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9641. Role of cognition in generating and mitigating clinical errors. | PSNet
      psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
      January 07, 2015 - Review Role of cognition in generating and mitigating clinical errors. Citation Text: Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. Copy Citation Format: …

9642. Piece of my mind. Stories doctors tell. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell
      August 28, 2013 - Commentary Piece of my mind. Stories doctors tell. Citation Text: Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

9643. The debrief imperative: building teaming competencies and team effectiveness. | PSNet
      psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness
      December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…

9644. Narrativizing nursing students' experiences with medical errors during clinicals. | PSNet
      psnet.ahrq.gov/issue/narrativizing-nursing-students-experiences-medical-errors-during-clinicals
      September 28, 2010 - Study Narrativizing nursing students' experiences with medical errors during clinicals. Citation Text: Noland CM, Carmack HJ. Narrativizing Nursing Students' Experiences With Medical Errors During Clinicals. Qual Health Res. 2015;25(10):1423-34. doi:10.1177/1049732314562892. Copy Citat…

9645. Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. | PSNet
      psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
      July 31, 2019 - Commentary Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs. Citation Text: Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…

9646. Adverse events in hospitals: the patient's point of view. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
      December 29, 2014 - Review Adverse events in hospitals: the patient's point of view. Citation Text: Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. Copy Citation Format: DO…

9647. Disclosing medical errors to patients: effects of nonverbal involvement. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
      June 14, 2017 - Study Disclosing medical errors to patients: effects of nonverbal involvement. Citation Text: Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007. Copy Citation Format: DO…

9648. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
      February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

9649. The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. | PSNet
      psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
      May 09, 2018 - Book/Report Classic The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. Citation Text: The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. Robins NS…

9650. Effects of work hour reduction on residents' lives: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
      March 02, 2011 - Review Effects of work hour reduction on residents' lives: a systematic review. Citation Text: Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. Copy Citation Format: DOI Goo…

9651. Amid lack of accountability for bias in maternity care, a California family seeks justice. | PSNet
      psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
      September 06, 2023 - Newspaper/Magazine Article Amid lack of accountability for bias in maternity care, a California family seeks justice. Citation Text: Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023 Copy Citation …

9652. What is preventable harm in healthcare? A systematic review of definitions. | PSNet
      psnet.ahrq.gov/issue/what-preventable-harm-healthcare-systematic-review-definitions
      September 23, 2020 - Review What is preventable harm in healthcare? A systematic review of definitions. Citation Text: Nabhan M, Elraiyah T, Brown DR, et al. What is preventable harm in healthcare? A systematic review of definitions. BMC Health Serv Res. 2012;12:128. doi:10.1186/1472-6963-12-128. Copy Ci…

9653. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. | PSNet
      psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2022-user-database-report
      June 01, 2022 - Book/Report Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare R…

9654. Responding to patient safety incidents: the "seven pillars." | PSNet
      psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars
      June 05, 2013 - Study Responding to patient safety incidents: the "seven pillars." Citation Text: McDonald TB, Helmchen LA, Smith KM, et al. Responding to patient safety incidents: the "seven pillars". Qual Saf Health Care. 2010;19(6):e11. doi:10.1136/qshc.2008.031633. Copy Citation Format: …

9655. Guide to Reducing Unintended Consequences of Electronic Health Records. | PSNet
      psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
      May 25, 2016 - Book/Report Guide to Reducing Unintended Consequences of Electronic Health Records. Citation Text: Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …

9656. Safe use of health information technology. | PSNet
      psnet.ahrq.gov/issue/safe-use-health-information-technology
      December 23, 2016 - Sentinel Event Alerts Safe use of health information technology. Citation Text: Safe use of health information technology. Sentinel Event Alert. March 31, 2015;(54):1-6. Copy Citation Save Save to your library Print Download PDF Share Faceb…

9657. A multicenter collaborative approach to reducing pediatric codes outside the ICU. | PSNet
      psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
      August 13, 2014 - Study A multicenter collaborative approach to reducing pediatric codes outside the ICU. Citation Text: Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227. …

9658. A system-wide initiative to prevent retained vaginal sponges. | PSNet
      psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
      November 07, 2012 - Commentary A system-wide initiative to prevent retained vaginal sponges. Citation Text: Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204. Copy Citatio…

9659. How experiencing preventable medical problems changed patients' interactions with primary health care. | PSNet
      psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
      December 13, 2023 - Study How experiencing preventable medical problems changed patients' interactions with primary health care. Citation Text: Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…

9660. Retained surgical items and minimally invasive surgery. | PSNet
      psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
      April 28, 2021 - Commentary Retained surgical items and minimally invasive surgery. Citation Text: Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011;35(7):1532-9. doi:10.1007/s00268-011-1060-4. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…