 - Study Exploring performance obstacles of intensive care nurses. Citation Text: Gurses AP, Carayon P. Exploring performance obstacles of intensive care nurses. Appl Ergon. 2009;40(3):509-18. doi:10.1016/j.apergo.2008.09.003. Copy Citation Format: DOI Google Scholar PubMed …

  3. Medication errors in pediatric inpatients: prevalence and results of a prevention program. | PSNet

    psnet.ahrq.gov/issue/medication-errors-pediatric-inpatients-prevalence-and-results-prevention-program
    May 22, 2019 - Study Medication errors in pediatric inpatients: prevalence and results of a prevention program. Citation Text: Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/…

  4. ADEs and automation. | PSNet

    psnet.ahrq.gov/issue/ades-and-automation
    January 15, 2014 - Commentary ADEs and automation. Citation Text: Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7. doi:10.1097/01.NUMA.0000343983.46376.31. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  5. Crossing to safety: transforming healthcare organizations for patient safety. | PSNet

    psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
    January 05, 2012 - Commentary Crossing to safety: transforming healthcare organizations for patient safety. Citation Text: Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67. Copy Citation Format: Google Scho…

  6. The outcomes card: development of a systems-based practice educational tool. | PSNet

    psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
    July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  7. The electronic medical record in dermatology. | PSNet

    psnet.ahrq.gov/issue/electronic-medical-record-dermatology
    October 19, 2022 - Commentary The electronic medical record in dermatology. Citation Text: Grosshandler JA, Tulbert B, Kaufmann MD, et al. The electronic medical record in dermatology. Arch Dermatol. 2010;146(9):1031-6. doi:10.1001/archdermatol.2010.229. Copy Citation Format: DOI Google Sch…

  8. Structured communication for patient safety in emergency medical services: a legal case report. | PSNet

    psnet.ahrq.gov/issue/structured-communication-patient-safety-emergency-medical-services-legal-case-report
    November 21, 2021 - Commentary Structured communication for patient safety in emergency medical services: a legal case report. Citation Text: Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi…

  9. Residual anaesthesia drugs in intravenous lines—a silent threat? | PSNet

    psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
    July 13, 2010 - Commentary Residual anaesthesia drugs in intravenous lines—a silent threat? Citation Text: Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. Copy Citation Format: DOI G…

  10. Implementing safety hotlines: Stamford Health's experience and future opportunities. | PSNet

    psnet.ahrq.gov/issue/implementing-safety-hotlines-stamford-healths-experience-and-future-opportunities
    March 23, 2011 - Commentary Implementing safety hotlines: Stamford Health's experience and future opportunities. Citation Text: Cardiello R, Johnston S, Kiely S. Implementing safety hotlines: Stamford Health's experience and future opportunities. J Healthc Risk Manag. 2019;38(3):24-31. doi:10.1002/jhrm.2…

  11. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet

    psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
    March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. Citation Text: Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/j…

  12. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet

    psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
    April 24, 2024 - Recently, professional organizations such as the ANA have noted and advocated for certain essential needs

  13. Patient Safety Amid Nursing Workforce Challenges | PSNet

    psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
    April 24, 2024 - Recently, professional organizations such as the ANA have noted and advocated for certain essential needs

  14. In Conversation With… Matthew Weinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - standardization.( 1 ) With all of this in place, the argument can be made that health care simulation is now a professional

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867985/psn-pdf
    January 01, 2025 - Suicide Prevention March 25, 2025 Boudreaux E, Gale B, Mossburg SE. Suicide Prevention. PSNet [internet]. 20024. https://psnet.ahrq.gov/perspective/suicide-prevention Introduction Suicide is one of the leading causes of death in the United States, accounting for nearly 50,000 deaths in 2022, a 36% rise since 2000…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836839/psn-pdf
    March 31, 2022 - Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022 Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff Introduction The…

  17. Tacit Handover, Overt Mishap | PSNet

    psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  18. Medication Mix-Up: From Bad to Worse | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-bad-worse
    March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49698/psn-pdf
    December 01, 2013 - SNFs: Opening the Black Box December 1, 2013 Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/snfs-opening-black-box The Case An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a small bowel obstructio…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852808/psn-pdf
    August 30, 2023 - Prolonged DKA in Pregnancy: A Case of Communication Breakdown. August 30, 2023 Marshall S, Boe NM. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown Disclosure of Relevant Financial Relationship…
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