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9941. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. | PSNet
      psnet.ahrq.gov/issue/case-studies-patient-safety-research-classics-build-research-capacity-low-and-middle-income
      September 29, 2017 - Study Case studies of patient safety research classics to build research capacity in low- and middle-income countries. Citation Text: Andermann A, Wu AW, Lashoher A, et al. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. …

9942. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet
      psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
      August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

9943. Preventing patient positioning injuries in the nonoperating room setting. | PSNet
      psnet.ahrq.gov/issue/preventing-patient-positioning-injuries-nonoperating-room-setting
      November 21, 2012 - Commentary Preventing patient positioning injuries in the nonoperating room setting. Citation Text: Moody A, Chacin B, Chang C. Preventing patient positioning injuries in the nonoperating room setting. Curr Opin Anaesthesiol. 2022;35(4):465-471. doi:10.1097/aco.0000000000001153. Copy C…

9944. 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 …

9945. The Impact of Complications on Surgeons. | PSNet
      psnet.ahrq.gov/issue/impact-complications-surgeons
      November 16, 2022 - Special or Theme Issue The Impact of Complications on Surgeons. Citation Text: The Impact of Complications on Surgeons. Modi PK, Singer EA, eds. Urol Oncol. 2024;42(10):295-320. doi:10.1016/j.urolonc.2024.05.016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

9946. Barriers and facilitators to nursing handoffs: recommendations for redesign. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
      January 22, 2016 - Study Barriers and facilitators to nursing handoffs: recommendations for redesign. Citation Text: Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005. Copy …

9947. Improving diagnostic decision support through deliberate reflection: a proposal. | PSNet
      psnet.ahrq.gov/issue/improving-diagnostic-decision-support-through-deliberate-reflection-proposal
      September 23, 2020 - Commentary Improving diagnostic decision support through deliberate reflection: a proposal. Citation Text: Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. Copy Citation …

9948. Can we import improvements from industry to healthcare? | PSNet
      psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
      October 30, 2010 - Commentary Can we import improvements from industry to healthcare? Citation Text: Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

9949. Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. | PSNet
      psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
      June 13, 2012 - Government Resource Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Citation Text: Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. Washington, DC: VA Office of Inspector General; April 1…

9950. The fallacy of a single diagnosis. | PSNet
      psnet.ahrq.gov/issue/fallacy-single-diagnosis
      October 05, 2022 - Study The fallacy of a single diagnosis. Citation Text: Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

9951. Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents. | PSNet
      psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
      July 02, 2014 - Study Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents. Citation Text: Reilly JB, Ogdie AR, Von Feldt JM, et al. Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for reside…

9952. Notes on healing after a missed diagnosis. | PSNet
      psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
      May 18, 2022 - Commentary Notes on healing after a missed diagnosis. Citation Text: Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

9953. Issues and complexities in safety culture assessment in healthcare. | PSNet
      psnet.ahrq.gov/issue/issues-and-complexities-safety-culture-assessment-healthcare
      October 09, 2024 - Commentary Issues and complexities in safety culture assessment in healthcare. Citation Text: Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. Copy Citation …

9954. Work interruptions and their contribution to medication administration errors: an evidence review. | PSNet
      psnet.ahrq.gov/issue/work-interruptions-and-their-contribution-medication-administration-errors-evidence-review
      July 22, 2020 - Review Work interruptions and their contribution to medication administration errors: an evidence review. Citation Text: Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs…

9955. Nighttime and weekend medication error rates in an inpatient pediatric population. | PSNet
      psnet.ahrq.gov/issue/nighttime-and-weekend-medication-error-rates-inpatient-pediatric-population
      October 19, 2022 - Study Nighttime and weekend medication error rates in an inpatient pediatric population. Citation Text: Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P25…

9956. An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet
      psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
      December 21, 2014 - Study An evaluation of information transfer through the continuum of surgical care: a feasibility study. Citation Text: Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…

9957. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet
      psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
      August 10, 2022 - Study An effectiveness analysis of healthcare systems using a systems theoretic approach. Citation Text: Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195. Copy Citation …

9958. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
      April 16, 2014 - Study Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Citation Text: Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…

9959. Learning mechanisms to limit medication administration errors. | PSNet
      psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
      August 30, 2017 - Study Learning mechanisms to limit medication administration errors. Citation Text: Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs. 2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x. Copy Citation Format: DOI Google Scholar …

9960. The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. | PSNet
      psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
      April 21, 2021 - Commentary The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. Citation Text: Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building safe passage for patients, nurse…